IMPORTANCE Falls increase morbidity and mortality in adults 65 years and older. The role of dancebased mind-motor activities in preventing falls among healthy older adults is not well established. OBJECTIVE To assess the effectiveness of dance-based mind-motor activities in preventing falls.
(2016). Is there an association between pain and magnetic resonance imaging parameters in patients with lumbar spinal stenosis? Spine, 41(17) : AbstractStudy design: Prospective multi-center cohort study.Objective: To identify an association between pain and magnetic resonance imaging (MRI) parameters in patients with lumbar spinal stenosis (LSS). Summary of Background Data:To the present, the relationship between abnormal MRI findings and pain in patients with LSS is still unclear.Methods: First we conducted a systematic literature search. We identified relationships of relevant MRI parameters and pain in patients with LSS. Second, we addressed the study question with a thorough descriptive and graphical analysis to establish a relationship between MRI parameters and pain using data of the lumbar spinal stenosis outcome study (LSOS).Results: In the systematic review including four papers about the associations between radiological findings in the MRI and pain, the authors of two articles reported no association and two of them did. Of the latters, only one study found a moderate correlation between leg pain measured by Visual Analogue Scale (VAS) and the degree of stenosis assessed by spine surgeons. In the data of the LSOS study we could not identify a relevant association between any of the MRI parameters and buttock, leg and back pain, quantified by the Spinal Stenosis Measure (SSM) and the Numeric Rating Scale (NRS). Even by restricting the analysis to the level of the lumbar spine with the most prominent radiological 'stenosis' no relevant association could be shown. Conclusion:Despite a thorough analysis of the data we were not able to prove any correlation between radiological findings (MRI) and the severity of pain. There is a need for innovative 'methods/techniques' to learn more about the causal relationship between radiological findings and the patients' pain related complaints.
Background: Falls represent a major health problem for older adults with cognitive impairment, and the effects of exercise for fall reduction are understudied in this population. This pilot randomized controlled trial evaluated the feasibility, safety, and exploratory effectiveness of a Dalcroze eurhythmics program and a home exercise program designed for fall prevention in older adults with mild cognitive impairment (MCI) or early dementia. Methods: For this three-arm, single-blind, 12-month randomized controlled pilot trial, we recruited communitydwelling women and men age 65 years and older with MCI or early dementia through participating memory clinics in Zurich, Switzerland. Participants were randomly assigned to a Dalcroze eurhythmics group program, a simple home exercise program (SHEP), or a non-exercise control group. All participants received 800 IU of vitamin D 3 per day. The main objective of the study was to test the feasibility of recruitment and safety of the interventions. Additional outcomes included fall rate, gait performance, and cognitive function. Results: Over 12 months, 221 older adults were contacted and 159 (72%) were screened via telephone. Following screening, 12% (19/159) met the inclusion criteria and were willing to participate. One participant withdrew at the end of the baseline visit and 18 were randomized to Dalcroze eurhythmics (n = 7), SHEP (n = 5), or control (n = 6). Adherence was similarly low in the Dalcroze eurhythmics group (56%) and in the SHEP group (62%; p = 0.82). Regarding safety and pilot clinical endpoints, there were no differences between groups.
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