Preventing falls in physically active community-dwelling older people:: A comparison of two intervention techniques

被引:67
作者
Freiberger, Ellen
Menz, Hylton B.
Abu-Omar, Karim
Ruetten, Alfred
机构
[1] Univ Erlangen Nurnberg, Inst Sportwissensch & Sport, D-91058 Erlangen, Germany
[2] La Trobe Univ, Fac Hlth Sci, Musculoskeletal Res Ctr, Bundoora, Vic 3083, Australia
关键词
accidental falls; exercise; fall prevention;
D O I
10.1159/000103256
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Falls are common in physically active older people; however, most intervention studies have been targeted at frail older people. Objective: To evaluate the effectiveness of two intervention techniques for preventing falls in physically active community-dwelling older people. Methods: Two hundred and seventeen people (120 men and 97 women) aged between 70 and 90 years recruited from a health insurance company membership database were randomly allocated to receive either a psychomotor intervention focusing on body awareness, body experience and coordination, a fitness intervention focusing on functional skills, strength, endurance and flexibility, or no intervention (control group). The outcome measures were prospective falls (number of fallers, number of multiple fallers, number of falls and falls rate) and measures of physical performance (Timed Up and Go Test, maximal step length, sit-to-stand time, normal and fast walking speed). Results: At the 4-month follow-up, significant improvements in the Timed Up and Go Test and sit-to-stand times were observed for both the psychomotor and fitness intervention groups. During the 12-month follow-up period, 39% of the participants fell at least once, and 19% fell on multiple occasions. The proportion of fallers in the fitness intervention group was 23% less than in the control group (RR = 0.77, 95% CI 0.60-0.97), but no significant reduction in falls was observed in the psychomotor intervention group. Conclusion: A fitness training program improves some aspects of physical performance and reduces falls by 23% in physically active older people. Copyright (c) 2007 S. Karger AG, Basel.
引用
收藏
页码:298 / 305
页数:8
相关论文
共 33 条
[1]  
[Anonymous], 2001, J AM GERIATR SOC, V49, P664, DOI DOI 10.1046/J.1532-5415.2001.49115.X
[2]  
Antonovsky A., 1979, HLTH STRESS COPING N
[3]  
Baker S P, 1985, Clin Geriatr Med, V1, P501
[4]   Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial [J].
Barnett, A ;
Smith, B ;
Lord, SR ;
Williams, M ;
Baumand, A .
AGE AND AGEING, 2003, 32 (04) :407-414
[5]   The psychology of emotion - The "Gestaltkreis" (V. v. Weizsacker) revisited [J].
Brunnhuber, S .
FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE, 2001, 69 (07) :322-329
[6]   Application of negative binomial modeling for discrete outcomes - A case study in aging research [J].
Byers, AL ;
Allore, H ;
Gill, TM ;
Peduzzi, PN .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2003, 56 (06) :559-564
[7]   RISK-FACTORS FOR FALLS IN A COMMUNITY-BASED PROSPECTIVE-STUDY OF PEOPLE 70 YEARS AND OLDER [J].
CAMPBELL, AJ ;
BORRIE, MJ ;
SPEARS, GF .
JOURNALS OF GERONTOLOGY, 1989, 44 (04) :M112-M117
[8]   Tests of stepping as indicators of mobility, balance, and fall risk in balance-impaired older adults [J].
Cho, BL ;
Scarpace, D ;
Alexander, NB .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (07) :1168-1173
[9]   SIMPLE METHOD FOR MEASUREMENT OF LOWER-EXTREMITY MUSCLE STRENGTH [J].
CSUKA, M ;
MCCARTY, DJ .
AMERICAN JOURNAL OF MEDICINE, 1985, 78 (01) :77-81
[10]   A population-based survey of factors relating to the prevalence of falls in older people [J].
Gill, T ;
Taylor, AW ;
Pengelly, A .
GERONTOLOGY, 2005, 51 (05) :340-345