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首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Efficacy of a short multidisciplinary falls prevention program for elderly persons with osteoporosis and a fall history: a randomized controlled trial.
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Efficacy of a short multidisciplinary falls prevention program for elderly persons with osteoporosis and a fall history: a randomized controlled trial.

机译：针对患有骨质疏松症和跌倒病史的老人制定的简短的多学科跌倒预防计划的功效：一项随机对照试验。

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OBJECTIVE: To evaluate the efficacy of the Nijmegen Falls Prevention Program (NFPP) for persons with osteoporosis and a fall history in a randomized controlled trial. Persons with osteoporosis are at risk for fall-related fractures because of decreased bone strength. A decrease in the number of falls therefore is expected to be particularly beneficial for these persons. DESIGN: Randomized controlled trial. SETTING: Hospital. PARTICIPANTS: Persons with osteoporosis and a fall history (N=96; mean +/- SD age, 71.0+/-4.7y; 90 women). INTERVENTION: After baseline assessment, participants were randomly assigned to the exercise (n=50; participated in the NFPP for persons with osteoporosis [5.5wk]) or control group (n=46; usual care). MAIN OUTCOME MEASURES: Primary outcome measure was fall rate, measured by using monthly fall calendars for 1 year. Secondary outcomes were balance confidence (Activity-specific Balance Confidence Scale), quality of life (QOL; Quality of Life Questionnaire of the European Foundation for Osteoporosis), and activity level (LASA Physical Activity Questionnaire, pedometer), assessed posttreatment subsequent to the program and after 1 year of follow-up. RESULTS: The fall rate in the exercise group was 39% lower than for the control group (.72 vs 1.18 falls/person-year; risk ratio, .61; 95% confidence interval, .40-.94). Balance confidence in the exercise group increased by 13.9% (P=.001). No group differences were observed in QOL and activity levels. CONCLUSION: The NFPP for persons with osteoporosis was effective in decreasing the number of falls and improving balance confidence. Therefore, it is a valuable new tool to improve mobility and independence of persons with osteoporosis.
机译：目的：在一项随机对照试验中，评估奈梅亨瀑布预防计划（NFPP）对骨质疏松症患者和跌倒病史的疗效。骨质疏松症患者由于骨骼强度下降而有跌倒相关骨折的风险。因此，预期跌倒次数的减少对这些人特别有益。设计：随机对照试验。地点：医院。参与者：患有骨质疏松症并有跌倒史的人（N = 96;平均+/- SD年龄，71.0 +/- 4.7y; 90名女性）。干预：基线评估后，将参与者随机分配至锻炼（n = 50;参加骨质疏松症患者[5.5wk]的NFPP）或对照组（n = 46;常规护理）。主要观察指标：主要观察指标是跌倒率，使用1年的每月跌倒日历进行测量。次要结果是平衡置信度（特定于活动的平衡置信度量表），生活质量（QOL;欧洲骨质疏松基金会的生活质量问卷）和活动水平（LASA身体活动问卷，计步器），该计划后评估的治疗后并经过一年的随访。结果：运动组的跌倒率比对照组低39％（跌倒/人年跌倒率分别为.72和1.18;风险比为.61; 95％置信区间为.40-.94）。运动组的平衡信心增加了13.9％（P = .001）。在生活质量和活动水平上均未观察到群体差异。结论：NFPP适用于骨质疏松症患者，可有效减少跌倒次数并提高平衡信心。因此，它是改善骨质疏松症患者的活动能力和独立性的有价值的新工具。

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