Walking can be more effective than balance training in fall prevention among community‐dwelling older adults

Okubo, Yoshiro; Osuka, Yosuke; Jung, Songee; Figueroa, Rafael; Tsujimoto, Takehiko; Aiba, Tatsuya; Kim, Taeho; Tanaka, Kiyoji

doi:10.1111/ggi.12444

Cited by 51 publications

(53 citation statements)

References 35 publications

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“…An explanation for this finding may be that dizziness and balance problems lead to fear of falling and limited activity 20. Many older people live alone and feel more secure when professionals are present in their homes and guide them when performing daily occupations 21.…”

Section: Discussionmentioning

confidence: 99%

Predictors of outcomes following reablement in community-dwelling older adults

Tuntland

Kjeken

Langeland

et al. 2016

CIA

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BackgroundReablement is a rehabilitation intervention for community-dwelling older adults, which has recently been implemented in several countries. Its purpose is to improve functional ability in daily occupations (everyday activities) perceived as important by the older person. Performance and satisfaction with performance in everyday life are the major outcomes of reablement. However, the evidence base concerning which factors predict better outcomes and who receives the greatest benefit in reablement is lacking.ObjectiveThe objective of this study was to determine the potential factors that predict occupational performance and satisfaction with that performance at 10 weeks follow-up.MethodsThe sample in this study was derived from a nationwide clinical controlled trial evaluating the effects of reablement in Norway and consisted of 712 participants living in 34 municipalities. Multiple linear regression was used to investigate possible predictors of occupational performance (COPM-P) and satisfaction with that performance (COPM-S) at 10 weeks follow-up based on the Canadian Occupational Performance Measure (COPM).ResultsThe results indicate that the factors that significantly predicted better COPM-P and COPM-S outcomes at 10 weeks follow-up were higher baseline scores of COPM-P and COPM-S respectively, female sex, having a fracture as the major health condition and high motivation for rehabilitation. Conversely, the factors that significantly predicted poorer COPM-P and COPM-S outcomes were having a neurological disease other than stroke, having dizziness/balance problems as the major health condition and having pain/discomfort. In addition, having anxiety/depression was a predictor of poorer COPM-P outcomes. The two regression models explained 38.3% and 38.8% of the total variance of the dependent variables of occupational performance and satisfaction with that performance, respectively.ConclusionThe results indicate that diagnosis, functional level, sex and motivation are significant predictors of outcomes following reablement.

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Section: Discussionmentioning

confidence: 99%

Predictors of outcomes following reablement in community-dwelling older adults

Tuntland

Kjeken

Langeland

et al. 2016

CIA

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“…O ECAC de Okubo et al 13 apresenta como limitações uma amostra pequena, a ausência de ocultação, e de uma análise por intenção de tratar, o que pode sobrestimar os resultados; ainda, um efeito preventivo significativo não seria encontrado se a análise não fosse realizada segundo a exposição. Estas variáveis -dias fisicamente ativos e número de passos -não refletem a evolução ao longo do período de seguimento, por terem sido medidas no momento pós-intervenção.…”

Section: Discussionunclassified

“…Ainda que o estudo de Okubo et al 13 demonstre uma superioridade da marcha relativamente aos treinos de equilíbrio, é o estudo com maiores limitações metodológicas, pelo que os seus resultados devem ser apreciados com alguma crítica.…”

Section: Discussionunclassified

Exercício físico na prevenção de quedas do idoso da comunidade: revisão baseada na evidência

