Knowledge, behavioural practices, and experiences of outdoor fallers: implications for prevention programs

16/06/2017

Source: Archives of Gerontology and Geriatrics, 2017, Vol 72 p. 19-24

Follow this link for the abstract

Date of publication: September-October 2017

Publication type: Journal article

In a nutshell: Falls prevention has been well-studied, but the focus is usually on indoor falls rather than outdoor. Older adults’ knowledge of outdoor risk factors and fall prevention practices have not been examined. This study sought to fill that gap and inform the development of a prevention program by exploring experiences of older adults.

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.


Home and community based occupational therapy improves functioning in frail older people: a systematic review

17/05/2017

Source: Journal of the American geriatrics Society

Follow this link for the abstract

Date of publication: 3rd April 2017

 Publication type: Journal article

In a nutshell: The objective of this study is to assess the effectiveness of occupational therapy to improve performance in daily living activities in community-dwelling physically frail older people.

 Length of publication: 7 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.

 


Parkinsonian signs are a risk factor for falls

17/05/2017

Source: Gait & Posture, 2017 p. 1-5

Follow this link for the abstract

Date of publication: June 2017

Publication type: Journal article

In a nutshell: This cohort study looked at how likely people with Parkinson’s disease were to fall compared to those without, as Parkinsonian symptoms are common in older adults and are associated with increased rates of dementia and mortality. Even adjusting for age, cognitive function and co-morbidities, those with signs were still 38% more likely to fall than those without, and those falls were also more likely to lead to injury. Parkinsonian signs are a significant and independent risk factor for falls, and early detection is essential to implement fall prevention programmes.

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.


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

Follow this link for the abstract

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.


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

Follow this link for the abstract

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.


Effectiveness of falls prevention programs for reducing diabetic risk factors

17/11/2016

Source: Journal of Diabetes and its Complications, 2016, online

Follow this link for the abstract

Date of publication: October 2016

Publication type: Journal article

In a nutshell: Diabetic peripheral neuropathy (DPN) is a common complication of type-2 diabetes mellitus (T2DM) that increases falls risk in the elderly. Prevention programs with a component of weight-bearing exercises are effective in decreasing future falls. However, weight-bearing exercise was only recently recommended in guidelines for exercise for these patients. There have since been many studies evaluating the effectiveness of such programs on this population. Evidence suggests that people with T2DM and DPN can improve their balance and walking after a targeted multicomponent program, though it is yet unknown whether they resulted in a decreased falls risk in the community.

Length of publication: 1 page

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


Community falls service produces ‘significant’ improvements in patients

15/09/2016

Source: The Chartered Society of Physiotherapy, 2016, online

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Date of publication: August 2016

Publication type: Website news item

In a nutshell: A physiotherapist at a west London falls service has ‘significantly improved’ the health of patients, according to four commonly-used clinical outcome measures. The patients were discharged from April to June, and at the end of the programme people had improved their balance by nearly seven points on the Berg Balance Scale. Timed Up and Go, a simple and reliable test of a person’s risk of falls, showed an average improvement of nearly seven seconds across the group.

Length of publication: 1 page


Reducing older people’s falls in the general practice ProAct65+ trial

15/08/2016

Source: Archives of Gerontology and Geriatrics, 2016, Volume 67 p. 46-54

Follow this link for the abstract

Date of publication: November-December 2016

Publication type: Journal article

In a nutshell: Falls are common in older people in the UK and NHS costs associated with these falls are high. Systematic reviews suggest that home exercise and group-based interventions focusing on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history. ProAct65+ was a large RCT which investigated the effectiveness of a home exercise programme and a group-based exercise programme compared to usual care. Home exercise appeared less effective than group exercise, but the latter also became less effective after 24 months if the exercise did not continue.

Length of publication: 8 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.


Fall risk post-stroke: Examining paretic limbs around forward gait slips

25/07/2016

Source: Journal of Biomechanics, 2016, online

Follow this link for the abstract

Date of publication: June 2016

Publication type: Journal article

In a nutshell: Community-dwelling stroke survivors show a high incidence of falls with unexpected external perturbations during dynamic activities like walking. Previous evidence has demonstrated the importance of compensatory stepping to restore dynamic stability in response to perturbations in hemiparetic stroke survivors. However, these studies were limited to either stance perturbations or perturbation induced under the unaffected limb. This study aimed to compare the differences, if any, between the non-paretic and paretic sides in dynamic stability and protective stepping strategies when exposed to unexpected external perturbation during walking.

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.


Does action follow intention in falls prevention exercise programs?

14/03/2016

Source: Archives of Gerontology and Geriatrics, 2016, Vol 64 p. 151-161

Follow this link for the abstract

Date of publication: May-June 2016

Publication type: Journal article

In a nutshell: Exercise for falls prevention is effective but limited in real life. This study examines this relationship, looking at which factors affect participation in group and home-based falls prevention exercise. It found that perception of effectiveness and previous exposure to the exercise intervention most strongly predicted future participation. More people who do not want to participate in home exercise actually participate in home exercise than people who do not want to participate in group exercise that actually do. It may be easier to convince people who do not want to participate in falls prevention exercise to participate in a home program.

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.


Do statistical models matter for performance criteria of fall prediction in the elderly?

18/01/2016

Source: European Journal of Internal Medicine, 2016, Vol 27 p. 48-56

Follow this link for the abstract

Date of publication: January 2016

Publication type: Journal article

In a nutshell: This study compared various performance criteria of different statistical models for fall risk in older community-dwellers. It tested six linear models and three non-linear models, including neuroevolution of augmenting topologies (NEAT) and the adaptive neuro fuzzy interference system (ANFIS). The study found that these latter two had the best performance criteria compared to other models, but sensitivity and specificity were unbalanced, underscoring that these models should be used respectively for the screening of fallers and the diagnosis of recurrent fallers.

Length of publication: 8 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.


Muscle weakness is related to slip-initiated falls among community-dwelling older adults

18/01/2016

Source: Journal of Biomechanics, 2015, online

Follow this link for the abstract

Date of publication: December 2015

Publication type: Journal article

In a nutshell: The purpose of this study was twofold: firstly to investigate the relationship between muscle weakness and slip-related falls among community-dwelling older adults, and secondly to determine optimal cut-off values with respect to the knee strength capacity which can be used to identify individuals at high risk of falls. Muscle strength was tested on the right knee, and then volunteers were moved to a treadmill where a slip was induced after five minutes of walking while using a harness. Results suggested that muscle weakness contributes to falls initiated by a slip during gait.

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.