The effectiveness of intervention programs for preventing patients from falls

16/06/2017

Source: Kontakt, 2017, online

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Date of publication: May 2017

Publication type: Journal article

In a nutshell: This is a review article to summarise the conclusions of different studies about the effectiveness of hospital fall prevention programmes from the last five years. Twelve studies made it into the final review, and the most mentioned strategy was education of patients and staff. Effectiveness depends on factors like compliance, leadership, team training and IT support, amongst others.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the text of the article. Follow this link to find your local NHS Library.


Effects of an ICT-based fall-prevention system in community-dwelling older adults

16/06/2017

Source: International Journal of Human-Computer Studies, 2017, Vol 106 p. 10-25

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Date of publication: October 2017

Publication type: Journal article

In a nutshell: A sedentary lifestyle and low levels of physical activity are major factors in fall risk for older adults. ICT-based interventions could possibly counteract the risk for this group, as studies show that such interventions significantly reduce it. However, this population is heterogeneous, and several factors (such as gender, age, fitness and others) may influence the use of these systems. This study analyses the iStoppFalls system, testing effectiveness and usage indicators, among other things.

Length of publication: 15 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Long-term effectiveness of a multifactorial program in Bavarian nursing homes

16/06/2017

Source: Journal of the American Medical Directors Association, 2017, Vol 18, no 6, p. 552.e7-552.e17

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Date of publication: June 2017

Publication type: Journal article

In a nutshell: Femoral fractures are frequently consequences of falls in nursing homes and are associated with considerable costs and unfavorable outcomes such as immobility and mortality. The purpose of this study was to examine the long-term effectiveness of a multifactorial fall and fracture prevention program in nursing homes in terms of reducing femoral fractures.

Length of publication: 10 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


A hierarchical alarm model for elderly fall prevention sensors

17/05/2017

Source: Pervasive and Mobile Computing, 2017, online

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Date of publication: April 2017

Publication type: Journal article

In a nutshell: New technologies allow for automatic monitoring of hospitalised older people, helping clinical staff to supervise to reduce falls. This paper introduces a hierarchical model to predict alarming states in a sensor worn over clothes. The hierarchy predicts levels of danger to warn clinical staff of possible fall danger.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to  find your local NHS Library.


Dopamine depletion in Parkinsons alters brain processing, impairing gait automaticity

18/04/2017

Source: NeuroImage, 2017, Vol 152 p. 207-220

Follow this link for the abstract

Date of publication: May 2017

Publication type: Journal article

In a nutshell: Impairments in motor automaticity cause patients with Parkinson’s disease to rely on attentional resources during gait, resulting in greater motor variability and a higher risk of falls. Although dopaminergic circuitry is known to play an important role in motor automaticity, little evidence exists on the neural mechanisms underlying the breakdown of locomotor automaticity in Parkinson’s disease. Overall, this study demonstrates that dopamine ameliorates gait automaticity in Parkinson’s disease by altering striatal, limbic and cerebellar processing, thereby informing future therapeutic avenues for gait and falls prevention.

Length of publication: 13 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Falls and fractures: consensus statement

17/03/2017

Source: Government website, 2017

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Date of publication: January 2017

Publication type: Guidance

In a nutshell: Public Health England have published new guidance on falls and fractures around supporting commissioning for prevention. It outlines approaches to interventions and activities helping to prevent falls and fractures to improve health outcomes for older people


Effects of obesity in recovering stability after a treadmill slip

21/02/2017

Source: Journal of Biomechanics, 2017, online

Follow this link for the abstract

Date of publication: January 2017

Publication type: Journal article

In a nutshell: This study investigated the effects of obesity on falls and dynamic stability control in young adults subjected to a standardized treadmill-induced gait-slip. Trials were categorized as a fall or recovery based on the reliance of the subject on external support following the slip. Compared with the normal-weight group, the obese group demonstrated less relative muscle strength and fell more after the slip. Obese people’s dynamic stability after slip was impaired possibly due to the inability of controlling the trunk segment’s backward lean movement. Obesity therefore most likely influences ability to recover from slips. Interventions must be aimed at balance recovery among individuals with obesity.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Changes in physical activity, sedentary time and risk of falling

27/01/2017

Source: Preventive Medicine, 2017, Vol 95 p. 103-109

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Date of publication: February 2017

