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Latest & greatest articles for falls
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on falls or other clinical topics then use Trip today.
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Effects of WiiActive exercises on fear of falling and functional outcomes in community-dwelling older adults: a randomised control trial the study compares the effects of a Nintendo Wii exercise programme and a standard Gym-based exercise intervention on fear of falling, knee strength, physical function and falls rate in older adults.eighty community-dwelling adults aged 60 years and above with short physical performance battery score of 5-9 points and modified falls efficacy scale (MFES) score (...) of ≤9 points participated in the parallel-group randomised trial. Each intervention arm involved an hour of intervention per week, totalling 12 sessions over 12 weeks. Besides 1-year fall incidence, the participants were evaluated on MFES, knee extensor strength (KES), timed-up-and-go test, gait speed, 6-minute walk test and narrow corridor walk test at weeks 13 and 24.at week 13, between interventions, the effect of MFES changes did not reach statistical significance (difference = -0.07 point, 95
The association between serum 25-hydroxyvitamin D level and recurrent falls in the elderly population: a cohort study Serum vitamin D concentration is a major contributing factor for increasing the risk of fall and fall-related injuries in older adults. However, when prescribed and supplemented for these populations, the outcomes are controversial, and in several cases no improvement has been reported in reducing the risk of recurrent falls. This study aimed to examine the association between (...) serum vitamin D concentration and recurrent falls in Iranian older adults.This cohort study was conducted in the emergency departments of two university hospitals. A cohort of 82 elderly participants aged over 60 and suffered from an unintentional episode of falling was evaluated six months after their first ED visit. A structured, self-administered checklist was developed to obtain the participants' demographic and clinical information. Participants also were asked about any recurrent fall
Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. Age-associated motor and cognitive deficits increase the risk of falls, a major cause of morbidity and mortality. Because of the significant ramifications of falls, many interventions have been proposed, but few have aimed to prevent falls via an integrated approach targeting both motor and cognitive function. We aimed to test the hypothesis (...) that an intervention combining treadmill training with non-immersive virtual reality (VR) to target both cognitive aspects of safe ambulation and mobility would lead to fewer falls than would treadmill training alone.We carried out this randomised controlled trial at five clinical centres across five countries (Belgium, Israel, Italy, the Netherlands, and the UK). Adults aged 60-90 years with a high risk of falls based on a history of two or more falls in the 6 months before the study and with varied motor
2016LancetControlled trial quality: predicted high
Relationship Between Falls and Physical Activity in Healthy Seniors: A Focused Practice Question Relationship Between Falls And Physical Activity In Healthy Seniors A Focused Practice Question Aarti Soni, Research and Policy Analyst Sharon Williams, Supervisor Research, Policy and Planning Team Chronic Disease and Injury Prevention Region of Peel Public Health September 2015 2 Table of Contents 1. ISSUE 3 2. CONTEXT 3 3. LITERATURE REVIEW QUESTION 6 4. LITERATURE SEARCH 6 5. RELEVANCE (...) ASSESSMENT 7 6. RESULTS OF THE SEARCH 7 7. CRITICAL APPRAISAL 8 8. DESCRIPTION OF INCLUDED STUDIES 8 9. SUMMARY OF FINDINGS 9 10. RELEVANCE TO PRACTICE 11 REFERENCES 13 APPENDICES 14 APPENDIX A: Comparison of Falls-Related Data (Peel and Ontario) APPENDIX B: Search Strategy APPENDIX C: Relevance Table APPENDIX D: Data Extraction Tables 3 1. ISSUE This research review seeks to understand the relationship between physical activity and falls in healthy community-dwelling seniors, in order to contribute
QTUG for assessing falls risk and frailty Q QTUG for assessing falls risk and fr TUG for assessing falls risk and frailty ailty Medtech innovation briefing Published: 26 July 2016 nice.org.uk/guidance/mib73 pathways Summary Summary The technology technology described in this briefing is the Quantitative Timed Up and Go (QTUG). It uses body-worn sensors and a mobile software app to assess mobility, falls risk and frailty. It is used during the standard Timed Up and Go (TUG) test. The inno (...) innovativ vative aspects e aspects are that QTUG uses proprietary algorithms to give an objective assessment of falls and frailty risk using average values for age and gender and statistical models. QTUG can be used by non-specialists and is wireless and portable. The intended place in ther place in therap apy y for QTUG would be as an alternative to the standard TUG test. QTUG is intended to be used to assess mobility, falls risk or frailty in people needing a mobility assessment, including older
Obamacare's Skyrocketing Premiums? Why the Sky Isn't Falling. 27468056 2016 08 09 2016 07 29 1533-4406 375 3 2016 Jul 21 The New England journal of medicine N. Engl. J. Med. Obamacare's Skyrocketing Premiums? Why the Sky Isn't Falling. 201-3 10.1056/NEJMp1605913 Sommers Benjamin D BD From the Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston. eng Journal Article United States N Engl J Med 0255562 0028-4793 AIM IM Health Insurance Exchanges Income Tax
