Efficacy of a short multidisciplinary falls prevention program for elderly persons with osteoporosis and a fall history: a randomized controlled trial.
Arch Phys Med Rehabil
; 91(11): 1705-11, 2010 Nov.
Article
em En
| MEDLINE
| ID: mdl-21044715
ABSTRACT
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 OUTCOMEMEASURES:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteoporose
/
Acidentes por Quedas
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Comunicação Interdisciplinar
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Terapia por Exercício
/
Atividade Motora
Tipo de estudo:
Diagnostic_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Holanda