Stürze und Sturzprävention:
http://www.aktiv-training.de/download/2014/01_06.01.2014/Sturzpraevention_2014.pdf
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Kettlebell für Einsteiger:
http://www.aktiv-training.de/03_kettlebell_fuer_einsteiger.html
Kettlebell für Fortgeschrittene:
http://www.aktiv-training.de/05_kettlebell-training-fuer-fortgeschrittene.html
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Posts mit dem Label Sturzprävention werden angezeigt. Alle Posts anzeigen
Posts mit dem Label Sturzprävention werden angezeigt. Alle Posts anzeigen
Sonntag, 14. August 2016
Donnerstag, 4. Oktober 2012
Fall Prevention in Residential Care
A Cluster, Randomized, Controlled Trial
ABSTRACT:
Full Text / pdf:
Kerse, N., Butler, M., Robinson, E. and Todd, M. (2004), Fall Prevention in Residential Care: A Cluster, Randomized, Controlled Trial. Journal of the American Geriatrics Society, 52: 524–531. doi: 10.1111/j.1532-5415.2004.52157.x
http://ot.creighton.edu/community/EBLP/Question3/Kerse%202004%20Fall%20Prevention%20in%20Residential%20Care.pdf
Online im internet - Zugriff vom 04.10.2012
JÖRG LINDER AKTIV-TRAINING - www.aktiv-training.de
Ihr Personal Trainer für Sturz-Prävention und Social Health in: Baden-Baden, Bühl, Achern, Offenburg, Gengenbach, Freiburg, Rastattm Karlsruhe, Heidelberg, Stuttgart, Calw, Freudenstadt.
Social Health / individuelle Betreuung:
http://www.aktiv-training.de/social-health_aktiv-training.html
Article first published online: 30 MAR 2004
DOI: 10.1111/j.1532-5415.2004.52157.x
ABSTRACT:
Keywords:
- fall prevention;
- residential care;
- cluster randomized controlled trial
Objectives:
To establish the effectiveness of a fall-prevention program in reducing
falls and injurious falls in older residential care residents.
Design: Cluster, randomized, controlled trial.
Setting: Fourteen randomly selected residential care homes in Auckland, New Zealand.
Participants: All older residents (n=628, 95% participation rate).
Intervention:
Residential care staff, using existing resources, implemented
systematic individualized fall-risk management for all residents using a
fall-risk assessment tool, high-risk logo, and strategies to address
identified risks.
Measurements: Number of residents sustaining a fall, falls, and injurious-falls incidence rates.
Results:
During 12 months of follow-up, 103 (43%) residents in the control group
and 173 (56%) residents in the intervention group fell (P<.018).
There was a significantly higher incidence rate of falls in
intervention homes than in control homes (incident rate ratio=1.34, 95%
confidence interval=1.06–1.72) during the intervention period after
adjusting for dependency level (type of home), baseline fall rate, and
clustering. There was no difference in the injurious fall incidence rate
or incidence of serious injuries.
Conclusion:
This fall-prevention intervention did not reduce falls or injury from
falls. Low-intensity intervention may be worse than usual care.
Quelle: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52157.x/abstract
Quelle: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2004.52157.x/abstract
Full Text / pdf:
Kerse, N., Butler, M., Robinson, E. and Todd, M. (2004), Fall Prevention in Residential Care: A Cluster, Randomized, Controlled Trial. Journal of the American Geriatrics Society, 52: 524–531. doi: 10.1111/j.1532-5415.2004.52157.x
http://ot.creighton.edu/community/EBLP/Question3/Kerse%202004%20Fall%20Prevention%20in%20Residential%20Care.pdf
Online im internet - Zugriff vom 04.10.2012
JÖRG LINDER AKTIV-TRAINING - www.aktiv-training.de
Ihr Personal Trainer für Sturz-Prävention und Social Health in: Baden-Baden, Bühl, Achern, Offenburg, Gengenbach, Freiburg, Rastattm Karlsruhe, Heidelberg, Stuttgart, Calw, Freudenstadt.
Social Health / individuelle Betreuung:
http://www.aktiv-training.de/social-health_aktiv-training.html
JÖRG LINDER AKTIV-TRAINING
Mauerbergstraße 110
76534 Baden-Baden
Tel.: 07223 / 8004699
Mobil: 0177 / 4977232
Mail: info@aktiv-training.de
Fax: 07223 / 8005271
Prävention: www.preventex.de
Mobility-Walking: http://mobility-walking.blogspot.com
Personal Training: http://personal-training-karlsruhe.blogspot.com
Personal Training: http://personal-training-karlsruhe.blogspot.com
Donnerstag, 27. September 2012
Fall Prevention Programs for the Elderly: How Effective Are They?
