A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future

Cederbom, Sara; Bjerk, Maria; Bergland, Astrid

doi:10.1080/09593985.2020.1731895

Cited by 12 publications

(9 citation statements)

References 39 publications

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“…This result was also verified in the interview survey. According to their many years of practical experience, 17 physiotherapists concluded that OEP can improve older adult's sense of fall efficacy, expand their social participation and promote older adult to better manage their daily life ( 54 ). An intervention study based on technical means believes that both online group exercise and social model OEP can improve the loneliness of older adult to a certain extent and improve the level of subjective wellbeing of older adult ( 28 ).…”

Section: Resultsmentioning

confidence: 99%

“…However, the physiological mechanism of OEP improving lower limb muscle strength is not clear, and whether it will increase bone mineral density and muscle cross-sectional area is unknown, but there is no doubt that it can delay muscle atrophy. From the perspective of the impact of older adult's fall efficiency, it is mainly to improve older adult's fall efficiency, increase their self-confidence, overcome the fear of previous falls, and enable them to complete some self-management things independently, so that they are full of confidence in their later life ( 54 , 60 ), to achieve the purpose of reducing the risk of falls. The long-term sedentary elderly at home can alleviate the mood of depression and loneliness through OEP, expand social participation, enhance the feelings of their families and obtain the support of their families when exercising at home with their families, to improve the subjective wellbeing of older adult, which is very important for older adult who cannot go out of home due to physical factors.…”

Section: Discussionmentioning

confidence: 99%

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The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review

Wang

Liu

et al. 2022

Front. Public Health

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ObjectiveTo improve the quality of life of older adult in their later years, by increasing the physical activity participation of older adult, the occurrence of falls accident scores in older adult can be prevented. This paper comprehensively summarizes the origin, development, participation forms, and fitness effects of the Otago exercise program (OEP).MethodsUsing PubMed, web of science, CNKI, dimensional spectrum, and other databases, search for research papers from 2005 to April 2021 by using keywords such as Otago project exercise; aged, Fall; Cognitive function, Balance ability, Lower limb strength, Fall efficiency, and so on. PEDro Scale was used to check the quality of the literatures.ResultsA total of 34 papers were included after searching for kinds of literature related to the subject of this paper and after careful review by researchers.ConclusionsOtago exercise programme is beneficial to improve the cognitive function of older adult, enhance their lower limb muscle strength and dynamic and static balance ability, and then improve the gait stability and posture control ability of older adult, which has significant positive benefits for the prevention of falls in older adult. OEP is helpful to improve the falling efficiency of older adult, help older adult overcome the fear of falling, and form a positive emotion of “exercise improves exercise,” to reduce the harm caused by sedentary behavior and the incidence of depression and improve their subjective wellbeing. Although OEP has significant positive effects on improving the health and physical fitness of older adult, preventing falls, and restoring clinical function, the corresponding neural mechanism for preventing falls is not very clear. At the same time, how OEP can be combined with emerging technologies to maximize its benefits needs to be further discussed in the future.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review

Wang

Liu

et al. 2022

Front. Public Health

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“…As correlações significantes encontradas entre o desempenho anterior e posterior ao programa de intervenção corroboraram com os resultados de ensaios clínicos de outras pesquisas (4,12,15,25) que concluíram a eficácia dos exercícios de Cawthorne e Cooksey na prevenção de quedas em idosos. A utilização de outros recursos como exercícios multissensoriais, programa de fortalecimento de membros inferiores, tai Chi e dança, também, foram relatados (2,9,(26)(27)(28)(29) como estratégias para melhorar o equilíbrio funcional, a mobilidade e a marcha, sendo assim, bons mecanismos a serem explorados para ações que objetivam um envelhecimento saudável.…”

