the development of fear of falling after stroke. This study provides initial exploration into

this complex syndrome and will supply preliminary data for future research regarding

post-stroke fear of falling and the residual influence it has on activities and participation.

 Cumulatively, these research projects provide researchers and clinicians with

valuable information regarding performance of ADLs, IADLs, and social participation

related to both gait speed and fear of falling after stroke. The impact of post-stroke gait

speed on ADLs and IADLs is not well researched and this study contributes critical

information. This research is the first study to examine fear of falling in a stroke

population with longitudinal data that are both quantitative and qualitative. Results from

the study indicates the need for development of a future index related to fear of falling in

the population, and, more importantly, interventions to reduce both falls and manage fear

of falling in the post-stroke population. These studies provide a foundation for future

research related to post-stroke mobility and activities and participation.

 Theoretical Models

 Two theoretical models have guided this research. The International Classification

of Functioning, Disability, and Health was used to explain the fundamental relationships

between post-stroke mobility and ADLs, IADLs, and participation (see Figure 1-1). An

additional conceptual model was specifically proposed for these research study questions.

It was developed after a review and synthesis of the literature specific to gait velocity and

fear of falling (see Figure 1-2).

The World Health Organization Model: International Classification of Functioning,
 Disability, and Health

 Various models of disablement have been developed and explored over the years.

Because rehabilitation strives to reverse what was previously known as the "disabling"