Bento

Sousa

2018

Rev Bras Med Fam Comunidade

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Introdução: A prevenção de quedas do idoso é um urgente desafio de saúde pública. O exercício físico tem-se comprovado uma intervenção preventiva eficaz. Objetivo: Rever a evidência científica mais recente, relativa à recomendação do exercício físico na prevenção de quedas do idoso da comunidade. Identificar modalidade física e regimes de frequência com maior benefício. Métodos: Efetuou-se uma pesquisa bibliográfica, utilizando os termos MeSH "aged", "accidental falls/prevention and control" e "exercise", nas bases de dados PubMed, Cochrane Library, National Guideline Clearinghouse, Canadian Medical Association, Evidence based Medicine e NICE Evidence Search, nos últimos 5 anos. Foram incluídos artigos que avaliassem o exercício como intervenção isolada na prevenção de quedas do indivíduo da comunidade, com ≥60 anos. Resultado avaliado: incidência de quedas. Resultados: De 637 potenciais artigos, 4 cumpriam critérios de inclusão: 2 ensaios clínicos aleatorizados controlados (ECACs), 1 estudo coorte e 1 meta-análise (MA). Globalmente, os resultados demonstram um efeito protetor do exercício físico. A MA obteve uma razão de taxas de incidência (RTI) de 0,79 (p<0,001), com o treino de equilíbrio (RTI=0,85, p=0,04) e maior dose semanal (RTI=0,77, p=0,03) a demonstrarem-se mais efetivos. Contrariamente, um ECAC demonstrou superioridade na marcha. O estudo coorte revelou maior benefício em participações ≥3 anos (RTI=0,90; p=0,03). Conclusão: O exercício físico é efetivo na prevenção de quedas do idoso da comunidade. Treinos de equilíbrio e práticas semanais ≥3 horas demonstraram melhores resultados (SORT A). A sua manutenção deve ser incentivada a longo prazo (SORT B). Resumo

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“…Every year, one-third of people aged 65 and older would probably fall (Okubo et al, 2016), so this is has become a serious health problem for ageing society. Moreover, some scientists anticipated that this condition will become more common when the 15% of the world's population over the age of 65 by 2050 (Eduardo et al, 2015;Organization, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Above all, the falls can cause some serious damage in the elderly, induce hospitalization, family medical care, and even death. Furthermore, the number of falls, the incidence of falls and the seriousness of the injury will increase with age (Nick, Petramfar, Ghodsbin, Keshavarzi, & Jahanbin, 2016;Okubo et al, 2016). The balance declines are the main reason of falls in older people (Baloh, Ying, & Jacobson, 2003).…”

Section: Introductionmentioning

confidence: 99%

Ba Duan Jin Preliminary Analysis of the Second Type of Plantar Pressure

Jia¹,

Sun

Fekete

2018

Physical Activity and Health

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The mainly subject of this study was a common Ba Duan Jin (BDJ) practitioner. The plantar pressure distribution of nine distinct regions was analyzed during the execution of the one typical BDJ movements and Normal Walking (NK). The result of the experiment demonstrated that in BDJ movements, the pressure-time integral (PTI) of the 1st MTH was the maximum and greater than other parts in BDJ movements. The peak pressure (PP) of the 1st 2nd 3rd MTH and the GT were markedly greater than in other regions (p < 0.05). The center of pressure (COP) focused on the 1st 2nd 3rd MTH, and movement displacement is little. The result indicated that the 1st MTH plantar pressure of the second type of BDJ movement relative to NK a larger, to strengthen the 1st MTH and the GT region skin sensation, improving balance control. The plantar pressure distribution characteristics of BDJ movements found in this study may be one of the important factors that BDJ exercise improves elderly balance control.

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Walking can be more effective than balance training in fall prevention among community‐dwelling older adults

Abstract: The present findings suggest that walking among community-dwelling older adults can be more effective for fall prevention than balance training. However, because walking can induce more trips, walking should not be recommended for older adults who are susceptible to falling or frailty.

Cited by 51 publications

References 35 publications

Predictors of outcomes following reablement in community-dwelling older adults

Predictors of outcomes following reablement in community-dwelling older adults

Exercício físico na prevenção de quedas do idoso da comunidade: revisão baseada na evidência

Ba Duan Jin Preliminary Analysis of the Second Type of Plantar Pressure

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