A randomized controlled trial of fall prevention

by a high-intensity functional exercise program for older people living in residential care facilities

Autoren: Rosendahl, E.; Gustafson, Y.; Nordin, E.; Lundin-Olsson, L.; Nyberg, L.

Journal:   Aging, Clinical and Experimental Research 2008 Vol. 20 No. 1 pp. 67-75

Abstract

BACKGROUND AND AIMS:

Falls are particularly common among older people living in residential care facilities. The aim of this randomized controlled trial was to evaluate the effectiveness of a high-intensity functional exercise program in reducing falls in residential care facilities.

METHODS:

Participants consisted of 191 older people, 139 women and 52 men, who were dependent in activities of daily living. Their mean±SD score on the Mini-Mental State Examination was 17.8±5.1 (range, 10-30). Participants were randomized to a high-intensity functional exercise program or a control activity, consisting of 29 sessions over 3 months. The fall rate and proportion of participants sustaining a fall were the outcome measures, subsequently analysed using negative binominal analysis and logistic regression analysis, respectively.

RESULTS:

During the 6-month follow-up period when all participants were compared, no statistically significant difference between groups was found for fall rate (exercise group, 3.6 falls per person years, PY; control group, 4.6 falls per PY; incidence rate ratio, 0.82; 95% CI, 0.49-1.39; P=0.46) or the proportion of participants sustaining a fall (exercise, 53%; control, 51%; odds ratio, 0.95; 95% CI, 0.52-1.74; P=0.86).
A subgroup interaction analysis revealed that, among participants who improved their balance during the intervention period, the exercise group had a lower fall rate than the control group (exercise, 2.7 falls per PY; control, 5.9 falls per PY; incidence rate ratio, 0.44; 95% CI, 0.21-0.91; P=0.03).

CONCLUSIONS:

In older people living in residential care facilities, a high-intensity functional exercise program may prevent falls among those who improve their balance.

Quelle:  http://www.cabdirect.org/abstracts/20083130691.html;jsessionid=8337FB0DAB8B5708819DF486DB59EF51



A randomized controlled trial of fall prevention by a high-intensity functional exercise program for older people living in residential care facilities. / Full Text / pdf / online im internet / Zugriff vom 06.10.2012:

http://pure.ltu.se/portal/files/2228781/Article.pdf





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