Preventing Falls Among Community-Dwelling Older Persons: Results From a Randomized Trial

Hornbrook, Mark C.; Stevens, Victor J.; Wingfield, Darlene J.; Hollis, Jack F.; Greenlick, Merwyn R.; Ory, Marcia G.

doi:10.1093/geront/34.1.16

Cited by 495 publications

(296 citation statements)

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“…On the other hand, about 30% of community living adults aged ≥ 65 years fall each year (Hornbrook et al 1994;Burt and Fingerhut 1998;Tinetti 2003;Bergland and Wyller 2004). The elderly in Japan seem to fall less often than those in other countries, which is in part considered to explain the lower risk of hip fracture in Japan (Aoyagi et al 1998).…”

Section: Discussionmentioning

confidence: 99%

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Mizukami

Arima

Abe

et al. 2013

Tohoku J. Exp. Med.

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Falls are a major public health problem and the second leading cause of death due to unintentional accidental injury after road traffic accidents. Inactive, older individuals with several chronic illnesses fall more frequently than older individuals who are active and healthy. No population-based study has addressed the association of stroke, arthritis, hypnotic and other prescription medications with falls among the elderly simultaneously in a single population in Japan. We examined the prevalence of falls among community-dwelling elderly Japanese individuals, whom we randomly selected from a list of inhabitants aged ≥ 65 years compiled from the resident registration, and the associations between falls and each of stroke, arthritis, and hypnotic and other prescription medications. We interviewed 295 men and 307 women, and collected information about the number of falls during the latest one year, hemiplegia due to stroke, arthritis in the legs, and the number of hypnotic and other medications. We found that 46 men (16%) and 67 women (22%) had fallen at least once during the latest one year. Logistic regression analysis adjusted for age showed that hemiplegia due to stroke (p < 0.001), arthritis in the legs (p < 0.001), and taking at least four daily prescription medications (p < 0.05) were significantly associated with falls in men. Arthritis in the legs (p = 0.05) and taking at least four daily prescription medications (p < 0.05) were associated with falls in women. Treatment of fall-related diseases and medication management are important strategies for reducing falls among elderly persons.

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Section: Discussionmentioning

confidence: 99%

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Mizukami

Arima

Abe

et al. 2013

Tohoku J. Exp. Med.

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“…1,2 Older adults who fall are at greater risk for nonfatal injuries, hospitalization, mortality, and decreased independence. 3 Adults may also develop a ''fear of falling'' (FOF), which may further limit their activity level, increase anxiety, and reduce confidence. [4][5][6] The prevalence of FOF among community-dwelling elderly ( > 60 years) without a history of falls has been reported to be up to 65%.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Yoga for Balance in a Healthy Population

Jeter

Nkodo

Moonaz

et al. 2014

The Journal of Alternative and Complementary Medicine

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Objective: A systematic review was done of the evidence on yoga for improving balance. Design: Relevant articles and reviews were identified in major databases (PubMed, MEDLINE Ò , IndMed, Web of Knowledge, EMBASE, EBSCO, Science Direct, and Google Scholar), and their reference lists searched. Key search words were yoga, balance, proprioception, falling, fear of falling, and falls. Included studies were peerreviewed articles published in English before June 2012, using healthy populations. All yoga styles and study designs were included. Two (2) raters individually rated study quality using the Downs & Black (DB) checklist. Final scores were achieved by consensus. Achievable scores ranged from 0 to 27. Effect size (ES) was calculated where possible. Results: Fifteen (15) of 152 studies (age range 10-93, n = 688) met the inclusion criteria: 5 randomized controlled trials (RCTs), 4 quasi-experimental, 2 cross-sectional, and 4 single-group designs. DB scores ranged from 10 to 24 (RCTs), 14-19 (quasi-experimental), 6-12 (cross-sectional), and 11-20 (single group). Studies varied by yoga style, frequency of practice, and duration. Eleven (11) studies found positive results ( p < 0.05) on at least one balance outcome. ES ranged from -0.765 to 2.71 (for 8 studies) and was not associated with DB score. Conclusions: Yoga may have a beneficial effect on balance, but variable study design and poor reporting quality obscure the results. Balance as an outcome is underutilized, and more probing measures are needed.

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“…Fall injury is one of the major factors reducing the quality of the life of elderly people. One third of community-dwelling elderly people aged 65 years or over have reported falling at least twice a year 2,3) . An elderly person who has experienced a fall worries about other accidents and feels less confident while performing physical and social activities [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Toe Plantar Flexors Strength and Balancing Ability between Elderly Fallers and Non-fallers

et al. 2011

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Abstract.[Purpose] We compared the differences in individual toe flexor muscle strength and balancing ability between elderly fallers and non-fallers and determined the correlation between individual toe flexor muscle strength and the functional reach test (FRT).[Subjects] Thirty community-dwelling older adults (15 fallers and 15 age-and sexmatched non-fallers) between 65 and 83 years of age participated in this study.[Method] Individual toe flexor muscle strength was measured using a dynamometer, and balance ability was assessed with the FRT, Berg balance scale, and a sensory organization test (SOT).[Results] The hallux and second toe flexor muscle strengths in the non-faller group were significantly stronger bilaterally than those in the faller group, whereas no significant differences in the third and fourth toe flexor muscle strengths were found. The individual toe plantar flexor muscle strengths were moderately correlated with FRT(r = 0.489-0.765). The non-faller group showed significantly greater balance ability in the FRT and SOT than the faller group.[Conclusion] The results of this study suggest that the force-generating capability of the hallux and second toe flexor muscle are related to the incidence of falls among elderly individuals.

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Preventing Falls Among Community-Dwelling Older Persons: Results From a Randomized Trial

Cited by 495 publications

References 0 publications

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

Falls Are Associated with Stroke, Arthritis and Multiple Medications among Community-Dwelling Elderly Persons in Japan

A Systematic Review of Yoga for Balance in a Healthy Population

Comparison of Toe Plantar Flexors Strength and Balancing Ability between Elderly Fallers and Non-fallers

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