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Review: exercise programmes prevent falls in elderly people.

机译:评论:锻炼计划可防止老年人摔倒。

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QUESTIONS Do exercise programmes prevent falls in elderly people? What are the most important components of effective exercise interventions? REVIEW SCOPE Included studies evaluated exercise interventions for fall prevention in elderly people. Studies in which the control group received exercise or the intervention group received additional non-exercise interventions for >25% of the time were excluded. Outcome was the pooled incidence rate ratio (IRR) of falls, which allows for multiple falls per person. REVIEW METHODS Medline, CINAHL, EMBASE/Excerpta Medica, PubMed, Physiotherapy Evidence Database, SafetyLit, Prevention of Falls Network Europe, and Cochrane Bone, Joint, and Muscle Trauma Group's trial register (May 2007); and references were searched for published randomised controlled trials (RCTs). 44 RCTs (49 comparisons, n = 9603) met the selection criteria. Mean age was 3=75 years in 65% of comparisons. 16 trials reported allocation concealment, and 22 used intention-to-treat analysis. Most trials involved community-dwelling elderly people who were at increased risk of falling. Most exercise programmes were done under supervision and tailored to the individual. Duration of follow-up ranged from 0.5 to 30 months (median 12 mo).
机译:问题运动计划是否可以防止老年人摔倒?有效的运动干预措施最重要的组成部分是什么?回顾范围包括研究在内的研究评估了老年人预防跌倒的运动干预措施。对照组接受锻炼或干预组接受超过25%的时间的其他非运动干预的研究被排除。结果是跌倒的合并发生率比率(IRR),该比率允许每人多次跌倒。审查方法Medline,CINAHL,EMBASE / Excerpta Medica,PubMed,物理治疗证据数据库,SafetyLit,欧洲预防跌倒网络以及Cochrane骨,关节和肌肉创伤小组的试验注册簿(2007年5月);并从参考文献中搜索已发表的随机对照试验(RCT)。符合选择标准的44个RCT(49个比较,n = 9603)。在比较的65%中,平均年龄为3 = 75岁。 16项试验报告了分配隐藏,22项进行了意向分析。大多数试验涉及社区居民中跌倒风险增加的老年人。大多数运动计划都是在监督下完成的,并且是针对个人的。随访时间为0.5至30个月(中位数12个月)。

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