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Latest & greatest articles for falls
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Effectiveness of a Therapeutic Tai Ji Quan Intervention vs a Multimodal Exercise Intervention to Prevent Falls Among Older Adults at High Risk of Falling: A Randomized Clinical Trial Falls in older adults are a serious public health problem associated with irreversible health consequences and responsible for a substantial economic burden on health care systems. However, identifying optimal choices from among evidence-based fall prevention interventions is challenging as few comparative data (...) for effectiveness are available.To determine the effectiveness of a therapeutically tailored tai ji quan intervention, Tai Ji Quan: Moving for Better Balance (TJQMBB), developed on the classic concept of tai ji (also known as tai chi), and a multimodal exercise (MME) program relative to stretching exercise in reducing falls among older adults at high risk of falling.A single-blind, 3-arm, parallel design, randomized clinical trial (February 20, 2015, to January 30, 2018), in 7 urban and suburban cities
Relationship Between Physiological and Perceived Fall Risk in People With Multiple Sclerosis: Implications for Assessment and Management This study evaluated the relationship between physiological and perceived fall risk in people with multiple sclerosis (MS).Secondary analysis of data from prospective cohort studies undertaken in Australia, the United Kingdom, and the United States.Community.Ambulatory people with MS (N=416) (age 51.5±12.0 years; 73% female; 62% relapsing-remitting MS; 13.7 (...) ±9.9 years disease duration).Not applicable.All participants completed measures of physiological (Physiological Profile Assessment [PPA]) and perceived (Falls Efficacy Scale-international [FESi]) fall risk and prospectively recorded falls for 3 months.155 (37%) of the participants were recurrent fallers (≥2 falls). Mean PPA and FESi scores were high (PPA 2.14±1.87, FESi 34.27±11.18). The PPA and the FESi independently predicted faller classification in logistic regression, which indicated
Efficacy of Methylphenidate in the Geriatric Population for Fall Prevention "Efficacy of Methylphenidate in the Geriatric Population for Fall Preve" by Adam Stapleton < > > > > > Title Author Date of Graduation Summer 8-11-2018 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract || Abstract || Background: Approximately one-third of people aged 65 years and over who are not living in institutions fall at least once a year, with higher rates (...) among those living in institutions. One half of older adults who are hospitalized as a result of a fall survive one year later.The importance of fall prevention in older adults is well researched, with many established community based programs in the United States focusing on exercise and fundamental education for fall reduction. However, new options for prevention are being explored. Executive function and gait, both related to falls, may be improved by methylphenidate, providing a promising option
Interventions for preventing falls in older people in care facilities and hospitals. Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012.To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals.We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (...) (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017.Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals.One review author screened abstracts; two review authors screened full-text articles for inclusion. Two review authors independently performed study selection, 'Risk of bias' assessment and data extraction. We calculated rate
Differentiating cognitive or motor dimensions associated with the perception of fall-related self-efficacy in Parkinsonâ€™s disease In Parkinson's disease (PD), concurrent declines in cognitive and motor domain function can severely limit an individual's ability to conduct daily tasks. Current diagnostic methods, however, lack precision in differentiating domain-specific contributions of cognitive or motor impairments based on a patients' clinical manifestation. Fear of falling (FOF
Falls Top results for falls - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4 (...) ) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for falls The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted
Multifactorial and multiple component interventions for preventing falls in older people living in the community. Falls and fall-related injuries are common, particularly in those aged over 65, with around one-third of older people living in the community falling at least once a year. Falls prevention interventions may comprise single component interventions (e.g. exercise), or involve combinations of two or more different types of intervention (e.g. exercise and medication review (...) ). Their delivery can broadly be divided into two main groups: 1) multifactorial interventions where component interventions differ based on individual assessment of risk; or 2) multiple component interventions where the same component interventions are provided to all people.To assess the effects (benefits and harms) of multifactorial interventions and multiple component interventions for preventing falls in older people living in the community.We searched the Cochrane Bone, Joint and Muscle Trauma Group
Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis To evaluate the effect of Tai Chi on balance and reducing falls incidence in neurological disorders.AMED, Embase, Web of Science, SCOPUS, EBSCO and Medline from inception until February 2018.Randomized controlled trials of Tai Chi compared with active or no treatment control, measuring balance with the Berg Balance Scale or the Timed Up and Go Test and number of falls (...) significant effect of Tai Chi compared to no treatment (weighted mean difference (WMD), -2.13; 95% confidence interval (CI), -3.26 to -1.00; P < 0.001) and was insignificant (WMD, -0.19; 95% CI, -1.74 to 1.35; P = 0.81) when compared with active treatment. Tai Chi significantly reduced falls incidence in Parkinson's disease (odds ratio (OR), 0.47; 95% CI, 0.29 to 0.77; P = 0.003) and stroke (OR, 0.21; 95% CI, 0.09 to 0.48; P < 0.001). Balance measured with the Timed Up and Go Test comparing Tai Chi
The rise and fall of mortality inequality in South Africa in the HIV era Post-apartheid South Africa has seen an unprecedented rise and fall of mortality in less than two decades as a result of the HIV/AIDS epidemic and the subsequent rollout of free antiretroviral therapy (ART). Since the incidence of both was not equal for rich and poor, it is likely to also have affected disparities in health and survival chances by income. We use large nationwide surveys for 2001, 2007 and 2011 to obtain
The impact of implementing a fall prevention educational session for communityâ€dwelling physical therapy patients The aim of this study was to evaluate the impact of a fall prevention educational session on fall risk knowledge, use of fall prevention interventions and the number of falls in community-dwelling older persons attending physical therapy.This pilot study used a mixed method design consisting of a quantitative pretest-posttest quasi-experimental design followed by a qualitative (...) interview.An educational intervention was given with pre- and posttest questionnaires to determine the outcome measures of: (a) fall risk knowledge; (b) number of participants implementing fall prevention techniques; and (c) the number of falls sustained for 60 days post the educational sessions. The Health Belief Model served as the theoretical underpinnings for development and presentation of two educational sessions.Eight of 20 participants completed the fall prevention educational sessions
Recent opioid use and fall-related injury among older patients with trauma Evidence for an association between opioid use and risk of falls or fractures in older adults is inconsistent. We examine the association between recent opioid use and the risk, as well as the clinical outcomes, of fall-related injuries in a large trauma population of older adults.In a retrospective, observational, multicentre cohort study conducted on registry data, we included all patients aged 65 years and older who (...) were admitted (hospital stay > 2 d) for injury in 57 trauma centres in the province of Quebec, Canada, between 2004 and 2014. We looked at opioid prescriptions filled in the 2 weeks preceding the trauma in patients who sustained a fall, compared with those who sustained an injury through another mechanism.A total of 67 929 patients were retained for analysis. Mean age was 80.9 (± 8.0) years and 69% were women. The percentage of patients who had filled an opioid prescription in the 2 weeks preceding
A High-yield Fall Risk and Adverse Events Screening Questions From the Stopping Elderly Accidents, Death, and Injuries (STEADI) Guideline for Older Emergency Department Fall Patients The objectives were to examine whether responses to the Stopping Elderly Accidents, Death, and Injuries (STEADI) questions responses predicted adverse events after an older adult emergency department (ED) fall visits and to identify factors associated with such recurrent fall.We conducted a prospective study at two (...) urban, teaching hospitals. We included patients aged ≥ 65 years who presented to the ED for an accidental fall. Data were gathered for fall-relevant comorbidities, high-risk medications for falls, and the responses to 12 questions from the STEADI guideline recommendation. Our outcomes were the number of 6-month adverse events that were defined as mortality, ED revisit, subsequent hospitalization, recurrent falls, and a composite outcome.There were 548 (86.3%) patients who completed follow-up and 243
Syncope, Hypotension, and Falls in the Treatment of Hypertension: Results from the Randomized Clinical Systolic Blood Pressure Intervention Trial To determine predictors of serious adverse events (SAEs) involving syncope, hypotension, and falls, with particular attention to age, in the Systolic Blood Pressure Intervention Trial.Randomized clinical trial.Academic and private practices across the United States (N = 102).Adults aged 50 and older with a systolic blood pressure (SBP) of 130 to 180 (...) mmHg at high risk of cardiovascular disease events, but without diabetes, history of stroke, symptomatic heart failure or ejection fraction less than 35%, dementia, or standing SBP less than 110 mmHg (N = 9,361).Treatment of SBP to a goal of less than 120 mmHg or 140 mmHg.Outcomes were SAEs involving syncope, hypotension, and falls. Predictors were treatment assignment, demographic characteristics, comorbidities, baseline measurements, and baseline use of cardiovascular medications.One hundred
Falls Prevention in Community-Dwelling Older Adults: Interventions Final Update Summary: Falls Prevention in Community-Dwelling Older Adults: Interventions - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 126.96.36.1998 Last Build: 11/16/2018 6:27:19 PM You are here: Final Summary Falls Prevention in Community-Dwelling Older Adults: Interventions Release Date: April 2018 Recommendation Summary Population Recommendation Grade Adults 65 years or older The USPSTF (...) recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. Adults 65 years or older The USPSTF recommends that clinicians selectively offer multifactorial interventions to prevent falls to community-dwelling adults 65 years or older who are at increased risk for falls. Existing evidence indicates that the overall net benefit of routinely offering multifactorial interventions to prevent falls is small. When determining whether
Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Falls are the most common cause of injury-related morbidity and mortality among older adults.To systematically review literature on the effectiveness and harms of fall prevention interventions in community-dwelling older adults to inform the US Preventive Services Task Force.MEDLINE, PubMed, Cumulative Index for Nursing and Allied Health Literature (...) , and Cochrane Central Register of Controlled Trials for relevant English-language literature published through August 2016, with ongoing surveillance through February 7, 2018.Randomized clinical trials of interventions to prevent falls in community-dwelling adults 65 years and older.Independent critical appraisal and data abstraction by 2 reviewers. Random-effects meta-analyses using the method of DerSimonian and Laird.Number of falls (number of unexpected events in which a person comes to rest
Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement. Falls are the leading cause of injury-related morbidity and mortality among older adults in the United States. In 2014, 28.7% of community-dwelling adults 65 years or older reported falling, resulting in 29 million falls (37.5% of which needed medical treatment or restricted activity for a day or longer) and an estimated 33 000 deaths in 2015.To update the 2012 US (...) Preventive Services Task Force (USPSTF) recommendation on the prevention of falls in community-dwelling older adults.The USPSTF reviewed the evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls and fall-related morbidity and mortality in community-dwelling older adults 65 years or older who are not known to have osteoporosis or vitamin D deficiency.The USPSTF found adequate evidence that exercise interventions have a moderate benefit in preventing falls in older
Intracranial Bleeding in Seniors Who Fall Intracranial Bleeding in Seniors Who Fall - CanadiEM Intracranial Bleeding in Seniors Who Fall In , by Kerstin de Wit April 13, 2018 Intracranial bleeding in seniors who fall – a growing problem with no research evidence. The Falls Consortium researchers would like to capture the variation in approach to emergency department senior patients who present after a fall. Please take 5 minutes to complete our . Clinical Case: This morning, I reviewed Mr (...) . Barker in the emergency department. He had a fall at home. He thinks he fell last night, and his daughter found him on the floor of his bedroom this morning. He can’t tell me much about why he fell, but he remembers not being able to get himself up off the floor. He was incontinent of urine overnight. Currently, he is disoriented and has a bruise on the left temple. He looks frail, with a few bruises on his arms and legs. He is under-weight and his clothes are dirty. Mr. Barker has type 2 diabetes
Pediatric falls ages 0â€“4: understanding demographics, mechanisms, and injury severities Pediatric unintentional falls are the leading cause of injury-related emergency visits for children < 5 years old. The purpose of this study was to identify population characteristics, injury mechanisms, and injury severities and patterns among children < 5 years to better inform age-appropriate falls prevention strategies.This retrospective database study used trauma registry data from the lead pediatric (...) trauma system in Georgia. Data were analyzed for all patients < 5 years with an international classification of disease, 9th revision, clinical modification (ICD-9 CM) external cause of injury code (E-code) for unintentional falls between 1/1/2013 and 12/31/2015. Age (months) was compared across categories of demographic variables, injury mechanisms, and emergency department (ED) disposition using Kruskal-Wallis ANOVA and the Mann Whitney U test. The relationships between demographic variables
Characterization of children hospitalized with traumatic brain injuries after building falls Unintentional falls cause a substantial proportion of pediatric traumatic brain injury (TBI), with building falls carrying particularly high risk for morbidity and mortality. The cohort of children sustaining building fall-related TBI has not been well-examined. We sought to characterize children hospitalized with building fall-related TBIs and evaluate if specific factors distinguished these children (...) from children hospitalized with TBI due to other fall mechanisms. We secondarily assessed if TBI severity among children injured due to a building fall varied between children from urban versus non-urban areas.This was a secondary analysis of the Pediatric Health Information System (PHIS), an administrative database from pediatric hospitals. We identified children < 15 years old, hospitalized between 2009 and 2014, with an associated TBI-related diagnosis due to a fall as determined
Mortality From Falls in Dutch Adults 80 Years and Older, 2000-2016 29614170 2018 04 18 2018 11 14 1538-3598 319 13 2018 04 03 JAMA JAMA Mortality From Falls in Dutch Adults 80 Years and Older, 2000-2016. 1380-1382 10.1001/jama.2018.1444 Hartholt Klaas A KA Department of Surgery-Traumatology, Reinier de Graaf Groep, Delft, the Netherlands. van Beeck Ed F EF Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands. van der Cammen Tischa J M TJM (...) Faculty of Industrial Design Engineering, Delft University of Technology, Delft, the Netherlands. eng Journal Article United States JAMA 7501160 0098-7484 AIM IM Accidental Falls mortality Aged, 80 and over Female Humans Male Mortality trends Netherlands epidemiology Risk Factors 2018 4 4 6 0 2018 4 4 6 0 2018 4 19 6 0 ppublish 29614170 2677435 10.1001/jama.2018.1444 PMC5933376 J Am Geriatr Soc. 2014 Mar;62(3):470-5 24617970 JAMA. 2010 Jan 20;303(3):258-66 20085954 Am J Public Health. 2012 May;102