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首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls
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Effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls

机译：多因其跌破计划对居住跌倒风险的社区居民老年人坠落发生率和物理功能的影响

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摘要

Objective: To evaluate effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults. Design: Multicenter randomized controlled trial. Setting: Three medical centers and adjacent community health centers. Participants: Community-dwelling older adults (N=616) who have fallen in the previous year or are at risk of falling. Interventions: After baseline assessment, eligible subjects were randomly allocated into the intervention group (IG) or the control group (CG), stratified by the Physiological Profile Assessment (PPA) fall risk level. The IG received a 3-month multifactorial intervention program including 8 weeks of exercise training, health education, home hazards evaluation/modification, along with medication review and ophthalmology/other specialty consults. The CG received health education brochures, referrals, and recommendations without direct exercise intervention. Main Outcome Measures: Primary outcome was fall incidence within 1 year. Secondary outcomes were PPA battery (overall fall risk index, vision, muscular strength, reaction time, balance, and proprioception), Timed Up & Go (TUG) test, Taiwan version of the International Physical Activity Questionnaire, EuroQol-5D, Geriatric Depression Scale (GDS), and the Falls Efficacy Scale-International at 3 months after randomization. Results: Participants were 76±7 years old and included low risk 25.6%, moderate risk 25.6%, and marked risk 48.7%. The cumulative 1-year fall incidence was 25.2% in the IG and 27.6% in the CG (hazard ratio=.90; 95% confidence interval,.66-1.23). The IG improved more favorably than the CG on overall PPA fall risk index, reaction time, postural sway with eyes open, TUG test, and GDS, especially for those with marked fall risk. Conclusions: The multifactorial fall prevention program with exercise intervention improved functional performance at 3 months for community-dwelling older adults with risk of falls, but did not reduce falls at 1-year follow-up. Fall incidence might have been decreased simultaneously in both groups by heightened awareness engendered during assessments, education, referrals, and recommendations.
机译：目的：评价多因素坠落预防计划对社区居民老年人坠落发病率和物理功能的影响。设计：多中心随机对照试验。环境：三个医疗中心和邻近社区保健中心。参与者：社区住宅的老年人（N = 616）落在去年或有跌倒的风险。干预：基线评估后，将符合条件的受试者随机分配到干预组（IG）或对照组（CG）中，由生理学简介评估（PPA）坠落风险水平分层。 IG收到3个月的多学习干预计划，包括8周的运动培训，健康教育，家庭危害评估/修饰，以及药物审查和眼科/其他专业咨询。 CG接受了健康教育小册子，转介和建议，而不会直接进行干预。主要结果措施：主要结果在1年内跌倒。二次结果是PPA电池（整体落下风险指数，视觉，肌肉力量，反应时间，平衡和丙虫），定时＆Go（Tug）测试，台湾版国际体育活动问卷调查问卷，Euroqol-5d，老年抑郁症（GDS），随机化后3个月，跌倒疗效规模尺度。结果：参与者年龄76±7岁，含有低风险25.6％，风险适中25.6％，风险标记为48.7％。累积的1年下降发病率为25.2％，CG中的27.6％（危害比率= .90; 95％置信区间，.66-1.23）。 IG更有利地改善了CG总体PPA落下的风险指数，反应时间，眼睛姿势，眼睛张开，拖曳试验和GDS，特别是对于具有明显风险的人。结论：举办运动干预的多因素下降计划在3个月内为社区住宅的年龄较大的成年人提高了功能性能，但在1年的随访中没有减少跌倒。通过在评估，教育，推荐和建议期间，两组在两组中可能在两组中同时下降。

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  • 作者

    LeeH.-C.; ChangK.-C.; TsauoJ.-Y.; HungJ.-W.; HuangY.-C.; LinS.-I.;

  • 作者单位

    Department of Physical Therapy and Assistive Technology National Yang-Ming University Taipei;

    College of Medicine Chang Gung University Taoyuan Taiwan Division of Cerebrovascular Diseases;

    School and Graduate Institute of Physical Therapy National Taiwan University Taipei Taiwan;

    College of Medicine Chang Gung University Taoyuan Taiwan Department of Rehabilitation Medicine;

    Division of Cerebrovascular Diseases Department of Neurology Kaohsiung Chang Gung Memorial;

    Department of Physical Therapy National Cheng Kung University Tainan Taiwan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 康复医学;
  • 关键词

    Accidental falls; Aged; Exercise; Rehabilitation;

    机译：偶然的瀑布;岁;锻炼;康复;

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