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The Effect of a 12-Week Exericse Intervention on Falls in Primary Care

Yıl 2018, , 98 - 113, 20.06.2018
https://doi.org/10.31680/gaunjss.424389

Öz

Background: Community-based
interventions show a decrease in morbidity according to falls and interventions
covering exercise and home safety measures were superior to solve educational
activities.
The aim of this study is to evaluate the
effect of a 12-week balance, strength and aerobic training on balance and
conditional tests in people aged 55 years and over.



Material and Methods: The
study was performed in a primary health care center in Antalya, South-Turkey. A
sample of 199 patients have been invited. After randomization, the intervention
group received instructions about the falls prevention and endurance, strength,
balance and flexibility training. Patients were counseled once a week and supported
monthly with a elastic band(according their level of strength). Two
measurements with Fullerton Advanced Balance Scale (FAB), Balance Efficacy
Scale (BES), Health and Activity Questionnaire (HAQ), of the Falls Prevention
Program; and physical condition measurements have been performed



Results: The number of
participants both in the intervention and control groups were 73; however, 7
patients from the intervention group and 9 patients from the control group
dropped out before the lass evaluation at the 12th week. The scores of FAB and
BES, the Chair Stand Test Repetition Frequency, Chair Sit and Reach Test, Back Scratch
Test, Arm Curl Test, Two Minutes Step Test, and the Fifty Feet Walk Test showed
a significant difference at the end of the intervention and in the intervention
group.



Conclusion: Improvements in conditional factors (strength,
flexibility and balance) were observed. A decrease in fall frequency was not
observed. We recommend a promising intervention, which could be implemented in
alow-resourced setting and which could reduce falls in long-term.

Kaynakça

  • 1. Freiberger E, Blank WA, Salb J, et al. Effects of a complex intervention on fall risk in the general practitioner setting: a cluster randomized controlled trial. Clin Interv Aging. 2013; 8: 1079–1088. Published online 2013 August 19. doi: 10.2147/CIA.S462182. Gillespie L, Robertson M, Gillespie W, et al. Interventions for prevent¬ing falls in older people living in the community. Cochrane Database Syst Rev. 2012;9:CD007146. 3. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–7.4. Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011;59:148–57.5. Ishigaki EY, Ramos LG, Carvalho ES, Lunardi AS. Effectiveness of muscle strengthening and description of protocols for preventing falls in the elderly: a systematic review. Braz J Phys Ther. 2014 Mar-Apr; 18(2):111-118.6. Rubenstein LZ, Powers CM, MaClean CH. Quality indicators for the management and prevention of falls and mobility problems in vulnerable elders. Ann Intern Med. 2001;135(8):686-93. PMid:11601951. doi:10.7326/0003-4819-135-8_Part_2-200110161-000077. Lee HC, Chang KC, Tsauo JY, et al. Effects of a Multifactorial Fall Prevention Program on Fall Incidence and Physical Function in Community-Dwelling Older Adults With Risk of Falls. Archives of Physical Medicine and Rehabilitation 2013;94:606-158. McClure R, Turner C, Peel N, et al. Population-based interventions for the prevention of fall-related injuries in older people. Cochrane Database Syst Rev. 2005;2:CD0044419. Gates S, Lamb SE, Fisher JD, Cooke MW, Carter YH. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008;336(7636):130---13310. Albert SM, King J, Boudreau R, Prasad T, Lin CJ Newman AB. Primary Prevention of Falls: Effectiveness of a Statewide Program. Am J Public Health. 2014;104:e77–e84. doi:10.2105/AJPH.2013. 30182911. Rose DJ. Fall Proof: A Comprehensive Balance and Mobility Training Program. Champaign, IL: Human Kinetics. 2003.12. Brill PA. Functional Fitness for Older Adults.United Kingdom. Champaign, IL: Human Kinetics. 2004.13. Rikli RE, Jones JC. Senior fitness test manual Champaign, IL:. Human Kinetics. 2001.14. Halil M1, Ulger Z, Cankurtaran M, Shorbagi A, Yavuz BB, Dede D, Ozkayar N, Ariogul S. Falls and the elderly: is there any difference in the developing world? A cross-sectional study from Turkey.Arch Gerontol Geriatr. 2006 Nov-Dec;43(3):351-9. Epub 2006 Mar 7.15. Clemson L, Singh MAF, Bundy A, Cumming RG, Manollaras K, O’Loughlin P, Black D. Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial. BMJ. 2012; 345: e4547. Published online 2012 August 7. doi: 10.1136/bmj.e454716. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatric Soc 2008;56:2234-43.17. Ganz DA, Alkema GE, Wu S. It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults. Inj Prev. 2008;14(4):266–271.18. Moyer VA; U.S. Preventive Services Task Force. Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement.Ann Intern Med. 2012 Aug 7;157(3):197-204.19. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT. Effective exercise for the prevention of falls: a systematic review and meta-analysis J Am Geriatr Soc. 2008;56(12):2234-43. PMid:19093923. http://dx.doi.org/10.1111/j.1532-5415.2008.02014.x20. Vogler CM, Menant JC, Sherrington C, Ogle SJ, Lord SR. Evidence of detraining after 12-week home-based exercise programs designed toreduce fall-risk factors in older people recently discharged from hospital. Arch Phys Med Rehabil 2012;93:16
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Spor Hekimliği
Bölüm Hareket ve Antrenman Bilimleri
Yazarlar

Şirin Topçu Yalçın

Emrah Atay

Hakan Yaman Bu kişi benim

Yayımlanma Tarihi 20 Haziran 2018
Gönderilme Tarihi 17 Mayıs 2018
Yayımlandığı Sayı Yıl 2018

Kaynak Göster

APA Topçu Yalçın, Ş., Atay, E., & Yaman, H. (2018). The Effect of a 12-Week Exericse Intervention on Falls in Primary Care. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 3(2), 98-113. https://doi.org/10.31680/gaunjss.424389

ISSN: 2536-5339

Gaziantep Üniversitesi Spor Bilimleri Dergisi

16157

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