Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities

Yoo, Jae Soon; Jeon, Mi Yang; Kim, Chul-Gyu

doi:10.4040/jkan.2013.43.5.613

Cited by 13 publications

(22 citation statements)

References 11 publications

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“…Most programs for frail older adults are performed at homes or facilities to ensure safety 3 , 4 , 5 , 6 , 7 ) . However, such programs will not yield positive emotional results if the participants are kept in a smaller space for exercise, although they are safe.…”

Section: Introductionmentioning

confidence: 99%

Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above

Lee

Park

2015

J Phys Ther Sci

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[Purpose] This study investigated the effects of Nordic walking on physical functions and depression in frail people aged 70 years and above. [Subjects] Twenty frail elderly individuals ≥70 years old were assigned to either a Nordic walking group (n=8) or general exercise group (n=10). [Methods] The duration of intervention was equal in both groups (3 sessions/week for 12 weeks, 60 min/session). Physical function (balance, upper extremity strength, lower extremity strength, weakness) and depression were examined before and after the interventions. [Results] With the exception of upper extremity muscle strength, lower extremity strength, weakness, balance, and depression after Nordic walking demonstrated statistically significant improvement. However, in the general exercise group, only balance demonstrated a statistically significant improvement after the intervention. There were significant differences in the changes in lower extremity muscle strength, weakness and depression between the groups. [Conclusion] In conclusion, Nordic walking was more effective than general exercise. Therefore, we suggest that Nordic walking may be an attractive option for significant functional improvement in frail people over 70 years old.

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Section: Introductionmentioning

confidence: 99%

Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above

Lee

Park

2015

J Phys Ther Sci

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“…1 shows the characteristics of the 14 studies. Seven (50%) were nonintervention [25][26][27][28][29][30][31] and seven (50%) were intervention studies [32][33][34][35][36][37][38]. Te 14 studies were conducted in various regions (four each in the US, Asia, and Europe), and the countries where both nonintervention and intervention Home environment safety assessment tool assessed living room (carpet and foor), furniture (bed, chair, and sofa), light (light is bright), bathroom (handrail and antislip mat), kitchen (location of frequently used objects), stairs (safety handrails and outline of the edge), and mobility (shoes and slippers).…”

Section: Search Resultsmentioning

confidence: 99%

Understanding the Home Environment as a Factor in Mitigating Fall Risk among Community-Dwelling Frail Older People: A Systematic Review

Kim

Lee

et al. 2023

Health & Social Care in the Community

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The home environment is increasingly emphasized as a key factor in home falls among frail older people. In this study, we aimed at exploring and synthesizing empirical studies that considered the environmental factors of home falls among frail older people. We performed a systematic review to draw comprehensive conclusions regarding these environmental factors by searching MEDLINE, CINAHL, Embase, and Cochrane Library, as well as gray literature databases. Intervention and nonintervention studies that specifically reported home environmental factors related to falls in community-dwelling frail older people aged 65 years and over were selected. Of the 8374 studies initially retrieved, seven intervention and seven nonintervention studies were included in the analysis. In seven of the 14 studies, environmental hazards were evaluated using relevant assessment tools. Interventions were provided for the bathroom/toilet, bedroom, living room, and for slipping and tripping, identified as frequent fall locations and situations, respectively, through nonintervention studies. The most common intervention was to provide advice/counseling and disseminate information to enhance knowledge after visiting the home and evaluating the home environmental factors that could affect falls. In the majority of the studies, the intervention was of a multicomponent nature, and in only two intervention studies was there practical modification of the home environment to lower the fall risk. In all the four studies with statistically significant results, the intervention was provided by a multidisciplinary team. Through this review, we identified environmental factors for home falls, helping clinicians and health professionals gain a better understanding of the situation to prevent recurrence in frail older people who have experienced falls. The findings indicate that comprehensive standardized environmental evaluations should be conducted considering older people’s functional characteristics and needs and that the intervention process requires the participation of older people with a multidisciplinary team.

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“…Land-based exercises can be done at home with minimum support at any time. Pool therapy demands less from the body and it also reduces the joint load [5]. Buoyancy and water pressure can be utilized as resistance for strengthening exercises [6] This study includes balance exercises for elders that were given for six weeks.…”

Section: Discussionmentioning

confidence: 99%

Comparing the effect of pool therapy and land therapy on balance in elderly population

Vadivelan¹,

Shravanthi²

2021

JIMRHS

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Balance is defined as the dynamic process by which the position of the body is maintained in equilibrium. As age increases balance decreases that lead to falls. To improve the balance, land, and pool therapies are used. Studies have shown that land-based exercises improve joint flexibility, muscle strength, balance, and reaction time in an older population. The physical properties of water are an effective rehabilitation program. Water-based exercises provide a viable alternative for the elderly who are unable to participate in land-based exercise programs as water exercise has reduced the risk of falls. The objective of the study is to compare the effect of pool therapy and land therapy on balance in the elderly population. The Study methodology: Quasi-experimental study.30 elderly people between 60-75 years (both male and female) were included in the study based on inclusion and exclusion criteria. Tinetti falls efficacy scale questionnaire was given to the subjects and they were asked to fill it and then a timed up and go test was done before and after the exercise protocol. The 30 individuals were divided into 2 groups of 15 members each (Group A and Group B). Group A was given pool therapy and Group B was given land-based therapy for 6 weeks. The results of statistical analysis showed a significant difference between land therapy and pool therapy. This study concludes that pool therapy is more effective in improving balance in the elderly population.

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Effects of a Fall Prevention Program on Falls in Frail Elders Living at Home in Rural Communities

Cited by 13 publications

References 11 publications

Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above

Effects of Nordic walking on physical functions and depression in frail people aged 70 years and above

Understanding the Home Environment as a Factor in Mitigating Fall Risk among Community-Dwelling Frail Older People: A Systematic Review

Comparing the effect of pool therapy and land therapy on balance in elderly population

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