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Titolo:
Exercise in the prevention of falls in older people - A systematic literature review examining the rationale and the evidence
Autore:
Carter, ND; Kannus, P; Khan, KM;
Indirizzi:
Univ British Columbia, Dept Family Practice Sports Med, Vancouver, BC V6T 1Z3, Canada Univ British Columbia Vancouver BC Canada V6T 1Z3 ver, BC V6T 1Z3, Canada Def Serv Med Rehabil Ctr, Epsom, Surrey, England Def Serv Med Rehabil CtrEpsom Surrey England tr, Epsom, Surrey, England Univ British Columbia, Sch Human Kinet, Vancouver, BC V6T 1Z3, Canada UnivBritish Columbia Vancouver BC Canada V6T 1Z3 ver, BC V6T 1Z3, Canada President Urho Kaleva Kekkonen Inst Hlth Promot R, Accident & Trauma Res Ctr, Bone Res Grp, Tampere, Finland President Urho Kaleva Kekkonen Inst HlthPromot R Tampere Finland nland Univ Tampere, Sch Med, Dept Surg, FIN-33101 Tampere, Finland Univ TampereTampere Finland FIN-33101 Surg, FIN-33101 Tampere, Finland Tampere Univ Hosp, Dept Surg, Tampere, Finland Tampere Univ Hosp TampereFinland niv Hosp, Dept Surg, Tampere, Finland BC Womens Hosp & Hlth Ctr, Osteoporosis Program, Vancouver, BC, Canada BC Womens Hosp & Hlth Ctr Vancouver BC Canada ram, Vancouver, BC, Canada
Titolo Testata:
SPORTS MEDICINE
fascicolo: 6, volume: 31, anno: 2001,
pagine: 427 - 438
SICI:
0112-1642(2001)31:6<427:EITPOF>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; NURSING-HOME RESIDENTS; BONE-MINERAL DENSITY; ELDERLY PEOPLE; MUSCLE STRENGTH; RISK-FACTORS; HIP FRACTURE; POSTURAL STABILITY; CLINICAL-TRIAL; STANDING BALANCE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
133
Recensione:
Indirizzi per estratti:
Indirizzo: Khan, KM Univ British Columbia, Dept Family Practice Sports Med, Mather Bldg,5804 Fairview Ave, Vancouver, BC V6T 1Z3, Canada Univ British Columbia Mather Bldg,5804 Fairview Ave Vancouver BC Canada V6T 1Z3
Citazione:
N.D. Carter et al., "Exercise in the prevention of falls in older people - A systematic literature review examining the rationale and the evidence", SPORT MED, 31(6), 2001, pp. 427-438

Abstract

Falls are a major source of death and injury in elderly people. For example, they cause 90% of hip fractures and the current cost of hip fractures inthe US is estimated to be about 10 billion dollars. Age-related changes inthe physiological systems (somatosensory, vestibular and visual) which contribute to the maintenance of balance are well documented in older adults. These changes coupled with age-related changes in muscle and bone are likely to contribute to an increased risk of falls in this population. The integrated rehabilitation-based model of fall risk factors reveals multiple sites for interventions that may reverse fall risk factors. Regular exercise may be one way of preventing falls and fall-related fractures. The evidence for this contention comes from a variety of sources. On the basis of 9 randomised controlled studies conducted since 1996, exercise appears to be a useful tool in fall prevention in older adults, significantly reducing the incidence of falls compared with control groups. However, current limitations such as inconsistencies in the measurement of key dependent and independentvariables do not, at present, permit a meta-analysis of intervention trials. Further investigation, using trials designed with the current limitations in mind, is necessary to establish the optimum exercise programme to maximise fall prevention in order adults.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 02:09:32