Effects of PERMA-Based Psychological Intervention Combined with Otago Exercise Training on Fall Risk Reduction in Stroke Patients

Objective: To explore the clinical effects of PERMA combined with Otago exercise training in reducing the risk of falls in stroke patients. Methods: A total of 56 stroke patients were randomly divided into a control group (28 cases, receiving routine health education and rehabilitation training) and an observation group (28 cases, receiving PERMA combined with Otago exercise training). Fall efficacy scores, fall incidence, BI index, IWB score, neurological function rating, and treatment compliance were observed and compared between the two groups. Results: Before intervention, there was no significant difference in fall efficacy scores between the two groups (P > 0.05). After intervention, the fall efficacy scores in the observation group were significantly higher than those in the control group before discharge, and at 1, 2, and 3 months after discharge (P < 0.05). Three months after discharge, the fall incidence was 7.14% (2 cases) in the control group and 0% (0 cases) in the observation group, with no statistically significant difference (P > 0.05). The BI index and IWB score were significantly higher in the observation group than in the control group after intervention (P < 0.05). Regarding neurological function, three months after discharge, the number of patients with grade 0 and grade 1 neurological function ratings was higher in the observation group, while the number of patients with grade 2 ratings was lower compared to the control group (P < 0.05). Treatment compliance scores in the observation group were significantly higher than those in the control group at 2 and 3 months after discharge (P < 0.05). Conclusion: The application of PERMA combined with Otago exercise training is clinically effective in stroke patients. It significantly reduces the risk of falls, improves neurological function, enhances daily living abilities and subjective well-being, and increases intervention satisfaction, making it a suitable clinical intervention.