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Prevention of falls in the elderly: A review.

Karlsson, Magnus LU ; von Schewelov, Thord LU ; Karlsson, Caroline LU ; Cöster, Maria LU and Rosengen, Björn E (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)
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; ; ; and
organization
publishing date
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
2020-10-07 02:03:16
@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},
}