Tailored group exercise (Falls Management Exercise — FaME) reduces falls in community-dwelling older frequent fallers (an RCT)

Reducing falls among older people in general practice: The ProAct65+ exercise intervention trial

“…These findings add to the previous findings (Skelton 2005) that showed a significant reduction in falls rate in community-dwelling, female, frequent fallers. However, the 'during intervention' response to increased exposure to falls risk (caused by the exercise intervention itself) in ProAct65+ differs to that displayed by the original FaME subjects (Skelton 2005) whose falls rate increased (non-significantly) in the early phase of the exercise programme.…”

“…The original trial (Skelton 2005) recruited frequently falling community-dwelling women aged 65+ and reported a 54% reduction in falls in the exercise group compared to the control group.…”

“…The first compared falls incidence rates between only those in the OEP arm who adhered to at least 75% of the exercise programme with the control group. This cut-off point was selected as the original FaME trial (Skelton 2005) reported the proportion of subjects who attended more than 75% of the exercises classes, so, for ease of comparison, we adopted 75% as a pragmatic level of 'compliance' in ProAct65+ interventions. The second post-hoc analysis was a within-group analysis of second year post-intervention data comparing only those in the FaME group who continued to achieve 150 minutes of MVPA per week compared to those in the FaME group who did not maintain this level of physical activity.…”

“…The 2005 FaME trial reported that 79% of subjects attended more than 75% of classes (Skelton 2005). By comparison, adherence was poorer in the ProAct65+ FaME group with only 40% (n=150) attending 75% (or more) of classes.…”

Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

“…Durch die systematische Recherche konnte ein "Cochrane Review (CR)" aus dem Jahr 2012 identifiziert werden (Gillespie, Robertson, Gillespie, Sherrington, Gates, Clemson, & Lamb, 2012 (Steinberg, Cartwright, Peel, & Williams, 2000;Wilder, 2001;Day et al, 2002;Clemson et al, 2004 (Gillespie et al, 2012;Clemson et al, 2012;Burton et al, 2013a, b;Luck et al, 2013;Hill et al, 2013;Keall et al, 2015). • Weiterhin wurde neben der PI-S3 Recherche eine Cluster randomisiert kontrollierte Studie von Keall et al (2015) recherchiert (Cumming et al, 1999;Wolf et al, 2003;Korpelainen, Keinanen-Kiukaanniemi, Heikkinen, Vaananen, & Korpelainen, 2006;Voukelatos et al, 2007;Kamide, Shiba, & Shibata, 2009;Smulders et al, 2010) und in zehn Studien (Carter et al, 2002;Wolf et al, 2003;Lord et al, 2003;Skelton, Dinan, Campbell, & Rutherford, 2005;Lannin et al, 2007;Voukelatos et al, 2007;Logghe et al, 2009;Huang, Liu, Huang, & Kernohan, 2010;Smulders et al, 2010;Pighills et al, 2011) (Gillespie et al, 2012). Um das Sturzrisiko im häuslichen Umfeld einzuschätzen, wurde in drei Studien das "Westmead Home Safety Assessment" (WeHSA), welches von Clemson (1997) entwickelt wurde, eingesetzt Lannin et al, 2007;Pighills et al, 2011).…”