Development of an exercise program for fall prevention for elderly persons in a long‐term care facility

Kato, Masaaki; Izumi, Kenta; Hiramatsu, Tomoko; Shogenji, Miho

doi:10.1111/j.1742-7924.2006.00057.x

Cited by 17 publications

(16 citation statements)

References 29 publications

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“…We compared our review results with the Cochrane Review ' Interventions for preventing falls in older people living in the community ' (Gillespie 2012), and identified six other systematic reviews incorporating meta-analyses (Chan 2015; Le Blanc 2015; Sherrington 2017; Silva 2013; Stubbs 2015; Vlaeyen 2015). …”

Section: Discussionmentioning

confidence: 99%

“…Sherrington 2017 conducted a systematic review and meta-analysis of exercise interventions to prevent falls in older adults. This review included 14 RCTs (15 comparisons) of exercise interventions in care settings and found no significant effect on the rate of falls.…”

Section: Discussionmentioning

confidence: 99%

“…Three of the trials included in Sherrington 2017 were excluded from this review (DeSure 2013; Resnick 2002; Rolland 2007; see Characteristics of excluded studies). Two of the trials included in the pooled estimate in Sherrington 2017 were considered as multiple interventions under the ProFaNE classification system in this review (Huang 2016, ; see Appendix 3). Data reported for one study were considered not suitable for pooling in this review (Toulotte 2003).…”

Section: Discussionmentioning

confidence: 99%

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Interventions for preventing falls in older people in care facilities and hospitals

Cameron

Dyer²,

Panagoda

et al. 2018

Cochrane Database of Systematic Reviews

355

370

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Background Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. Objectives To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017. Selection criteria Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals. Data collection and analysis One review author screened abstracts; two review authors screened full‐text articles for inclusion. Two review authors independently performed study selection, 'Risk of bias' assessment and data extraction. We calculated rate ratios (RaR) with 95% confidence intervals (CIs) for rate of falls and risk ratios (RRs) and 95% CIs for outcomes such as risk of falling (number of people falling). We pooled results where appropriate. We used GRADE to assess the quality of evidence. Main results Thirty‐five new trials (77,869 participants) were included in this update. Overall, we included 95 trials (138,164 participants), 71 (40,374 participants; mean age 84 years; 75% women) in care facilities and 24 (97,790 participants; mean age 78 years; 52% women) in hospitals. The majority of trials were at high risk of bias in one or more domains, mostly relating to lack of blinding. With few exceptions, the quality of evidence for individual interventions in either setting was generally rated as low or very low. Risk of fracture and adverse events were generally poorly reported and, where reported, the evidence was very low‐quality, which means that we are uncertain of the estimates. Only the falls outcomes for the main comparisons are reported here. Care facilities Seventeen trials compared exercise with control (typically usual care alone). We are uncertain of the effect of exercise on rate of falls (RaR 0.93, 95% CI 0.72 to 1.20; 2002 participants, 10 studies; I² = 76%; very low‐quality evidence). Exercise may make little or no difference to the risk of falling (RR 1.02, 95% CI 0.88 to 1.18; 2090 participants, 10 studies; I² = 23%; low‐quality evidence). There is low‐quality evidence that general medication review (tested in 12 trials) may make little or no difference to the rate of falls (RaR 0.93, 95% CI 0.64 to 1.35; 2409 participants, 6 studies; I² = 93%) or the risk of falling (RR 0.93, 95% CI 0.80 to 1.09; 5139 participants, 6 studies; I² = 48%). There is moderate‐quality evidence that vitamin D supplementation (4512 particip...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Interventions for preventing falls in older people in care facilities and hospitals

Cameron

Dyer²,

Panagoda

et al. 2018

Cochrane Database of Systematic Reviews

355

370

View full text Add to dashboard Cite

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“…[23] For example, exercises that target ankle and hip strength have been shown to lower the risk of falling as measured by the incidence of falls among participants three months post-intervention as determined by functional independence measure scores, and the Fall Efficacy Scale. [24] Deley and colleagues [25] investigated the effects of a one-year aerobic endurance and resistance training program on 40 healthy adults over 70 years of age. The use of a combined training program which included three hours a week of exercise included 24 participants and a control group of 16 participants who did not receive the training program.…”