Neighbourhood social and built environment factors and falls in community-dwelling canadian older adults: A validation study and exploration of structural confounding Older persons are vulnerable to the ill effects of their social and built environment due to age-related limitations in mobility and bio-psychological vulnerability. Falls are common in older adults and result from complex interactions between individual, social, and contextual determinants. We addressed two methodological issues (...) , socioeconomic status, and the built environment and stratified tabular analyses to explore structural confounding. The scales all demonstrated good psychometric and ecometric properties. There was an evidence of the existence of structural confounding in this sample of Canadian older adults as some combinations of strata for the three neighbourhood measures had no population. This limits causal inference in studying relationships between neighbourhood factors and falls and should be taken into account
Implementing exercise programs to prevent falls: systematic descriptive review The United States Preventive Services Task Force recommends exercise to prevent falls in community-dwelling adults aged ≥ 65 years at increased fall risk. However, little is known about how best to implement exercise programs in routine care when a patient's need for exercise is identified within the healthcare system.Using a qualitative approach, we reviewed the literature to determine how exercise programs (...) to prevent falls are implemented from the vantage point of a health care setting. We synthesized descriptive information about each program with data on program features and implementation difficulties and facilitators.We found that programs sponsored by primary care providers (PCPs) or specialists may help with recruitment into exercise programs. PCPs have the opportunity to identify people at risk and promote participation since most older adults regularly visit, and inquire about exercise from
Comparison of Frailty Phenotypes for Prediction of Mortality, Incident Falls, and Hip Fracture in Older Women To compare the ability of the commonly used Women's Health Initiative (WHI) and Cardiovascular Health Study (CHS) frailty phenotypes to predict falls, hip fracture, and death in WHI Clinical Trial participants aged 65 and older.Longitudinal cohort study.WHI Clinical Trial.Participants with data for WHI and CHS frailty phenotypes (N = 3,558).Frailty was operationally defined in the CHS (...) compared for models containing alternative instruments.Approximately 5% of participants were frail based on the CHS or WHI phenotype. The WHI frailty phenotype was associated with higher rates of falls (hazard ratio (HR) = 1.48, P = .003), hip fracture (HR = 1.87, P = .04), and death (HR = 2.32, P < .001). Comparable HRs in CHS-phenotype frail women were 1.32 (P = .04), 1.08 (P = .83), and 1.91 (P < .001), respectively. Harrell C-statistics revealed marked but insignificant differences in predicting
Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample Whereas falls are frequent and traumatic events for the elderly, their long-term consequences in terms of the social lives of older fallers are understudied. This study aimed to identify the impact of falling on the trajectories of social participation and social support of older people in Europe. Our sample consisted of 16,583 people aged 50-95 years from 10 European countries (...) who responded to the waves 1, 2 and 4 of the Survey of Health Ageing and Retirement in Europe. The impact of falling on the trajectories of social participation and social support was examined using generalised estimating equation (GEE) models. The effect of the interactions between falling and frailty and between falling and social support on social participation was assessed. Falls were negatively associated with social participation (OR=0.73, p<0.001) and positively associated with social
Prevalence of falls among community-dwelling elderly and its associated factors: A cross-sectional study in Perak, Malaysia Fall is a major cause of injuries and can increase the risk of early mortality among elderly. The objective of this study was to determine the prevalence of falls among community-dwelling elderly in rural Malaysia and its associated factors.Data were obtained from a cross-sectional survey in five randomly selected districts in the state of Perak, Malaysia. A total of 250 (...) households were randomly selected. A total of 811 individuals aged 60 years or more were recruited and interviewed using a structured questionnaire. Information about socio-demographic, history of falls in the past 1 year, medical history, drug history and physical activity level were enquired.The prevalence of falls in the past 1 year among community-dwelling elderly was reported to be 4.07%. Indigenous elderly (Adjusted odd ratio, AOR = 6.06, 95% CI = 1.10-33.55, p = 0.039) and living alone (AOR = 2.60
Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Fall Risk Assessment Tools and Prevention Strategies: Clinical Effectiveness and Guidelines Published on: January 22, 2016 Project Number: RA0826-000 Product Line: Research Type (...) : Devices and Systems Report Type: Reference List Result type: Report Question What is the effectiveness of risk assessment tools to assess risk of falling in ambulatory adults who may be at risk for falls in the community setting? What is the clinical effectiveness of strategies to prevent falls in ambulatory adults at risk of falls in the community setting? What are the evidence-based guidelines for preventing falls in ambulatory adults at risk of falls in the community setting? Key Message Eleven
Social support and older adult falls Social support has been shown to be associated with various positive health outcomes among older adults but has not been previously examined in relation to falls, which are a serious health concern among older adults.This study (n = 1000) uses multivariable logistic regression to evaluate the relationship between social contact and perceived availability of social support and falls among older adults. When adjusting for demographic and other covariates (...) neither relationship was significant.This study does not find evidence to suggest that social support could be a prevention measure for falls. Future research on this topic should focus on careful definition and precise measurement of the social support construct.
Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Fall Prevention Strategies for Adult Patients: Comparative Effectiveness, Cost-Effectiveness, and Guidelines Published on: January (...) 15, 2016 Project Number: RB0950-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the comparative effectiveness of fall prevention strategies, versus fall risk assessments alone or fall risk assessments and fall prevention strategies for adult patients? What is the cost-effectiveness of fall prevention strategies for adult patients? What are the evidence-based guidelines regarding the use of fall prevention strategies
Does usage of a parachute in contrast to free fall prevent major trauma?: a prospective randomised-controlled trial in rag dolls. It is undisputed for more than 200 years that the use of a parachute prevents major trauma when falling from a great height. Nevertheless up to date no prospective randomised controlled trial has proven the superiority in preventing trauma when falling from a great height instead of a free fall. The aim of this prospective randomised controlled trial was to prove (...) the effectiveness of a parachute when falling from great height.In this prospective randomised-controlled trial a commercially acquirable rag doll was prepared for the purposes of the study design as in accordance to the Declaration of Helsinki, the participation of human beings in this trial was impossible. Twenty-five falls were performed with a parachute compatible to the height and weight of the doll. In the control group, another 25 falls were realised without a parachute. The main outcome measures were
Falling Together - Empathetic Care for the Dying. 26759931 2016 02 24 2016 02 11 1533-4406 374 6 2016 Feb 11 The New England journal of medicine N. Engl. J. Med. Falling Together--Empathetic Care for the Dying. 587-90 10.1056/NEJMms1516444 Rosenbaum Lisa L eng Journal Article 2016 01 13 United States N Engl J Med 0255562 0028-4793 AIM IM Empathy Female Humans Male Physician-Patient Relations Physicians psychology Terminal Care psychology Terminally Ill psychology 2016 1 14 6 0 2016 1 14 6 0
Development of an algorithm to identify fall-related injuries and costs in Medicare data Identifying fall-related injuries and costs using healthcare claims data is cost-effective and easier to implement than using medical records or patient self-report to track falls. We developed a comprehensive four-step algorithm for identifying episodes of care for fall-related injuries and associated costs, using fee-for-service Medicare and Medicare Advantage health plan claims data for 2,011 patients (...) from 5 medical groups between 2005 and 2009.First, as a preparatory step, we identified care received in acute inpatient and skilled nursing facility settings, in addition to emergency department visits. Second, based on diagnosis and procedure codes, we identified all fall-related claim records. Third, with these records, we identified six types of encounters for fall-related injuries, with different levels of injury and care. In the final step, we used these encounters to identify episodes
Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls To use Nintendo's Wii Fit balance board to determine the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls.Randomized controlled trial.Nursing home for older adults.Adults aged 65 years and older (N=60).Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment (...) or conventional exercise.Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses.Physiological Profile Assessment scores and incidence of falls improved significantly in both groups after the intervention (all P<.01), but participants in the Wii Fit training group showed a significantly greater improvement in both outcome measures (P=.004 and P<.001, respectively).In institutionalized older adults with a history of falls, Wii Fit
Flibanserin: Feeling frisky or falling over? Tools for Practice is proudly sponsored by the Alberta College of Family Physicians (ACFP). ACFP is a provincial, professional voluntary organization, representing more than 4,000 family physicians, family medicine residents and medical students in Alberta. Established over fifty years ago, the ACFP strives for excellence in family practice through advocacy, continuing medical education and primary care research. www.acfp.ca February 29, 2016 (...) Flibanserin: Feeling frisky or falling over? Clinical Question: Does flibanserin improve sexual desire and the number of satisfying sexual episodes for women? Bottom-line: Flibanserin results in ~7% improvement in desire and 0.4-1 additional “satisfying” sexual event per month. However, it is also associated with adverse events like dizziness or somnolence for one in 10-15 women. Concerns regarding hypotension, syncope, and interactions with commonly used drugs (particularly alcohol) are worrisome
Evidently Advent 2015 Fear of falling Evidently Advent 2015 Fear of falling - Evidently Cochrane Search and hit Go By December 17, 2015 // You can also watch the video on YouTube: Links Kendrick D, Kumar A, Carpenter H, Zijlstra GAR, Skelton DA, Cook JR, Stevens Z, Belcher CM, Haworth D, Gawler SJ, Gage H, Masud T, Bowling A, Pearl M, Morris RW, Iliffe S, Delbaere K. . Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD009848. DOI: 10.1002/14651858.CD009848.pub2 Link (...) and in the history of women’s health and illness in early modern England (MPhil., University of Reading). Evidently Advent 2015 Fear of falling by Sarah Chapman is licensed under a Leave a Reply Your email address will not be published. Required fields are marked * Comment Name * E-Mail * Web Sign me up for the newsletter! Latest Posts Leave this field empty if you're human: Sharing health evidence you can trust Search Search UA-49496932-1