Prevention of falls in the elderly: A review.
(2013) In Scandinavian Journal of Public Health 41(5). p.442-454- Abstract
- Aims: Falls often result in soft tissue injuries, dislocations, fractures, longstanding pain and reduced quality of life. Therefore, fall preventive programmes have been developed. Methods: In this review, we evaluate programmes that in randomized controlled trials (RCT) have been shown with fall reducing effect. Results: Physical exercise that includes several training modalities, especially balance and strength training, is the only intervention programme that reduces both the number of fallers and the number of falls in community dwellers. Home hazards modification reduces the fall risk in community-living elderly but has the best effects in high risk groups when the programme is led by occupational therapists. Vitamin D supplement in... (More)
- Aims: Falls often result in soft tissue injuries, dislocations, fractures, longstanding pain and reduced quality of life. Therefore, fall preventive programmes have been developed. Methods: In this review, we evaluate programmes that in randomized controlled trials (RCT) have been shown with fall reducing effect. Results: Physical exercise that includes several training modalities, especially balance and strength training, is the only intervention programme that reduces both the number of fallers and the number of falls in community dwellers. Home hazards modification reduces the fall risk in community-living elderly but has the best effects in high risk groups when the programme is led by occupational therapists. Vitamin D supplement in those with low levels of vitamin D, adjustment of psychotropic medication and modification of multi-pharmacy are drug-related programmes that reduce the fall risk. Anti-slip shoe devices in elderly who walk outdoors during icy conditions and multifaceted podiatry to patients with specific foot disability are interventions targeted at the lower extremities with a fall-reducing effect. First eye cataract surgery and pacemakers in patients with cardio-inhibitory carotid sinus hypersensitivity are surgical procedures with fall-reducing effect. Multifactorial standardized preventive programmes that include an exercise component and individually-designed subject-specific programmes also reduce the number of falls. Conclusions: Fall preventive interventions should be provided to elderly by a structured approach, especially to high risk groups, as to reduce the number of falls and fallers. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3734192
- author
- Karlsson, Magnus LU ; von Schewelov, Thord LU ; Karlsson, Caroline LU ; Cöster, Maria LU and Rosengen, Björn E
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Public Health
- volume
- 41
- issue
- 5
- pages
- 442 - 454
- publisher
- SAGE Publications
- external identifiers
-
- wos:000319684100002
- pmid:23554390
- scopus:84878515480
- pmid:23554390
- ISSN
- 1651-1905
- DOI
- 10.1177/1403494813483215
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Reconstructive Surgery (013240300), Preventive Paediatrics (013243030), Clinical and Molecular Osteoporosis Research Unit (013242930)
- id
- 942aabde-3672-4bcb-bbb0-d136399166ec (old id 3734192)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/23554390?dopt=Abstract
- date added to LUP
- 2016-04-01 11:01:07
- date last changed
- 2022-04-20 08:22:29
@article{942aabde-3672-4bcb-bbb0-d136399166ec,
abstract = {{Aims: Falls often result in soft tissue injuries, dislocations, fractures, longstanding pain and reduced quality of life. Therefore, fall preventive programmes have been developed. Methods: In this review, we evaluate programmes that in randomized controlled trials (RCT) have been shown with fall reducing effect. Results: Physical exercise that includes several training modalities, especially balance and strength training, is the only intervention programme that reduces both the number of fallers and the number of falls in community dwellers. Home hazards modification reduces the fall risk in community-living elderly but has the best effects in high risk groups when the programme is led by occupational therapists. Vitamin D supplement in those with low levels of vitamin D, adjustment of psychotropic medication and modification of multi-pharmacy are drug-related programmes that reduce the fall risk. Anti-slip shoe devices in elderly who walk outdoors during icy conditions and multifaceted podiatry to patients with specific foot disability are interventions targeted at the lower extremities with a fall-reducing effect. First eye cataract surgery and pacemakers in patients with cardio-inhibitory carotid sinus hypersensitivity are surgical procedures with fall-reducing effect. Multifactorial standardized preventive programmes that include an exercise component and individually-designed subject-specific programmes also reduce the number of falls. Conclusions: Fall preventive interventions should be provided to elderly by a structured approach, especially to high risk groups, as to reduce the number of falls and fallers.}},
author = {{Karlsson, Magnus and von Schewelov, Thord and Karlsson, Caroline and Cöster, Maria and Rosengen, Björn E}},
issn = {{1651-1905}},
language = {{eng}},
number = {{5}},
pages = {{442--454}},
publisher = {{SAGE Publications}},
series = {{Scandinavian Journal of Public Health}},
title = {{Prevention of falls in the elderly: A review.}},
url = {{http://dx.doi.org/10.1177/1403494813483215}},
doi = {{10.1177/1403494813483215}},
volume = {{41}},
year = {{2013}},
}