The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta‐analysis

Abstract

The results of the systematic review and meta-analysis suggested that exercise did not play a role in preventing falls. Further studies with high quality and larger samples are required to support or counter the results.

What long-term care interventions have been published between 2010 and 2020? Results of a WHO scoping review identifying long-term care interventions for older people around the world

“…While there has been a boom in publications reporting on long-term care provision in the last 10 years, 6 scarce systematic assessment has been conducted exploring long-term care interventions and services. Only few studies have targeted this matter focusing on specific thematic areas such as oral health, 7 caregivers, 8 comprehensive geriatric assessment, 9 delirium and dementia, [10][11][12][13][14] telemedicine and videogames, 15 health promotion, 16 17 fall prevention and injury reduction, 18 19 multicomponent interventions, 20 21 nutrition, 22 occupational therapy, 23 physical activity, [24][25][26][27][28][29][30][31][32] and models of care. 33 34 The provision and access to long term care for older people who need it, is one of the four key action areas endorsed by all WHO and UN Member States, within the UN Decade of Healthy Ageing, endorsed in 2020.…”

A Methodological Quality Evaluation of Meta-Analyses on Nursing Home Research: Overview and Suggestions for Future Directions

“…Scholars mainly studied MAs in the NH research in the following areas: medicine (17/41 of reviewed studies) [ 20 , 25 , 26 , 28 , 36 , 38 , 39 , 40 , 47 , 48 , 49 , 50 , 51 , 52 , 54 , 57 , 60 ], nursing (7/41) [ 24 , 31 , 32 , 33 , 34 , 35 , 56 ], psychiatry or psychology (6/41) [ 22 , 30 , 44 , 45 , 55 , 61 ], public health (4/41) [ 21 , 27 , 37 , 46 ], and pharmacology (3/41) [ 23 , 42 , 53 ], followed by the areas of rehabilitation (1) [ 41 ], nutrition (1) [ 29 ], dentistry (1) [ 43 ], and nursing and dentistry (1) [ 19 ]. In the reviewed articles, some studies (12/41) examined the physical issues NH residents face, including falls, exercise, or rehabilitation issues.…”

“…The ROB 2 is the gold standard used to evaluate the quality of RCT biases [ 72 ]. Most of the reviewed articles (11/41) [ 21 , 22 , 23 , 24 , 26 , 28 , 32 , 35 , 53 , 56 , 61 ] used the ROB, but not the ROB 2. The ROB 2 is a reorganized form of the Cochrane ROB tool, developed by the same team [ 73 ].…”

Falls in older and senile patients. Clinical giudelines

“…Уровень убедительности рекомендации A (уровень достоверности доказательств 2) • Всем пациентам пожилого и старческого возраста рекомендуется регулярная физическая активность в объеме и интенсивности, зависящей от функциональных возможностей пациента, с целью первичной и вторичной профилактики падений [10,11,[68][69][70][71][72][73].…”

“…• Всем пациентам пожилого и старческого возраста рекомендуются силовые упражнения на основные группы мышц нижних конечностей, аэробные тренировки для тренировки выносливости; упражнения на тренировку равновесия с целью снижения риска падений [10,11,[68][69][70][71][72][73].…”