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.


Dance movement therapy and falls prevention

16/06/2017

Source: Maturitas, 2017, Vol 102 p. 1-5

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Date of publication: August 2017

Publication type: Journal article

In a nutshell: Dance is a popular form of physical activity among older people which may improve various health outcomes in this population such as balance, gait and muscle performance. This study conducted a systematic review considering all RCTs investigating if dance can reduce falls and improve fear of falling in older adults. In two out of three RCTs, dancing improved this. However, there is a paucity of studies on dancing and falls, so the evidence is preliminary and equivocal.

Length of publication: 5 pages

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


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.


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.


Patient perceptions with falls during hospitalization and after discharge

14/03/2016

Source: Applied Nursing Research, 2016, Vol 31 p. 79-85

Follow this link for the abstract

Date of publication: August 2016

Publication type: Journal article

In a nutshell: This study aims to describe the perceptions of hospitalised older people around their falls risk and fall prevention strategies received while hospitalised, and any instructions they received to prevent possible falls after discharge.

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.


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.


Video games for senior citizens to prevent falls

16/02/2016

Source: Trustech: the North West NHS innovation service

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Date of publication: January 2016

Publication type: Website

In a nutshell: An innovation from Trafford Hospitals (CMFT) and the University of Manchester will help to reduce the number of falls in the older population. Exergames utilises Microsoft Kinect gaming technology to help improve strength, co-ordination and movement of its target users; elderly people at risk from falls.

Length of publication: 1 page


Strength or power, which is more important to prevent slip-related falls?

15/10/2015

Source: Human Movement Science, 2015, Vol 44  p. 192-200

Follow this link for the abstract

Date of publication: December 2015

Publication type: Journal article

In a nutshell: Both muscle strength and muscle power have been related to falls in older adults, and this study aimed to identify which is more important in preventing slip-related falls. Younger adults were chosen to participate in the study. Findings suggested that power could be more closely related to a slip fall. The findings could be used to provide guidance to identify individuals at increased risk of falling and design effective prevention training paradigms aimed at maximising muscle power among older adults and those with disabilities.

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 rates in hospital rehabilitation units after individualised education programmes

15/05/2015

Source: The Lancet, 2015, online

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Date of publication: April 2015

Publication type: Journal article

In a nutshell: Falls are the most frequent adverse events that are reported in hospitals. The effectiveness of individualised falls-prevention education for patients were examined, supported by training and feedback for staff, delivered as a ward-level programme. Eight rehabilitation units in general hospitals in Australia participated. Individualised patient education programmes combined with training and feedback to staff added to usual care were found to reduce the rates of falls and injurious falls in older patients in rehabilitation hospital-units.

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.


Pilates training on physical fitness and wellbeing in the elderly

17/04/2015

Source: Preventive Medicine, 2015, Vol 75 p. 1-11

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Date of publication: June 2015

Publication type: Journal article

In a nutshell: This systematic review aims to summarize the effects of Pilates exercise training (PET) in an elderly population on physical fitness, balance and fall prevention, and its effects on mood states, quality of life and independence in the daily living activities. PET should be taken into account as a way to improve quality of life in the elderly, due to the imparted benefits of fall prevention, physical fitness, and mood states.

Length of publication: 11 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.


Effects of Alexander Technique on Gait Behaviour in Older Adults

17/02/2015

Source: Journal of Bodywork and Movement Therapies, 2015 (online)

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Date of publication: January 2015

Publication type: Journal article

In a nutshell: Age-related changes in gait can produce a heightened fall risk, which is a serious health issue faced by older adults. The Alexander Technique is thought to improve balance and motor function, but its effect on gait has not been studied, which this study sought to correct. The findings suggest superior control of dynamic stability during gait and potentially reduced fall risk, which warrant further study.

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.


Effect of Pilates exercise for improving balance in older adults

15/01/2015

Source: Archives of Physical Medicine and Rehabilitation, 2014, online

Follow this link for the abstract

Date of publication: December 2014

Publication type: Journal article

In a nutshell: This systematic review investigated the effect of Pilates on balance and falls in older adults, and whether programmes tested in previous studies met best practice recommendations. The review notes a lack of high quality studies in this field, but the evidence available showed that Pilates can improve balance, which is a significant risk factor for falls in older adults. However, there is limited data on the impact of falls, and effects may have been overestimated due low quality of methodology in previous studies.

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.


Exercise-based falls prevention programmes decrease fall-related injuries

12/11/2014

Source: Evidence Based Nursing, 2014, Vol 17 p. 125

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Date of publication: October 2014

Publication type: Journal article

In a nutshell: This is a commentary on a systematic review and meta-analysis. The article found that exercise programmes in older adults reduced falls while improving physical function, which in turn reduced the number of falls-related injuries. It recommends increasing the effectiveness of exercise-based fall-prevention programmes.

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.