Efficacy of a Short Multidisciplinary Falls Prevention Program for Elderly Persons With Osteoporosis and a Fall History: A Randomized Controlled Trial
| Autor: | Jacques Duysens, Wim van Lankveld, Agnes Eijsbouts, Vivian Weerdesteyn, Ellen Smulders, Roland Laan, Brenda E. Groen |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Osteoporosis Poison control Physical Therapy Sports Therapy and Rehabilitation Motor Activity Rate ratio Auto-immunity transplantation and immunotherapy [N4i 4] law.invention Absorptiometry Photon Randomized controlled trial Quality of life Bone Density law Surveys and Questionnaires medicine Humans Health care ethics [NCEBP 5] Aged Netherlands Retrospective Studies Human Movement & Fatigue [NCEBP 10] business.industry Incidence Rehabilitation Psychological determinants of chronic illness [NCEBP 8] medicine.disease Confidence interval Exercise Therapy Treatment Outcome Evaluation of complex medical interventions [NCEBP 2] Relative risk Pedometer Quality of Life Physical therapy Accidental Falls Female Interdisciplinary Communication business Follow-Up Studies |
| Zdroj: | Archives of Physical Medicine and Rehabilitation, 91, 11, pp. 1705-11 Archives of Physical Medicine and Rehabilitation, 91, 1705-11 |
| ISSN: | 0003-9993 |
| Popis: | Contains fulltext : 88713.pdf (Publisher’s version ) (Closed access) OBJECTIVE: To evaluate the efficacy of the Nijmegen Falls Prevention Program (NFPP) for persons with osteoporosis and a fall history in a randomized controlled trial. Persons with osteoporosis are at risk for fall-related fractures because of decreased bone strength. A decrease in the number of falls therefore is expected to be particularly beneficial for these persons. DESIGN: Randomized controlled trial. SETTING: Hospital. PARTICIPANTS: Persons with osteoporosis and a fall history (N=96; mean +/- SD age, 71.0+/-4.7y; 90 women). INTERVENTION: After baseline assessment, participants were randomly assigned to the exercise (n=50; participated in the NFPP for persons with osteoporosis [5.5wk]) or control group (n=46; usual care). MAIN OUTCOME MEASURES: Primary outcome measure was fall rate, measured by using monthly fall calendars for 1 year. Secondary outcomes were balance confidence (Activity-specific Balance Confidence Scale), quality of life (QOL; Quality of Life Questionnaire of the European Foundation for Osteoporosis), and activity level (LASA Physical Activity Questionnaire, pedometer), assessed posttreatment subsequent to the program and after 1 year of follow-up. RESULTS: The fall rate in the exercise group was 39% lower than for the control group (.72 vs 1.18 falls/person-year; risk ratio, .61; 95% confidence interval, .40-.94). Balance confidence in the exercise group increased by 13.9% (P=.001). No group differences were observed in QOL and activity levels. CONCLUSION: The NFPP for persons with osteoporosis was effective in decreasing the number of falls and improving balance confidence. Therefore, it is a valuable new tool to improve mobility and independence of persons with osteoporosis. 01 november 2010 |
| Databáze: | OpenAIRE |
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