Nursing Research: January/February 2002 - Volume 51 - Issue 1 - pp 1-8
Features
A Meta-Analysis of Fall Prevention Programs for the Elderly: How Effective Are They?
Hill-Westmoreland, Elizabeth E.; Soeken, Karen; Spellbring, Ann Marie
Abstract
Background: Although fall prevention studies for the
elderly have been reported, there is a paucity of work summarizing the
effectiveness of these interventions.
Objectives: The research question that guided this
study was: What are the effects of fall prevention programs on the
proportion of falls in the elderly?
Method: Meta-analysis was employed to summarize
findings of intervention studies of fall prevention in the elderly
involving a comparison group and a quantifiable outcome. Studies were
reviewed by two of the authors with the eligibility criteria in mind.
Studies were then coded and an inter-rater reliability check was
performed.
Results: The overall mean weighted effect size for the 12 studies included in the meta-analysis was .0779 (Z = 5.03, p < .001). For fall prevention intervention types, exercise alone had a mean weighted effect size of .0220 (Z = .5303, p > .5), exercise and risk modification had a mean weighted effect size of .0687 (Z = 3.41, p < .001), and comprehensive risk assessment intervention studies had an effect size of .1231 (Z = 3.97, p < .001). The mean weighted effect size size for community-based studies was .0972 (Z = 5.37, p < .001) and for institution-based studies was .0237 (Z = .7822, p
= .22). Time to outcome measure analyses revealed that the mean
weighted effect size for studies measuring proportion of falls at 12
months was .0905 (Z = 5.43, p < .001), and those measuring at four months or less was -.0972 (Z = -.005, p > .50).
Conclusions: The results of this meta-analysis
indicate that there was a 4% decrease in the rate of falls for
individuals who were in the treatment groups receiving various fall
prevention interventions. Additional intervention studies need to be
conducted in the elderly population with a goal of preventing falls.
Quelle Link:
http://journals.lww.com/nursingresearchonline/Abstract/2002/01000/A_Meta_Analysis_of_Fall_Prevention_Programs_for.2.aspx
Direktlink zum pdf (kostenfrei):
http://stallgeriatrics.com/falls/Article-MetaAnalysisofFallPreventionPrograms%28NursingResearch2002%29.pdf
In dieser o.g. Untersuchung scheint es allerdings etwa querbeet zu gehen - teilweise werden Interventionen verglichen, die sich eigentlich nicht vergleichen lassen, da sowohl der Aufbau wie auch die Intervention nicht unbedingt vergleichbar sind.
Kleingruppentraining und Personal Training Sturzprävention: in Freiburg, Offenburg, Ortenau, Baden-Baden, Rastatt, Karlsruhe, Kraichgau, Pforzheim, Nordschwarzwald, Stuttgart.
JÖRG LINDER AKTIV-TRAINING
Mauerbergstraße 110
76534 Baden-Baden
Tel.: 07223 / 8004699
Mobil: 0177 / 4977232
Mail: info@aktiv-training.de
Fax: 07223 / 8005271
Wordpress: www.aktivtraining.wordpress.com
Personal Training: www.personaltrainingbadenbaden.wordpress.com
Sturzprävention: www.sturztraining.de
Effective Exercise for the Prevention of Falls
A Systematic Review and Meta-Analysis
Das vollständige pdf finden Sie hier:
http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2008.02014.x/pdf
Sturzprävention in Freiburg, Offenburg, Ortenau, Baden-Baden, Rastatt, Karlsruhe, Kraichgau, Pforzheim, Nordschwarzwald, Stuttgart.
JÖRG LINDER AKTIV-TRAINING
Article first published online: 31 OCT 2008
DOI: 10.1111/j.1532-5415.2008.02014.x
© 2008, Copyright the Authors. Journal compilation © 2008, The American Geriatrics Society
ABSTRACT
OBJECTIVES: To determine
the effects of exercise on falls prevention in older people and
establish whether particular trial characteristics or components of
exercise programs are associated with larger reductions in falls.
DESIGN:
Systematic review with meta-analysis. Randomized controlled trials that
compared fall rates in older people who undertook exercise programs
with fall rates in those who did not exercise were included.
SETTING: Older people.
PARTICIPANTS: General community and residential care.
MEASUREMENTS: Fall rates.
RESULTS:
The pooled estimate of the effect of exercise was that it reduced the
rate of falling by 17% (44 trials with 9,603 participants, rate ratio
(RR)=0.83, 95% confidence interval (CI)=0.75–0.91, P<.001, I2=62%).
