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Stroke Research and Treatment
Volume 2012, Article ID 407693, 7 pages
Clinical Study

Development and Process Evaluation of a 5-Week Exercise Program to Prevent Falls in People after Stroke: The FALLS Program

1Department of Rehabilitation, Nijmegen Centre for Evidence Based Practice, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands
2Department of Rehabilitation, Sint Maartenskliniek, P.O. Box 9011, 6500 GM Nijmegen, The Netherlands
3Research, Development & Education, Sint Maartenskliniek, P.O. Box 9011, 6500 GM Nijmegen, The Netherlands

Received 15 June 2011; Revised 23 August 2011; Accepted 26 August 2011

Academic Editor: Gert Kwakkel

Copyright © 2012 H. J. R. van Duijnhoven et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Falls are a common complication after stroke, with balance and gait deficits being the most important risk factors. Taking into account the specific needs and capacities of people with stroke, we developed the FALLS program (FALL prevention after Stroke), based on the “Nijmegen falls prevention program” (a proven-effective 5-week exercise program designed for community-dwelling elderly people). The program was tested in twelve community-dwelling persons with stroke, and a process evaluation was conducted with patients, trainers, health care professionals, and managers. The FALLS program was considered suitable and feasible by people with stroke in the study and relevant health care professionals, and recommendations for implementation in clinical practice have been suggested.