Aims The aim of this review study was to examine the effectiveness of home-based and community-based exercise programmes in the rate of falls and improving physical functioning in community-dwelling older adults. Methods All types of home-based and community-based exercise interventions were searched. From 1186 studies identified, 14 studies were selected for the umbrella review. Most studies had high methodological quality. The types of interventions were multi-functional programmes (n = 11 studies) and Otago Exercise Programme (OEP) (n = 3 studies). Results The results showed that home-based and community-based exercise interventions can reduce falls by 22-32%. Studies that included meta-analysis showed that the clinical significance of home-based interventions in fall prevention and improving physical function was moderate to high. Conclusions In conclusion, home-based and community-based exercise interventions are a safe, effective, and feasible method of fall prevention that could be implemented with minimum supervision by allied health professionals to maximise autonomy, self-efficacy, and adherence in community-dwelling older adults.
机构:
CDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USACDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
Bergen, Gwen
Stevens, Mark R.
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CDC, Div Anal Res & Practice Integrat, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USACDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
Stevens, Mark R.
Burns, Elizabeth R.
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h-index: 0
机构:
CDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USACDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
机构:
Western Michigan Univ, Kalamazoo, MI 49008 USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
Chase, Carla A.
Mann, Kathryn
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机构:
Rehabil Hosp Indiana, Indianapolis, IN USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
Mann, Kathryn
Wasek, Sarah
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Ingham Cty Med Ctr & Rehabil, Lansing, MI USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
Wasek, Sarah
Arbesman, Marian
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h-index: 0
机构:
Arbesldeas Inc, AOTA Evidence Based Practice Project, Williamsville, NY USA
SUNY Buffalo, Dept Rehabil Sci, Williamsville, NY USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
机构:
CDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USACDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
Bergen, Gwen
Stevens, Mark R.
论文数: 0引用数: 0
h-index: 0
机构:
CDC, Div Anal Res & Practice Integrat, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USACDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
Stevens, Mark R.
Burns, Elizabeth R.
论文数: 0引用数: 0
h-index: 0
机构:
CDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USACDC, Div Unintent Injury, Natl Ctr Injury Prevent & Control, Atlanta, GA 30333 USA
机构:
Western Michigan Univ, Kalamazoo, MI 49008 USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
Chase, Carla A.
Mann, Kathryn
论文数: 0引用数: 0
h-index: 0
机构:
Rehabil Hosp Indiana, Indianapolis, IN USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
Mann, Kathryn
Wasek, Sarah
论文数: 0引用数: 0
h-index: 0
机构:
Ingham Cty Med Ctr & Rehabil, Lansing, MI USAWestern Michigan Univ, Kalamazoo, MI 49008 USA
Wasek, Sarah
Arbesman, Marian
论文数: 0引用数: 0
h-index: 0
机构:
Arbesldeas Inc, AOTA Evidence Based Practice Project, Williamsville, NY USA
SUNY Buffalo, Dept Rehabil Sci, Williamsville, NY USAWestern Michigan Univ, Kalamazoo, MI 49008 USA