The greatest relative effects of exercise on fall rates (RR=0.58, 95%
CI=0.48–0.69, 68% of between-study variability explained) were seen in
programs that included a combination of a higher total dose of exercise
(>50 hours over the trial period) and challenging balance exercises
(exercises conducted while standing in which people aimed to stand with
their feet closer together or on one leg, minimize use of their hands to
assist, and practice controlled movements of the center of mass) and
did not include a walking program.
CONCLUSION:
Exercise can prevent falls in older people. Greater relative effects
are seen in programs that include exercises that challenge balance, use a
higher dose of exercise, and do not include a walking program. Service
providers can use these findings to design and implement exercise
programs for falls prevention.
The
development and implementation of effective and cost-efficient
strategies to prevent falls in older people is an urgent global health
challenge. In developed countries, life expectancy for people aged 65
years old is approximately 17 years for men and 21 years for women. At
least one-third of people aged 65 and older fall at least once annually,1 and falls account for more than half of the injury-related hospitalizations for older people.2 Fall rates in the general older population are reported to be 1.2 falls per person year.3
Falls in older people are not purely random events but can be predicted by assessing a number of risk factors.4,5
Some of these risk factors (e.g., reduced muscle strength and impaired
balance and gait) can be modified using exercise, whereas others (e.g.,
poor vision, psychoactive medication use) require different intervention
approaches. Exercise can be used as a stand-alone falls prevention
intervention or as a component of a multifaceted program. Multifaceted
interventions can prevent falls in the general community, in those at
greater risk of falls, and in residential care facilities.4,6
Many
trials have sought to establish the specific effect of exercise on fall
rates, but a large proportion of these trials have been underpowered.
The best way to interpret these trials may be to pool their data in a
meta-analysis, but trials of the effects of exercise on fall rates vary
in their quality, have been conducted on a range of populations, and
employ exercise programs that differ greatly in their aims and content.
Meta-analysis should therefore involve exploration of whether these
factors “explain” (are associated with) estimates of the effect of
exercise programs.7,8
A Cochrane review of fall prevention strategies6
conducted separate meta-analyses on different forms of exercise and
concluded that some exercise programs can prevent falls in community
dwellers (e.g., home exercise program of balance and strength training, a
Tai Chi group program) but that others are unlikely to be beneficial
(brisk walking in women with an upper limb fracture in the previous 2
years) or require further investigation (untargeted group-based exercise
interventions and individual lower-limb strength training).
A limitation to this approach is that it combines programs that may be different (e.g., group programs that are of low and high intensity) and separates programs that share key features (e.g., balance training).
A limitation to this approach is that it combines programs that may be different (e.g., group programs that are of low and high intensity) and separates programs that share key features (e.g., balance training).
This
study sought to establish the effect of exercise on fall rates, with a
major aim of explaining between-trial variability. Meta-regression
methods were used to investigate whether particular features of study
populations, exercise programs, and study design were associated with
the size of estimates of effects of exercise on fall rates.
Quelle: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2008.02014.x/full?globalMessage=0
Quelle: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2008.02014.x/full?globalMessage=0
Das vollständige pdf finden Sie hier:
http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2008.02014.x/pdf
Sturzprävention in Freiburg, Offenburg, Ortenau, Baden-Baden, Rastatt, Karlsruhe, Kraichgau, Pforzheim, Nordschwarzwald, Stuttgart.
JÖRG LINDER AKTIV-TRAINING
Mauerbergstraße 110
76534 Baden-Baden
Tel.: 07223 / 8004699
Mobil: 0177 / 4977232
Mail: info@aktiv-training.de
Fax: 07223 / 8005271
Wordpress: www.aktivtraining.wordpress.com
Personal Training: www.personaltrainingbadenbaden.wordpress.com
Sturzprävention: www.sturztraining.de
A Randomized Controlled Trial of Fall Prevention Strategies in Old Peoples’ Homes
A Randomized Controlled Trial of Fall Prevention Strategies in Old Peoples’ Homes
McMurdo MET, Millar AM, Daly F
Gerontology 2000;46:83–87 (DOI: 10.1159/000022139)
Abstract:
Background:
Falls are a major cause of morbidity in old age. A small number of fall prevention trials in cognitively intact community-dwelling older people have been effective. This study set out to examine the preventability of falls in older people living in institutional care.