Section: Discussionunclassified

Intervenção fonoaudiológica na prevenção de quedas no envelhecimento

Taguchi

Araújo

Santana

et al. 2021

CoDAS

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RESUMO Objetivo Verificar a eficácia de uma intervenção fonoaudiológica para diminuição do risco de quedas. Método Estudo exploratório e de intervenção em que 148 voluntários socialmente ativos, de ambos os sexos, com média de 68,6(±6,5) anos foram avaliados pelo Dynamic Gait Index (DGI)–Brazilian brief e o Timed Up and Go (TUG). Todos os voluntários, com e sem risco para quedas, foram convidados para o programa de intervenção realizado em cinco semanas consecutivas, com duração de 50 minutos baseados nos exercícios de Cawthorne e Cooksey. Destes, 72 com 68,1(±6,5) anos, com e sem riscos para quedas, que participaram de, pelos menos, três encontros foram reavaliados. Foram utilizados o teste de Wilcoxon, Qui-quadrado, Spearman e Matriz de Correlação, com p≤5,0%. Resultados Inicialmente, 37(25,0%) e 106(71,6%) dos voluntários apresentaram, respectivamente, riscos para quedas no DGI–Brazilian brief e no TUG. Verificou-se correlação negativa do DGI-Brazilian brief (p=0,034) e positiva com o TUG (p=0,0071) com a idade e entre os dois instrumentos (p=0,00000016). Na comparação dos dados iniciais e finais de 72 voluntários averiguou-se correlação positiva no DGI-Brazilian brief e TUG no teste do Qui-quadrado e de Wilkoxon. Foi observado melhor desempenho nestes testes após a intervenção. Conclusão A intervenção foi eficaz, uma vez que diminuiu o risco para quedas e melhorou o desempenho da marcha e equilíbrio funcional e dinâmico.

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“…Falls are among the most prevalent and debilitating health issues that hinder older adults’ capability to age in place [ 1 , 2 ]. Older adults living with dementia (OLWD) experience greatly heightened fall risk compared to their age-matched peers without dementia [ 3 ] due to various biological, cognitive, and behavioural risk factors [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Development of a behavioural framework for dementia care partners’ fall risk management

et al. 2022

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Background Although older adults living with dementia (OLWD) are at high risk for falls, few strategies that effectively reduce falls among OLWD have been identified. Dementia care partners (hereinafter referred to as “care partners”) may have a critical role in fall risk management (FRM). However, little is known about the ways care partners behave that may be relevant to FRM and how to effectively engage them in FRM. Methods Semi-structured, in-depth interviews were conducted with 14 primary care partners (age: 48–87; 79% women; 50% spouses/partners; 64% completed college; 21% people of colour) of community-dwelling OLWD to examine their FRM behaviours, and their observations of behaviours adopted by other care partners who were secondary in the caring role. Results The analysis of interview data suggested a novel behavioural framework that consisted of eight domains of FRM behaviours adopted across four stages. The domains of FRM behaviours were 1. functional mobility assistance, 2. assessing and addressing health conditions, 3. health promotion support, 4. safety supervision, 5. modification of the physical environment, 6. receiving, seeking, and coordinating care, 7. learning, and 8. self-adjustment. Four stages of FRM included 1. supporting before dementia onset, 2. preventing falls, 3. preparing to respond to falls, and 4. responding to falls. FRM behaviours varied by the care partners’ caring responsibilities. Primary care partners engaged in behaviours from all eight behavioural domains; they often provided functional mobility assistance, safety supervision, and modification of the physical environment for managing fall risk. They also adopted behaviours of assessing and addressing health conditions, health promotion support, and receiving, seeking and coordinating care without realizing their relevance to FRM. Secondary care partners were reported to assist in health promotion support, safety supervision, modification of the physical environment, and receiving, seeking, and coordinating care. Conclusions The multi-domain and multi-stage framework derived from this study can inform the development of tools and interventions to effectively engage care partners in managing fall risk for community-dwelling OLWD.

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A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future

Cited by 12 publications

References 39 publications

The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review

The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review

Intervenção fonoaudiológica na prevenção de quedas no envelhecimento

Development of a behavioural framework for dementia care partners’ fall risk management

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