Efficacy of a Short Multidisciplinary Falls Prevention Program for Elderly Persons With Osteoporosis and a Fall History: A Randomized Controlled Trial

Smulders, Ellen; Weerdesteyn, Vivian; Groen, B.E.; Duysens, Jacques; Eijsbouts, A.M.M.; Laan, Roland; Lankveld, Wim van

doi:10.1016/j.apmr.2010.08.004

Cited by 78 publications

(73 citation statements)

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“…stroke, Parkinson's disease or Rheumatoid Arthritis). The patients were enrolled from a larger study on the efficacy of a falls prevention program for persons with osteoporosis (trial registry number: NCT 00432692 (clinicaltrials.gov)) [24]. …”

Section: Methodsmentioning

confidence: 99%

Does osteoporosis predispose falls? a study on obstacle avoidance and balance confidence

Smulders

Lankveld

Laan

et al. 2011

BMC Musculoskelet Disord

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BackgroundOsteoporosis is associated with changes in balance and physical performance and has psychosocial consequences which increase the risk of falling. Most falls occur during walking; therefore an efficient obstacle avoidance performance might contribute to a reduction in fall risk. Since it was shown that persons with osteoporosis are unstable during obstacle crossing it was hypothesized that they more frequently hit obstacles, specifically under challenging conditions.The aim of the study was to investigate whether obstacle avoidance ability was affected in persons with osteoporosis compared to a comparison group of a community sample of older adults.MethodsObstacle avoidance performance was measured on a treadmill and compared between persons with osteoporosis (n = 85) and the comparison group (n = 99). The obstacle was released at different available response times (ART) to create different levels of difficulty by increasing time pressure. Furthermore, balance confidence, measured with the short ABC-questionnaire, was compared between the groups.ResultsNo differences were found between the groups in success rates on the obstacle avoidance task (p = 0.173). Furthermore, the persons with osteoporosis had similar levels of balance confidence as the comparison group (p = 0.091). The level of balance confidence was not associated with the performance on the obstacle avoidance task (p = 0.145).ConclusionObstacle avoidance abilities were not impaired in persons with osteoporosis and they did not experience less balance confidence than the comparison group. These findings imply that persons with osteoporosis do not have an additional risk of falling because of poorer obstacle avoidance abilities.

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Section: Methodsmentioning

confidence: 99%

Does osteoporosis predispose falls? a study on obstacle avoidance and balance confidence

Smulders

Lankveld

Laan

et al. 2011

BMC Musculoskelet Disord

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“…Decreased muscle mass and bone mineral density are significant changes that occur with aging, and these are often associated with an inability to adapt to external stress resulting in falls, trauma, functional disability, increased hospitalization, decreased quality of life, and increased mortality (3, 4, 5). Thus, diagnosing osteoporosis and sarcopenia is not only important clinically, but also has significant public and social ramifications.…”

Section: Introductionmentioning

confidence: 99%

“…Early studies by Baumgartner et al suggested defining sarcopenia based on appendicular skeletal muscle divided by height squared (Ht 2 ) (7). Janssen et al used biochemical impedance analysis (BIA) to measure total muscle mass and divided this mass by weight to define sarcopenia (4). In recent studies, sarcopenia is defined as a systemic continuous decrease in skeletal muscle strength and muscle mass so that the diagnosis of sarcopenia must be supported by decreased muscle mass and functional muscle strength (8).…”

Section: Introductionmentioning

confidence: 99%

The Association between the Low Muscle Mass and Osteoporosis in Elderly Korean People

