Stroke as a risk factor for falls .......................................... ............... 23 P ost-stroke hip fractures...................................... ........................... ........ 24 Fear of Falling A after Stroke ........................................ .......................... 24 Post-stroke balance confidence ...................................................... 24 Post-stroke fear of falling assessments.................................................25 Post-stroke fear of falling ............................. ........... .................. 26 A activity and P participation ................................................................ ............... ...26 Restriction of Activity and Participation............... ...... ......................... 26 Gait Speed, Activity, and Participation .................................... ............... 27 Falls, Activity, and Participation ................................ ...............29 Fear of Falling, Activity, and Participation.......................... ............... 30 C areg iv ers ...................... .. .. ......... .. .. .................................................3 1 Stroke and Caregiving ................... ...... ........ .. .. .... ..... .. ........ .... 31 Mobility Disability and Caregiving.................... ............. ..............32 C aregiver D expression ............................................. ................ ............. 33 Caregiver Burden ....................... ....... ............................... .33 Sum m ary of the Literature Review .............. ................................... ................34 3 THE IMPACT OF POST-STROKE GAIT VELOCITY CHANGES ON ACTIVITY AND PARTICIATION .................................................. .................. 35 Introdu action ...................................... ................................................. 3 5 M eth o d s ...................................................................3 7 D design ...................................................................................................... ....... 37 P articip an ts ................................................................ 3 8 O utcom e M measures .................................. ............. ...... ......... 39 G ait v elo city ................................................. ................ 3 9 Activity and participation..................... ...... ........................... 40 Statistical A analysis .......................................... .. .. .... .... ..... ..... .. 4 1 R e su lts ...........................................................................................4 1 D isc u ssio n ............................................................................................................. 4 4 4 FEAR OF FALLING AFTER STROKE ..................................................48 In tro du ctio n ...................................... ................................................ 4 8 M eth o d s ..................................................................5 0 D e sig n .......................................................................................5 0 Sam ple .............................................................................................................50 D ata Collection ................................................................ .. ... ............ 51 O utcom e M measures ...........................................................53 Functional status................................................... 54 Cognitive status ................................................................ .. .............54 D expression ............................... ........ .......................................... 54 Caregiver demographics, burden, and coping ...........................................55 A analysis of Q uantitative D ata ....................................................... 55 R e su lts ...............................................................................................5 6 D description of Sam ple ................................................................................... 56