Relationship of confidence in task performance with balance and motor function after stroke

The principal aim of this investigation was to relate perceived confidence in task performance without falling and observer-assessed balance, both to each other and to motor function at three different times after a fi rst stroke. Sixty-two patients 24-65 years of age participated in this study. Perceived confidence in task performance was self-reported using a Swedish modification of the Falls-Efficacy Scale (FES(S)). For observer assessments the Berg Balance Scale and the balance and motor function sections of the Fugl-Meyer Stroke Assessment Instrument were used. Assessments were performed on admission, at discharge, and at a 10-month follow-up. FES(S) was significantly associated with observer-assessed balance (rho = 0.46-0.68) and motor function (rho = 0.45-0.56) onadmission and on discharge (rho = 0.38-0.51). At follow-up these correlations were generally weaker, ranging from 0.20-0.49. We conclude that self-reported confidence in task performance is a valuable measure in clinical practice, adding information to that gained from objective assessments.