et al. 2014

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The purpose of this study was to predict osteoporosis risk as decreasing muscle mass and to declare the cut-off value of low muscle mass in an elderly Korean population. This study was based on data from the 2008-2010 Korea National Health and Nutritional Examination Surveys (KNHANES). The subjects included 1,308 men and 1,171 women over 65 yr. Bone mineral density (BMD) and appendicular skeletal muscle (ASM) were measured by dual energy X-ray absorptiometry (DXA), and appendicular skeletal muscle was adjusted by height as a marker of sarcopenia. After confirming the correlation between low muscle mass and BMD, the best cut-off value of muscle mass to estimate osteoporosis was suggested through the receiver operating characteristic (ROC) curve. For both men and women, BMD correlated positively with low muscle mass when ASM/Ht2 was used as a marker for sarcopenia. The ROC curve showed that ASM/Ht2 was the best marker for osteoporosis at a cut-off value of 6.85 kg/m2 for men and 5.96 kg/m2 for women. When these cut-off values were used to determine sarcopenia, the risk of osteoporosis increased 4.14 times in men and 1.88 times in women. In particular, men (OR 2.12) with sarcopenia were more greatly affected than women (OR 1.15), even after adjusting for osteoporosis risk factors. In elderly Korean people, sarcopenia is positively correlated with BMD and there is a strong correlation between sarcopenia and osteoporosis with risk of bone fracture.

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“…Durch die systematische Recherche konnte ein "Cochrane Review (CR)" aus dem Jahr 2012 identifiziert werden (Gillespie, Robertson, Gillespie, Sherrington, Gates, Clemson, & Lamb, 2012 (Steinberg, Cartwright, Peel, & Williams, 2000;Wilder, 2001;Day et al, 2002;Clemson et al, 2004 (Gillespie et al, 2012;Clemson et al, 2012;Burton et al, 2013a, b;Luck et al, 2013;Hill et al, 2013;Keall et al, 2015). • Weiterhin wurde neben der PI-S3 Recherche eine Cluster randomisiert kontrollierte Studie von Keall et al (2015) recherchiert (Cumming et al, 1999;Wolf et al, 2003;Korpelainen, Keinanen-Kiukaanniemi, Heikkinen, Vaananen, & Korpelainen, 2006;Voukelatos et al, 2007;Kamide, Shiba, & Shibata, 2009;Smulders et al, 2010) und in zehn Studien (Carter et al, 2002;Wolf et al, 2003;Lord et al, 2003;Skelton, Dinan, Campbell, & Rutherford, 2005;Lannin et al, 2007;Voukelatos et al, 2007;Logghe et al, 2009;Huang, Liu, Huang, & Kernohan, 2010;Smulders et al, 2010;Pighills et al, 2011) (Gillespie et al, 2012). Um das Sturzrisiko im häuslichen Umfeld einzuschätzen, wurde in drei Studien das "Westmead Home Safety Assessment" (WeHSA), welches von Clemson (1997) entwickelt wurde, eingesetzt Lannin et al, 2007;Pighills et al, 2011).…”

Section: Evidenzlageunclassified

Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

Müller

Lautenschläger

Voigt-Radloff

2016

International Journal of Health Professions

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Background:In Germany, four to five million community-dwelling people aged 65 years or older fall every year. The presented potential analysis evaluates the potential of occupational therapy-led physical exercise programs and home environment adaptations to reduce the frequency of falling and as well as intrinsic and extrinsic risk factors for falling of older people living at home. Methods: The potential analysis was compiled according to a method guideline (p.11-22) available as follows: http://www.cochrane. de/news/leitfaden-f%C3%BCr-gesundheitsfachberufe-mai-2013. The research question of fall prevention was considered as very relevant for health care and specified according to the PICOS-system. A Cochrane review was systematically searched and the body of evidence was assessed using the GRADE-system. In addition, studies after the search period of the Cochrane review were identified using the search strategy of this review. Both the studies within and after the review were assessed regarding their transferability to the German health care context. . However, direct implementation into the German healthcare context is not recommendable. Implication for research: It is recommended (1) to manualise identified home environment adaptation programmes for the German healthcare context and (2) to pilot-test the physical exercise programmes `LiFE` with regard to theoretical framework, acceptance, applicability and feasibility and to examine both interventions as part of a feasibility study. If this trial results in a feasible treatment programme well accepted by patients and their treating occupational therapists, a large-scaled randomized clinical trial in terms of comparative effectiveness research may follow. Abstract

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Efficacy of a Short Multidisciplinary Falls Prevention Program for Elderly Persons With Osteoporosis and a Fall History: A Randomized Controlled Trial

Cited by 78 publications

References 38 publications

Does osteoporosis predispose falls? a study on obstacle avoidance and balance confidence

Does osteoporosis predispose falls? a study on obstacle avoidance and balance confidence

The Association between the Low Muscle Mass and Osteoporosis in Elderly Korean People

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