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Effects of a fall prevention program including exercise on mobility and falls in frail older people living in residential care facilities
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-9813-2719
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
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2004 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 16, no 4, p. 283-92Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND AIMS: Impaired mobility is one of the strongest predictors for falls in older people. We hypothesized that exercise as part of a fall prevention program would have positive effects, both short- and long-term, on gait, balance and strength in older people at high risk of falling and with varying levels of cognition, residing in residential care facilities. A secondary hypothesis was that these effects would be associated with a reduced risk of falling. METHODS: 187 out of all residents living in 9 facilities, > or =65 years of age were at high risk of falling. The facilities were cluster-randomized to fall intervention or usual care. The intervention program comprised: education, environment, individually designed exercise, drug review, post-fall assessments, aids, and hip protectors. Data were adjusted for baseline performance and clustering. RESULTS: At 11 weeks, positive intervention effects were found on independent ambulation (FAC, p=0.026), maximum gait speed (p=0.002), and step height (> or =10 cm, p<0.001), but not significantly on the Berg Balance Scale. At 9 months (long-term outcome), 3 intervention and 15 control residents had lost the ability to walk (p=0.001). Independent ambulation and maximum gait speed were maintained in the intervention group but deteriorated in the control group (p=0.001). Residents with both higher and lower cognition benefited in most outcome measures. Noassociation was found between improved mobility and reduced risk of falling.CONCLUSIONS: Exercise, as part of a fall prevention program, appears to preserve the ability to walk, maintain gait speed, ambulate independently, and improve step height. Benefits were found in residents with both lower and higher cognitive impairment, but were not found to be associated with a reduced risk of falling

Place, publisher, year, edition, pages
2004. Vol. 16, no 4, p. 283-92
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-9362Local ID: 7f6d21b0-ba9a-11db-b560-000ea68e967bOAI: oai:DiVA.org:ltu-9362DiVA, id: diva2:982300
Note
Validerad; 2004; 20070207 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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Nyberg, LarsRosendahl, Erik

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