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Latest & greatest articles for falls
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Effects of WiiActive exercises on fear of falling and functional outcomes in community-dwelling older adults: a randomised control trial 27496921 2016 09 20 2016 09 20 1468-2834 45 5 2016 Sep Age and ageing Age Ageing Effects of WiiActive exercises on fear of falling and functional outcomes in community-dwelling older adults: a randomised control trial. 621-7 10.1093/ageing/afw108 the study compares the effects of a Nintendo Wii exercise programme and a standard Gym-based exercise intervention (...) on fear of falling, knee strength, physical function and falls rate in older adults. eighty community-dwelling adults aged 60 years and above with short physical performance battery score of 5-9 points and modified falls efficacy scale (MFES) score of ≤9 points participated in the parallel-group randomised trial. Each intervention arm involved an hour of intervention per week, totalling 12 sessions over 12 weeks. Besides 1-year fall incidence, the participants were evaluated on MFES, knee extensor
The association between serum 25-hydroxyvitamin D level and recurrent falls in the elderly population: a cohort study 27757178 2018 11 13 2008-5842 8 8 2016 Aug Electronic physician Electron Physician The association between serum 25-hydroxyvitamin D level and recurrent falls in the elderly population: a cohort study. 2707-2712 Serum vitamin D concentration is a major contributing factor for increasing the risk of fall and fall-related injuries in older adults. However, when prescribed (...) and supplemented for these populations, the outcomes are controversial, and in several cases no improvement has been reported in reducing the risk of recurrent falls. This study aimed to examine the association between serum vitamin D concentration and recurrent falls in Iranian older adults. This cohort study was conducted in the emergency departments of two university hospitals. A cohort of 82 elderly participants aged over 60 and suffered from an unintentional episode of falling was evaluated six months
Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. BACKGROUND: Age-associated motor and cognitive deficits increase the risk of falls, a major cause of morbidity and mortality. Because of the significant ramifications of falls, many interventions have been proposed, but few have aimed to prevent falls via an integrated approach targeting both motor and cognitive function. We aimed to test (...) the hypothesis that an intervention combining treadmill training with non-immersive virtual reality (VR) to target both cognitive aspects of safe ambulation and mobility would lead to fewer falls than would treadmill training alone. METHODS: We carried out this randomised controlled trial at five clinical centres across five countries (Belgium, Israel, Italy, the Netherlands, and the UK). Adults aged 60-90 years with a high risk of falls based on a history of two or more falls in the 6 months before
Neighbourhood social and built environment factors and falls in community-dwelling canadian older adults: A validation study and exploration of structural confounding 29349162 2018 11 13 2352-8273 2 2016 Dec SSM - population health SSM Popul Health Neighbourhood social and built environment factors and falls in community-dwelling canadian older adults: A validation study and exploration of structural confounding. 468-475 10.1016/j.ssmph.2016.06.003 Older persons are vulnerable to the ill (...) effects of their social and built environment due to age-related limitations in mobility and bio-psychological vulnerability. Falls are common in older adults and result from complex interactions between individual, social, and contextual determinants. We addressed two methodological issues of neighbourhood-health and social epidemiological studies in this analysis: (1) validity of measures of neighbourhood contexts, and (2) structural confounding resulting from social sorting mechanisms. Baseline
Implementing exercise programs to prevent falls: systematic descriptive review 27747553 2018 11 13 2197-1714 3 1 2016 Dec Injury epidemiology Inj Epidemiol Implementing exercise programs to prevent falls: systematic descriptive review. 16 The United States Preventive Services Task Force recommends exercise to prevent falls in community-dwelling adults aged ≥ 65 years at increased fall risk. However, little is known about how best to implement exercise programs in routine care when a patient's (...) need for exercise is identified within the healthcare system. Using a qualitative approach, we reviewed the literature to determine how exercise programs to prevent falls are implemented from the vantage point of a health care setting. We synthesized descriptive information about each program with data on program features and implementation difficulties and facilitators. We found that programs sponsored by primary care providers (PCPs) or specialists may help with recruitment into exercise programs
