Effects of gait adaptability training on falls and fall-related fractures in older adults:a systematic review and meta-analysis
| Autor: | Stig Andersen, Jane Andreasen, Jens Eg Nørgaard, Jesper Ryg, Martin Bak Jørgensen, Mathias Aalkjær Brix Danielsen, Daniel Kjærgaard Steiner |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Aging
medicine.medical_specialty CINAHL Rate ratio Fractures Bone/diagnosis gait adaptability training older people Fractures Bone 03 medical and health sciences 0302 clinical medicine systematic review medicine Humans 030212 general & internal medicine Accidental Falls/prevention & control Gait accident prevention Aged Protocol (science) exercise business.industry General Medicine Confidence interval Exercise Therapy Relative risk Meta-analysis Physical therapy Accidental Falls Independent Living accidental falls Geriatrics and Gerontology business Relevant information 030217 neurology & neurosurgery |
| Zdroj: | Nørgaard, J E, Jorgensen, M G, Ryg, J, Andreasen, J, Danielsen, M B, Steiner, D K & Andersen, S 2021, ' Effects of gait adaptability training on falls and fall-related fractures in older adults : a systematic review and meta-analysis ', Age and Ageing, vol. 50, no. 6, pp. 1914–1924 . https://doi.org/10.1093/ageing/afab105 Nørgaard, J E, Jørgensen, M G, Ryg, J, Andreasen, J, Danielsen, M A B, Steiner, D K & Andersen, S 2021, ' Effects of gait adaptability training on falls and fall-related fractures in older adults : a systematicreview and meta-analysis ', Age and Ageing, vol. 50, no. 6, pp. 1914-1924 . https://doi.org/10.1093/ageing/afab105 |
| DOI: | 10.1093/ageing/afab105 |
| Popis: | Objective falls among older adults are common and can have devastating consequences. A novel task-specific exercise modality, gait adaptability training (GAT), has shown promising preventive effects. This systematic review and meta-analysis synthesise the evidence regarding GATs effect on falls and fall-related fractures in community-dwelling older adults. Methods electronic databases (PubMed, EMBASE, CINAHL, CENTRAL) were systematically searched from inception to 18 June 2020. Additional sources include searches of trial registrations, manual screening of reference lists and requests to experts. We included randomised controlled trials (RCTs) evaluating the effect of GAT on falls with at least 6-month follow-up among community-dwelling people aged 60+ years. Two reviewers independently screened studies against eligibility criteria, extracted relevant information and appraised studies for bias. Random-effects meta-analytic models were employed to pool effect estimates. Results eleven studies with 1,131 participants were included. A meta-analysis in which an outlier study was excluded showed that GAT reduces fall rates by 42% (incidence rate ratio 0.58, 95% confidence interval [CI] 0.39–0.81, I2 = 0.00%; moderate certainty; seven RCTs). Moreover, proportion with fall-related fractures and proportion of fallers was reduced by 81% (risk ratio [RR] 0.19, 95% CI 0.06–0.56, I2 = 0.00%; very low certainty; two RCTs) and 43% (RR 0.57, 95% CI 0.4–to 0.8, I2 = 47.08%; low certainty; 11 RCTs), respectively. Conclusions our results show that GAT significantly reduces the number of falls and prevents fall-related fractures in older community dwellers. GAT is a promising and feasible exercise modality; however, studies of high quality should be conducted to support a robust conclusion. Protocol registration PROSPERO; CRD42020191051. |
| Databáze: | OpenAIRE |
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