Falls prevention over 2 years: a randomized controlled trial in women 80 years and older.
Abstract
BACKGROUND:
after 1 year, a home-based
programme of strength and balance retraining exercises was effective in
reducing falls
and injuries in women aged 80 years and older. The
exercise programme had been individually prescribed by a physiotherapist
during the first 2 months of a randomized
controlled trial.
OBJECTIVE:
we aimed to assess the effectiveness of the
programme
over 2 years.
SUBJECTS:
women from both the control
group and the exercise group completing a 1-year trial (213 out of the
original 233) were invited to continue for a
further year. METHODS: falls and compliance to the exercise programme
were monitored
for 2 years.
RESULTS: 81 (74%) in the control group
and 71 (69%) in the exercise group agreed to continue in the study.
After
2 years, the rate of falls remained significantly
lower in the exercise group than in the control group. The relative
hazard
for all falls for the exercise group was 0.69 (95%
confidence interval 0.49-0.97). The relative hazard for a fall resulting
in a moderate or severe injury was 0.63 (95%
confidence interval 0.42-0.95). Those complying with the exercise
programme at
2 years had a higher level of physical activity at
baseline, were more likely to have reported falling in the year before
the study and had remained more confident in the
first year about not falling compared with the rest of the exercise
group.
CONCLUSIONS:
falls and injuries can be reduced by
an individually tailored exercise programme in the home. For those who
keep
exercising, the benefit continues over a 2-year
period.
Full Text / pdf - Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Autoren:
online im internet - Zugriff vom 02.10.2012 - http://ageing.oxfordjournals.org/content/28/6/513.full.pdf
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