Podiatry interventions to prevent falls in older people:A systematic review and meta-Analysis
| Autor: | Gavin Wylie, Hylton B. Menz, Dawn A. Skelton, Miles D. Witham, Claire Torrens, Jacqui Morris, Adam L. Gordon, Francis Sullivan, Helen Frost, Pauline Campbell |
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| Přispěvatelé: | University of St Andrews. Population and Behavioural Science Division, University of St Andrews. School of Medicine, University of St Andrews. Sir James Mackenzie Institute for Early Diagnosis |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Aging
Psychological intervention Care homes Community dwelling 3rd-NDAS HT older people 0302 clinical medicine falls 030212 general & internal medicine Podiatry media_common Public health podiatry community dwelling General Medicine falls podiatry care homes community dwelling older people systematic review Systematic review Health Meta-analysis Falls Fall prevention medicine.medical_specialty HT Communities. Classes. Races Referral Injury and sports medicine media_common.quotation_subject MEDLINE Foot Diseases 03 medical and health sciences 613 Personal health & safety WT 100 Geriatrics medicine Physical health recovery Humans care homes Aged Selection bias Physical activity business.industry Ageing RA Public aspects of medicine Physical therapy Accidental Falls Systematic Review Geriatrics and Gerontology Older people business RA 030217 neurology & neurosurgery |
| Zdroj: | Wylie, G, Torrens, C, Campbell, P, Frost, H, Gordon, A L, Menz, H B, Skelton, D A, Sullivan, F, Witham, M D & Morris, J 2019, ' Podiatry interventions to prevent falls in older people : A systematic review and meta-Analysis ', Age and Ageing, vol. 48, no. 3, pp. 327-336 . https://doi.org/10.1093/ageing/afy189 Age and Ageing |
| ISSN: | 4201-7068 0002-0729 1468-2834 |
| DOI: | 10.1093/ageing/afy189 |
| Popis: | Funding: Chief Scientist Office (CSO) of the Scottish Government, award number CGA/16/40. Background foot problems are independent risk factors for falls in older people. Podiatrists diagnose and treat a wide range of problems affecting the feet, ankles and lower limbs. However, the effectiveness of podiatry interventions to prevent falls in older people is unknown. This systematic review examined podiatry interventions for falls prevention delivered in the community and in care homes. Methods systematic review and meta-analysis. We searched multiple electronic databases with no language restrictions. Randomised or quasi-randomised-controlled trials documenting podiatry interventions in older people (aged 60+) were included. Two reviewers independently applied selection criteria and assessed methodological quality using the Cochrane Risk of Bias tool. TiDieR guidelines guided data extraction and where suitable statistical summary data were available, we combined the selected outcome data in pooled meta-analyses. Results from 35,857 titles and 5,201 screened abstracts, nine studies involving 6,502 participants (range 40–3,727) met the inclusion criteria. Interventions were single component podiatry (two studies), multifaceted podiatry (three studies), or multifactorial involving other components and referral to podiatry component (four studies). Seven studies were conducted in the community and two in care homes. Quality assessment showed overall low risk for selection bias, but unclear or high risk of detection bias in 4/9 studies. Combining falls rate data showed significant effects for multifaceted podiatry interventions compared to usual care (falls rate ratio 0.77 [95% CI 0.61, 0.99]); and multifactorial interventions including podiatry (falls rate ratio: 0.73 [95% CI 0.54, 0.98]). Single component podiatry interventions demonstrated no significant effects on falls rate. Conclusions multifaceted podiatry interventions and multifactorial interventions involving referral to podiatry produce significant reductions in falls rate. The effect of multi-component podiatry interventions and of podiatry within multifactorial interventions in care homes is unknown and requires further trial data. PROSPERO registration number CRD42017068300. Publisher PDF |
| Databáze: | OpenAIRE |
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