Objective:
To evaluate the effectiveness of falls risk factor assessment/modification and seated balance exercise training in reducing falls among elderly people living in residential care. Methods: 133 residents with a mean age of 84± (SD) 6.8 years were allocated at random by home to receive either a 6-month falls risk factor assessment/modification and seated balance exercise training programme (n = 77) or 6 months of reminiscence therapy (n = 56). The risk factors targeted were postural hypotension, polypharmacy, visual acuity, and ambient lighting levels. Falls risk factor assessments and recommendation for modifications were performed at baseline in the intervention group and assessments repeated at 6 months. Functional reach, reaction time, timed up-and- go, grip strength, spinal flexibility, and Philadelphia Geriatric Centre Morale Scale and Mini-Mental State Examination scores were determined at baseline and at 6 months by a ‘blind’ observer. Falls and fractures were then monitored in both groups during a 7- to 12-month falls-monitoring follow-up period.
Results:
Only 90 of 133 (67.7%) residents completed the 6-month intervention period, and 84 (63.2%) completed the 7- to 12-month falls-monitoring follow-up period. Both prevalence of postural hypotension (p = 0.0005) and poor visual acuity (p = 0.04) were reduced in the intervention group. There was no difference between the groups in the number of falls sustained, the risk of falling [odds ratio 0.45 (95% CI 0.19–1.14)], or in the risk of recurrent falling [odds ratio 1.07 (95% CI 0.40–2.97)]. No significant differences were found between the groups with regard to change in other outcome measures.
Conclusions:
The high drop-out rate reduced the power of this study to detect any effect of the interventions used. It is possible that either the exercises were not sufficiently vigorous or that to improve balance exercises must be performed standing. Further research is required to identify effective fall prevention strategies for elderly people in residential settings.
Copyright © 2000 S. Karger AG, Basel
Quelle: http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstractBuch&ArtikelNr=22139&ProduktNr=225842
Sturzprävention in Freiburg, Offenburg, Ortenau, Baden-Baden, Rastatt, Karlsruhe, Kraichgau, Pforzheim, Nordschwarzwald, Stuttgart.
JÖRG LINDER AKTIV-TRAINING
McMurdo MET, Millar AM, Daly F
Gerontology 2000;46:83–87 (DOI: 10.1159/000022139)
Abstract:
Background:
Falls are a major cause of morbidity in old age. A small number of fall prevention trials in cognitively intact community-dwelling older people have been effective. This study set out to examine the preventability of falls in older people living in institutional care.
Objective:
To evaluate the effectiveness of falls risk factor assessment/modification and seated balance exercise training in reducing falls among elderly people living in residential care. Methods: 133 residents with a mean age of 84± (SD) 6.8 years were allocated at random by home to receive either a 6-month falls risk factor assessment/modification and seated balance exercise training programme (n = 77) or 6 months of reminiscence therapy (n = 56). The risk factors targeted were postural hypotension, polypharmacy, visual acuity, and ambient lighting levels. Falls risk factor assessments and recommendation for modifications were performed at baseline in the intervention group and assessments repeated at 6 months. Functional reach, reaction time, timed up-and- go, grip strength, spinal flexibility, and Philadelphia Geriatric Centre Morale Scale and Mini-Mental State Examination scores were determined at baseline and at 6 months by a ‘blind’ observer. Falls and fractures were then monitored in both groups during a 7- to 12-month falls-monitoring follow-up period.
Results:
Only 90 of 133 (67.7%) residents completed the 6-month intervention period, and 84 (63.2%) completed the 7- to 12-month falls-monitoring follow-up period. Both prevalence of postural hypotension (p = 0.0005) and poor visual acuity (p = 0.04) were reduced in the intervention group. There was no difference between the groups in the number of falls sustained, the risk of falling [odds ratio 0.45 (95% CI 0.19–1.14)], or in the risk of recurrent falling [odds ratio 1.07 (95% CI 0.40–2.97)]. No significant differences were found between the groups with regard to change in other outcome measures.
Conclusions:
The high drop-out rate reduced the power of this study to detect any effect of the interventions used. It is possible that either the exercises were not sufficiently vigorous or that to improve balance exercises must be performed standing. Further research is required to identify effective fall prevention strategies for elderly people in residential settings.
Copyright © 2000 S. Karger AG, Basel
Quelle: http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstractBuch&ArtikelNr=22139&ProduktNr=225842
Sturzprävention in Freiburg, Offenburg, Ortenau, Baden-Baden, Rastatt, Karlsruhe, Kraichgau, Pforzheim, Nordschwarzwald, Stuttgart.
JÖRG LINDER AKTIV-TRAINING
Mauerbergstraße 110
76534 Baden-Baden
Tel.: 07223 / 8004699
Mobil: 0177 / 4977232
Mail: info@aktiv-training.de
Fax: 07223 / 8005271
Wordpress: www.aktivtraining.wordpress.com
Personal Training: www.personaltrainingbadenbaden.wordpress.com
Sturzprävention: www.sturztraining.de
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