Publication type: Journal article

In a nutshell: Falling significantly affects quality of life, morbidity, and mortality among older adults. This study sought to evaluate the prospective association between sedentary time, physical activity, and falling among post-menopausal women aged 50–79 years recruited to the Women’s Health Initiative Observational Study between 1993 and 1998 in the US. It followed recreational physical activity, sitting, sleeping and lean body mass. Falls per year were assessed annually. It found that physically active lifestyles increased falling amongst post-menopausal women. Additional fall prevention strategies, such as balance and resistance training, are needed to prevent diseases caused by inactivity.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Experiences with fall prevention technology within nursing homes

27/01/2017

Source: Geriatric Nursing, 2016, Online

Follow this link for the abstract

Date of publication: December 2016

Publication type: Journal article

In a nutshell: This joint US and Dutch study investigated how existing fall prevention technology was experienced within nursing home nurses’ environment and workflow. Two case reports were constructed from interview and observational data comparing the magnitude of falls, safety cultures and technology characteristics/effectiveness. Across cases, 1) a coordinated communication system was essential in facilitating effective fall prevention alert response, and 2) nursing home safety culture is tightly associated with the chosen technological system.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to fid your local NHS Library.


East Lancs Falls Response Service…keeping 900 patients out of hospital

19/12/2016

Source: The Academy of NHS Fabulous Stuff

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Date of publication: November 2016

Publication type: Website news article

In a nutshell: Based at Burnley Ambulance Station in East Lancashire, an Occupational Therapist (Rachel Bedwell) and North West Ambulance Service paramedic (Gail Smith) respond to 999 and 111 calls triaged as ‘Green code – Falls with no apparent injury’.

The Falls Response Service – a one-of-a-kind in England – has attended 1,272 calls in the past 18 months and the intervention of a qualified OT has kept over 70% of patients in their own home rather than being transported to A&E.

Length of publication: 1 page


The degree of misjudgment between perceived and actual gait ability

19/12/2016

Source: Gait & posture, 2017, Vol 51 p. 275-280

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Date of publication: January 2017

Publication type: Journal article

In a nutshell: Carrying out motor tasks successfully means a person’s perception of their physical abilities must be integrated with a perception of the task itself. Geriatric decline in physical and cognitive abilities may lead to misjudgements and possibly errors leading to loss of balance. This study aimed to quantify how much older adults misjudge their actual gait ability. Better abilities did not appear to be associated with better judgement – in fact, a range of misjudgements showed. This could provide insight into the interplay between cognition and physical abilities, and add value towards fall prevention and promotion of healthy ageing.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Exergame technology and interactive interventions for elderly fall prevention

19/12/2016

Source: Applied Ergonomics, 2016, online

Follow this link for the abstract

Date of publication: November 2016

Publication type: Journal article

In a nutshell: Training balance and promoting physical activities in the elderly can contribute to fall-prevention. Due to the low adherence of conventional physical therapy, fall interventions through exergame technologies are emerging. This review study synthesized the available research on exergame technology and interactive interventions for fall prevention in the older population. The exergame intervention protocols and outcome measures for assessing intervention effectiveness varied, but the accumulated evidences revealed improved physical or cognitive functions. It remains inconclusive whether this intervention is superior to conventional physical therapy, and the effect mechanism of the exergaming on elderly’s balance ability is still unclear.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Evidence of compensatory joint kinetics on stairs in Parkinson’s disease

19/12/2016

Source: Gait and Posture, 2017, Vol 52 p. 33-39

Follow this link for the abstract

Date of pulication: February 2017

Publication type: Journal article

In a nutshell: Using stairs requires larger joint movements than simply walking and preventing lower limb collapse depends on large enough movement in the hip, knee and ankle. However, people with Parkinson’s disease often can’t control their lower limbs which can increase fall risk. They also rely more heavily on knee extensor muscles which can provide them with an increased sense of stability.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Exercise and vitamin D reduce falls among institutionalised frail elderly

19/12/2016

Source: International Journal of Gerontology, 2016, online

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Date of publication: November 2016

Publication type: Journal article

In a nutshell: Falls are a serious problem among frail elderly people and prevention is an important health concern. This study compared the frequency of falls among institutionalised residents following different interventions: low-frequency exercise; vitamin supplementation; a combination of both. The results showed that combining the two interventions significantly reduced the risk of falls, whereas the other two groups did not show any significant difference.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.