Comparison of Frailty Phenotypes for Prediction of Mortality, Incident Falls, and Hip Fracture in Older Women 27310179 2016 09 17 2017 02 24 1532-5415 64 9 2016 Sep Journal of the American Geriatrics Society J Am Geriatr Soc Comparison of Frailty Phenotypes for Prediction of Mortality, Incident Falls, and Hip Fracture in Older Women. 1858-62 10.1111/jgs.14233 To compare the ability of the commonly used Women's Health Initiative (WHI) and Cardiovascular Health Study (CHS) frailty phenotypes (...) to predict falls, hip fracture, and death in WHI Clinical Trial participants aged 65 and older. Longitudinal cohort study. WHI Clinical Trial. Participants with data for WHI and CHS frailty phenotypes (N = 3,558). Frailty was operationally defined in the CHS as the presence of three or more of weight loss, poor energy, weakness, slowness, and low physical activity. WHI operationalized frailty similarly but with the RAND-36 physical function scale substituted for slowness and weakness (RAND-36 physical
Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia 28461842 2018 11 13 1985-207X 11 1 2016 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia Malays Fam Physician Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia. 7-14 Fall is a major cause of injuries and can increase the risk of early mortality among (...) elderly. The objective of this study was to determine the prevalence of falls among community-dwelling elderly in rural Malaysia and its associated factors. Data were obtained from a cross-sectional survey in five randomly selected districts in the state of Perak, Malaysia. A total of 250 households were randomly selected. A total of 811 individuals aged 60 years or more were recruited and interviewed using a structured questionnaire. Information about socio-demographic, history of falls in the past 1
Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Published on: January 22, 2016 Project Number: RA0826-000 Product Line: Research Type (...) : Devices and Systems Report Type: Reference List Result type: Report Question What is the effectiveness of risk assessment tools to assess risk of falling in ambulatory adults who may be at risk for falls in the community setting? What is the clinical effectiveness of strategies to prevent falls in ambulatory adults at risk of falls in the community setting? What are the evidence-based guidelines for preventing falls in ambulatory adults at risk of falls in the community setting? Key Message Eleven
Social support and older adult falls 27747541 2018 11 13 2197-1714 3 1 2016 Dec Injury epidemiology Inj Epidemiol Social support and older adult falls. 4 Social support has been shown to be associated with various positive health outcomes among older adults but has not been previously examined in relation to falls, which are a serious health concern among older adults. This study (n = 1000) uses multivariable logistic regression to evaluate the relationship between social contact and perceived (...) availability of social support and falls among older adults. When adjusting for demographic and other covariates neither relationship was significant. This study does not find evidence to suggest that social support could be a prevention measure for falls. Future research on this topic should focus on careful definition and precise measurement of the social support construct. Durbin Laura L Department of Epidemiology, Columbia University Mailman School of Public Health, 722 West 168th St., Room 516, New
Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Published on: January (...) 15, 2016 Project Number: RB0950-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the comparative effectiveness of fall prevention strategies, versus fall risk assessments alone or fall risk assessments and fall prevention strategies for adult patients? What is the cost-effectiveness of fall prevention strategies for adult patients? What are the evidence-based guidelines regarding the use of fall prevention strategies
Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. 26769034 2016 04 27 2017 05 07 1432-0932 25 5 2016 May European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Eur Spine J Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag (...) dolls. 1349-1354 10.1007/s00586-016-4381-z It is undisputed for more than 200 years that the use of a parachute prevents major trauma when falling from a great height. Nevertheless up to date no prospective randomised controlled trial has proven the superiority in preventing trauma when falling from a great height instead of a free fall. The aim of this prospective randomised controlled trial was to prove the effectiveness of a parachute when falling from great height. In this prospective randomised
