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A randomized controlled trial of fall prevention by a high-intensity functional exercise program for older people living in residential care facilities
Luleå University of Technology, Department of Health Sciences, Health and Rehab.
Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå university.
Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy.
Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy.
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2008 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 20, no 1, 67-75 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND AIMS: Falls are particularly common among older people living in residential care facilities. The aim of this randomized controlled trial was to evaluate the effectiveness of a high-intensity functional exercise program in reducing falls in residential care facilities. METHODS: Participants comprised 191 older people, 139 women and 52 men, who were dependent in activities of daily living. Their mean±SD score on the Mini-Mental State Examination was 17.8±5.1 (range 10-30). Participants were randomized to a high-intensity functional exercise program or a control activity, consisting of 29 sessions over 3 months. The fall rate and proportion of participants sustaining a fall were the outcome measures, subsequently analysed using negative binominal analysis and logistic regression analysis, respectively. RESULTS: During the 6- month follow-up period, when all participants were compared, no statistically significant differences between groups were found for fall rate (exercise group 3.6 falls per person years [PY], control group 4.6 falls per PY), incidence rate ratio (95% CI) 0.82 (0.49-1.39), p=0.46, or the proportion of participants sustaining a fall (exercise 53%, control 51%), odds ratio (95% CI) 0.95 (0.52-1.74), p=0.86. A subgroup interaction analysis revealed that, among participants who improved their balance during the intervention period, the exercise group had a lower fall rate than the control group (exercise 2.7 falls per PY, control 5.9 falls per PY), incidence rate ratio (95% CI) 0.44 (0.21-0.91), p=0.03. CONCLUSIONS: In older people living in residential care facilities, a high-intensity functional exercise program may prevent falls among those who improve their balance.

Place, publisher, year, edition, pages
2008. Vol. 20, no 1, 67-75 p.
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Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-5594Local ID: 3bb9d1b0-4393-11dd-bfd7-000ea68e967bOAI: oai:DiVA.org:ltu-5594DiVA: diva2:978468
Note
Validerad; 2008; 20080626 (eriros)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2017-11-24Bibliographically approved

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