Intervention strategies and risk-factor modification for falls prevention - A review of recent intervention studies

被引:50
作者
Cumming, RG [1 ]
机构
[1] Univ Sydney, Dept Publ Hlth & Community Med, Sydney, NSW 2006, Australia
关键词
D O I
10.1016/S0749-0690(02)00004-6
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Twenty-one randomized trials of falls prevention interventions were reviewed. These trials clearly demonstrate that many falls can be prevented. The most effective interventions are those that are multifactorial and target people at high risk of falling who live in the community. There is convincing evidence that exercise can prevent falls but the best type of exercise remains unknown. Reducing use of psychotropic medications will prevent falls but the value of home modifications is still uncertain.
引用
收藏
页码:175 / +
页数:16
相关论文
共 32 条
[1]  
[Anonymous], 1994, Journal of Aging and Physical Activity, DOI DOI 10.1123/JAPA.2.2
[2]   The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults [J].
Buchner, DM ;
Cress, ME ;
deLateur, BJ ;
Esselman, PC ;
Margherita, AJ ;
Price, R ;
Wagner, EH .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1997, 52 (04) :M218-M224
[3]   RISK-FACTORS FOR FALLS IN A COMMUNITY-BASED PROSPECTIVE-STUDY OF PEOPLE 70 YEARS AND OLDER [J].
CAMPBELL, AJ ;
BORRIE, MJ ;
SPEARS, GF .
JOURNALS OF GERONTOLOGY, 1989, 44 (04) :M112-M117
[4]   Psychotropic medication withdrawal and a home-based exercise program to prevent falls: A randomized, controlled trial [J].
Campbell, AJ ;
Robertson, MC ;
Gardner, MM ;
Norton, RN ;
Buchner, DM .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (07) :850-853
[5]   Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women [J].
Campbell, AJ ;
Robertson, MC ;
Gardner, MM ;
Norton, RN ;
Tilyard, MW ;
Buchner, DM .
BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7115) :1065-1069
[6]   Prevention of falls in the elderly trial (PROFET): a randomised controlled trial [J].
Close, J ;
Ellis, M ;
Hooper, R ;
Glucksman, E ;
Jackson, S ;
Swift, C .
LANCET, 1999, 353 (9147) :93-97
[7]   Home visits by an occupational therapist for assessment and modification of environmental hazards: A randomized trial of falls prevention [J].
Cumming, RG ;
Thomas, M ;
Szonyi, G ;
Salkeld, G ;
O'Neill, E ;
Westbury, C ;
Frampton, G .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1999, 47 (12) :1397-1402
[8]  
Cumming Robert G., 1990, Annals of Epidemiology, V1, P49
[9]   FORGETTING FALLS - THE LIMITED ACCURACY OF RECALL OF FALLS IN THE ELDERLY [J].
CUMMINGS, SR ;
NEVITT, MC ;
KIDD, S .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1988, 36 (07) :613-616
[10]   Randomized placebo-controlled trial of brisk walking in the prevention of postmenopausal osteoporosis [J].
Ebrahim, S ;
Thompson, PW ;
Baskaran, V ;
Evans, K .
AGE AND AGEING, 1997, 26 (04) :253-260