Development of an algorithm to identify fall-related injuries and costs in Medicare data 27747538 2018 11 13 2197-1714 3 1 2016 Dec Injury epidemiology Inj Epidemiol Development of an algorithm to identify fall-related injuries and costs in Medicare data. 1 Identifying fall-related injuries and costs using healthcare claims data is cost-effective and easier to implement than using medical records or patient self-report to track falls. We developed a comprehensive four-step algorithm (...) for identifying episodes of care for fall-related injuries and associated costs, using fee-for-service Medicare and Medicare Advantage health plan claims data for 2,011 patients from 5 medical groups between 2005 and 2009. First, as a preparatory step, we identified care received in acute inpatient and skilled nursing facility settings, in addition to emergency department visits. Second, based on diagnosis and procedure codes, we identified all fall-related claim records. Third, with these records, we
Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls 26360975 2015 11 26 2016 03 17 2015 11 26 1532-821X 96 12 2015 Dec Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls. 2096-102 10.1016/j.apmr.2015.08.427 S0003-9993(15)01155-7 To use Nintendo's Wii Fit balance board to determine (...) the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls. Randomized controlled trial. Nursing home for older adults. Adults aged 65 years and older (N=60). Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment or conventional exercise. Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses. Physiological Profile Assessment
Flibanserin: Feeling frisky or falling over? Tools for Practice is proudly sponsored by the Alberta College of Family Physicians (ACFP). ACFP is a provincial, professional voluntary organization, representing more than 4,000 family physicians, family medicine residents and medical students in Alberta. Established over fifty years ago, the ACFP strives for excellence in family practice through advocacy, continuing medical education and primary care research. www.acfp.ca February 29, 2016 (...) Flibanserin: Feeling frisky or falling over? Clinical Question: Does flibanserin improve sexual desire and the number of satisfying sexual episodes for women? Bottom-line: Flibanserin results in ~7% improvement in desire and 0.4-1 additional “satisfying” sexual event per month. However, it is also associated with adverse events like dizziness or somnolence for one in 10-15 women. Concerns regarding hypotension, syncope, and interactions with commonly used drugs (particularly alcohol) are worrisome
Evidently Advent 2015 Fear of falling Evidently Advent 2015 Fear of falling - Evidently Cochrane Search and hit Go By December 17, 2015 // You can also watch the video on YouTube: Links Kendrick D, Kumar A, Carpenter H, Zijlstra GAR, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K. . Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD009848. DOI: 10.1002/14651858.CD009848.pub2 Link (...) and in the history of women’s health and illness in early modern England (MPhil., University of Reading). Evidently Advent 2015 Fear of falling by Sarah Chapman is licensed under a Leave a Reply Your email address will not be published. Required fields are marked * Comment Name * E-Mail * Web Sign me up for the newsletter! Latest Posts Sharing health evidence you can trust Search Search UA-49496932-1
Preseasonal treatment with either omalizumab or an inhaled corticosteroid boost to prevent fall asthma exacerbations 26518090 2015 12 15 2016 04 26 2017 02 28 1097-6825 136 6 2015 Dec The Journal of allergy and clinical immunology J. Allergy Clin. Immunol. Preseasonal treatment with either omalizumab or an inhaled corticosteroid boost to prevent fall asthma exacerbations. 1476-85 10.1016/j.jaci.2015.09.008 S0091-6749(15)01342-1 Short-term targeted treatment can potentially prevent fall asthma (...) exacerbations while limiting therapy exposure. We sought to compare (1) omalizumab with placebo and (2) omalizumab with an inhaled corticosteroid (ICS) boost with regard to fall exacerbation rates when initiated 4 to 6 weeks before return to school. A 3-arm, randomized, double-blind, double placebo-controlled, multicenter clinical trial was conducted among inner-city asthmatic children aged 6 to 17 years with 1 or more recent exacerbations (clincaltrials.gov #NCT01430403). Guidelines-based therapy