Section: Physiological Factors In Sarcopeniamentioning

confidence: 99%

The importance of resistance training in the treatment of sarcopenia

Hunt

Chapa

Hess

et al. 2014

JNEP

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Utilizing individualized exercise training programs that are inclusive of appropriate resistance training protocols can attenuate the deleterious effects of sarcopenia and enhance quality of life, functional capacity and also diminish its negative effect on independence. Nurses should be educated in how the utilization of proper resistance training (RT) in individuals can be used to ameliorate the effect of sarcopenia, especially considering its relationship to Quality of Life (QoL), functional capacity and independence. In part, this educational process should include how to refer patients to an appropriate healthcare provider trained in assessing sarcopenia and the use of resistance training. However, it is especially important that the provider be an expert on RT that enhances lean muscle, muscular strength, muscular endurance, power, balance and stamina. Therefore, it is vital that nurses have an opportunity to define and recognize how resistance training can be prescribed, ultimately for primary prevention but also as an effective treatment module in enhancing the health outcomes related to QoL, functional capacity and independence.

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“…Recent studies have shown the benefits of exercise and physical activity for shortness of breath and continence 16,17 as well as for fall prevention. 18 Formal recommendations by the American College of Sports Medicine (ACSM) and the American Heart Association (AHA) have existed since 1995 and have been updated in recent years, 7,19 but these primarily address exercise prescription for community-dwelling older adults.…”

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confidence: 99%

Cessation of Exercise in the Institutionalized Elderly: Effects on Physical Function

Marshall

Berg²

2010

Physiotherapy Canada

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Purpose: The objectives of this study were (1) to examine the effects of a 12-week exercise cessation period separating two 12-week exercise sessions on physical variables in an elderly institutionalized population and (2) to explore overall programme effectiveness. Methods: The functional mobility of 25 elderly institutionalized adults participating in an existing exercise programme was examined using a one-group, interrupted time-series design. Functional mobility was evaluated at four time points during two cycles of a 12-week exercise programme, alternating with a 12-week period of no formal exercise. Results: The primary outcome was the change in functional mobility scores, assessed at baseline, 12, 24 and 36 weeks. In both the higher-functioning (HF) group and the lower-functioning (LF) group, the cessation of exercise was associated with deterioration in physical function. The overall noncontinuous nature of the programming under study also seemed to be detrimental to the physical function of the LF group. Conclusions: Findings of this small-sample study support the need to modify common practices in exercise programming for older, institutionalized people.Key Words: exercise cessation, exercise class, exercise programming, institutionalized elderly, physical function. Ré sultats : Le premier ré sultat observé a é té un changement dans les mesures de la mobilité fonctionnelle au dé but de l'é tude, puis aprè s 12, 24 et 36 semaines. Dans le groupe à haut fonctionnement (HF) comme dans le groupe à faible fonctionnement (FF), l'arrê t des sé ances d'activité physique a é té associé à une dé té rioration de la fonction physique. La nature globale non continue du programme auquel s'est inté ressé e cette é tude a é galement semblé nuire à la fonction physique du groupe FF. Conclusions : Les conclusions de cette é tude ré alisé e sur un petit é chantillon appuient la né cessité de modifier les pratiques usuelles lié es aux programmes d'exercices pour les aîné s en institution.

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Development of an exercise program for fall prevention for elderly persons in a long‐term care facility

Cited by 17 publications

References 29 publications

Interventions for preventing falls in older people in care facilities and hospitals

Interventions for preventing falls in older people in care facilities and hospitals

The importance of resistance training in the treatment of sarcopenia

Cessation of Exercise in the Institutionalized Elderly: Effects on Physical Function

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