A Randomized, Controlled Trial of a Group Intervention to Reduce Fear of Falling and Associated Activity Restriction in Older Adults
Sharon L. Tennstedt,Jonathan Howland,Margie E. Lachman,Elizabeth W. Peterson,Linda Kasten,Alan M. Jette +5 more
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TL;DR: The intervention had immediate but modest beneficial effects that diminished over time in the setting with no booster intervention, and effects at 12 months included improved social function and mobility range.
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Abstract: A randomized, single-blind controlled trial was conducted to test the efficacy of a community-based group intervention to reduce fear of falling and associated restrictions in activity levels among older adults. A sample of 434 persons age 60+ years, who reported fear of falling and associated activity restriction, was recruited from 40 senior housing sites in the Boston metropolitan area. Data were collected at baseline, and at 6-week, 6-month, and 12-month follow-ups. Compared with contact control subjects, intervention subjects reported increased levels of intended activity (p < .05) and greater mobility control (p < .05) immediately after the intervention. Effects at 12 months included improved social function (p < .05) and mobility range (p < .05). The intervention had immediate but modest beneficial effects that diminished over time in the setting with no booster intervention.
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Citations
Interventions for preventing falls in older people living in the community
Lesley D Gillespie,Mary Clare Robertson,William J Gillespie,Catherine Sherrington,Simon Gates,Lindy Clemson,Sarah E Lamb +6 more
TL;DR: These interventions were more effective in people at higher risk of falling, including those with severe visual impairment, and home safety interventions appear to be more effective when delivered by an occupational therapist.
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TL;DR: Many elderly people underestimated or overestimated their risk of falling, and disparities between perceived and physiological fall risk were primarily associated with psychological measures and strongly influenced the probability of falling.
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Interventions for preventing falls in older people living in the community (Review)
Lesley D Gillespie,M. Clare Robertson,William J. Gillespie,Sarah E Lamb,Simon Gates,Robert G. Cumming,Brian H. Rowe +6 more
- 01 Jan 2009
TL;DR: Exercise interventions reduce risk and rate of falls, and home safety interventions did not reduce falls, but were effective in people with severe visual impairment, and in others at higher risk of falling.
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Development and initial validation of the Falls Efficacy Scale-International (FES-I)
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TL;DR: The modified version of the Falls Efficacy Scale-International has close continuity with the best existing measure of fear of falling, excellent psychometric properties, and assesses concerns relating to basic and more demanding activities, both physical and social.
References
Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training
Steven L. Wolf,Huiman X. Barnhart,Nancy G. Kutner,Elizabeth McNeely,Carol Coogler,Tingsen Xu +5 more
TL;DR: The effects of two exercise approaches, Tai Chi and computerized balance training, on specified primary outcomes (biomedical, functional, and psychosocial indicators of frailty) and secondary outcomes (occurrence of falls) are evaluated.
1.2K
Risk Factors for Injurious Falls: a Prospective Study
TL;DR: It is suggested that neuromuscular and cognitive impairment, as well as the circumstances of falls, affect the risk of injury when a fall occurs.
1K
Physiological factors associated with falls in older community-dwelling women
TL;DR: To determine the prevalence of impaired vision, peripheral sensation, lower limb muscle strength, reaction time, and balance in a large community‐dwelling population of women aged 65 years and over, and to determine whether impaired performances in these tests are associated with falls.
880
Forgetting falls. The limited accuracy of recall of falls in the elderly.
TL;DR: It is concluded that elderly subjects often do not recall falls that occurred during specific periods of time over the preceding 3 to 12 months, and researchers and clinicians should consider using methods besides long‐term recall for ascertaining and counting falls over specific periods.
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•Journal Article
The prevention of falls in later life, A report of the Kellogg International Work Group on the prevention of falls by the elderly
TL;DR: An overview of the elderly population at risk of falling and suffering serious injury, some of the reasons older people fall, and the methods to prevent falls which have been developed in both community and institutional settings is provided.
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