A Prospective Study of #Back Pain and Risk of #Falls Among Older Community-dwelling Men
http://m.biomedgerontology.oxfordjournals.org/content/early/2016/11/15/gerona.glw227.abstract?sid=cd70d6cf-fc50-4d43-a9cd-6972c4351684
Among older men, back pain is independently associated with increased fall risk.
http://m.biomedgerontology.oxfordjournals.org/content/early/2016/11/15/gerona.glw227.abstract?sid=cd70d6cf-fc50-4d43-a9cd-6972c4351684
Among older men, back pain is independently associated with increased fall risk.
#Tai Chi for Risk of #Falls. A Meta-analysis
http://onlinelibrary.wiley.com/doi/10.1111/jgs.15008/abstract;jsessionid=0730DF042B60BE1C95241ED6E64F9267.f03t01
There was high-quality evidence of a medium protective effect for fall incidence over the short term (IRR = 0.57; 95% CI = 0.46, 0.70) and a small protective effect over the long term (IRR = 0.87; 95% CI = 0.77, 0.98). Regarding injurious falls, we found very low-quality evidence of a medium protective effect over the short term (IRR = 0.50; 95% CI = 0.33, 0.74) and a small effect over the long term (IRR = 0.72; 95% CI = 0.54, 0.95). There was no effect on time to first fall, with moderate quality of evidence (HR = 0.98; 95% CI = 0.69, 1.37).
In at-risk adults and older adults, tai chi practice may reduce the rate of falls and injury-related falls over the short term (<12 months) by approximately 43% and 50%, respectively. Tai chi practice may not influence time to first fall in these populations. Due to the low quality of evidence, more studies investigating the effects of tai chi on injurious falls and time to first fall are required.
http://onlinelibrary.wiley.com/doi/10.1111/jgs.15008/abstract;jsessionid=0730DF042B60BE1C95241ED6E64F9267.f03t01
There was high-quality evidence of a medium protective effect for fall incidence over the short term (IRR = 0.57; 95% CI = 0.46, 0.70) and a small protective effect over the long term (IRR = 0.87; 95% CI = 0.77, 0.98). Regarding injurious falls, we found very low-quality evidence of a medium protective effect over the short term (IRR = 0.50; 95% CI = 0.33, 0.74) and a small effect over the long term (IRR = 0.72; 95% CI = 0.54, 0.95). There was no effect on time to first fall, with moderate quality of evidence (HR = 0.98; 95% CI = 0.69, 1.37).
In at-risk adults and older adults, tai chi practice may reduce the rate of falls and injury-related falls over the short term (<12 months) by approximately 43% and 50%, respectively. Tai chi practice may not influence time to first fall in these populations. Due to the low quality of evidence, more studies investigating the effects of tai chi on injurious falls and time to first fall are required.
Wiley
Tai Chi for Risk of Falls. A Meta‐analysis
To analyze the effectiveness of tai chi for falls prevention.Systematic review and meta‐analysis.Pubmed, Scopus, CINHAL, and Physiotherapy Evidence Database (PEDro) were searched to May 26, 2016.Older...
Comparisons of Interventions for Preventing #Falls in #Older Adults
A Systematic Review and Meta-analysis
https://jamanetwork.com/journals/jama/article-abstract/2661578
Falls result in substantial burden for patients and health care systems, and given the aging of the population worldwide, the incidence of falls continues to rise Network meta-analysis (including 54 RCTs, 41 596 participants, 39 interventions plus usual care) suggested that the following interventions, when compared with usual care, were associated with reductions in injurious falls: exercise (odds ratio OR, 0.51 95% CI, 0.33 to 0.79; absolute risk difference ARD, −0.67 95% CI, −1.10 to −0.24); combined exercise and vision assessment and treatment (OR, 0.17 95% CI, 0.07 to 0.38; ARD, −1.79 95% CI, −2.63 to −0.96); combined exercise, vision assessment and treatment, and environmental assessment and modification (OR, 0.30 95% CI, 0.13 to 0.70; ARD, −1.19 95% CI, −2.04 to −0.35); and combined clinic-level quality improvement strategies (eg, case management), multifactorial assessment and treatment (eg, comprehensive geriatric assessment), calcium supplementation, and vitamin D supplementation (OR, 0.12 95% CI, 0.03 to 0.55; ARD, −2.08 95% CI, −3.56 to −0.60). Pairwise meta-analyses for fall-related hospitalizations (2 RCTs; 516 participants) showed no significant association between combined clinic- and patient-level quality improvement strategies and multifactorial assessment and treatment relative to usual care (OR, 0.78 95% CI, 0.33 to 1.81).
Conclusions and Relevance Exercise alone and various combinations of interventions were associated with lower risk of injurious falls compared with usual care. Choice of fall-prevention intervention may depend on patient and caregiver values and preferences
A Systematic Review and Meta-analysis
https://jamanetwork.com/journals/jama/article-abstract/2661578
Falls result in substantial burden for patients and health care systems, and given the aging of the population worldwide, the incidence of falls continues to rise Network meta-analysis (including 54 RCTs, 41 596 participants, 39 interventions plus usual care) suggested that the following interventions, when compared with usual care, were associated with reductions in injurious falls: exercise (odds ratio OR, 0.51 95% CI, 0.33 to 0.79; absolute risk difference ARD, −0.67 95% CI, −1.10 to −0.24); combined exercise and vision assessment and treatment (OR, 0.17 95% CI, 0.07 to 0.38; ARD, −1.79 95% CI, −2.63 to −0.96); combined exercise, vision assessment and treatment, and environmental assessment and modification (OR, 0.30 95% CI, 0.13 to 0.70; ARD, −1.19 95% CI, −2.04 to −0.35); and combined clinic-level quality improvement strategies (eg, case management), multifactorial assessment and treatment (eg, comprehensive geriatric assessment), calcium supplementation, and vitamin D supplementation (OR, 0.12 95% CI, 0.03 to 0.55; ARD, −2.08 95% CI, −3.56 to −0.60). Pairwise meta-analyses for fall-related hospitalizations (2 RCTs; 516 participants) showed no significant association between combined clinic- and patient-level quality improvement strategies and multifactorial assessment and treatment relative to usual care (OR, 0.78 95% CI, 0.33 to 1.81).
Conclusions and Relevance Exercise alone and various combinations of interventions were associated with lower risk of injurious falls compared with usual care. Choice of fall-prevention intervention may depend on patient and caregiver values and preferences
Jamanetwork
Comparisons of Interventions for Preventing Falls in Older Adults
This network meta-analysis of trials comparing fall-prevention interventions for older adults provides summary estimates of the effects of exercise and vision and environmental assessments for reducing fall-related injury and hospitalization.