Interventions for preventing falls in older people living in the community
- PMID: 22972103
- PMCID: PMC8095069
- DOI: 10.1002/14651858.CD007146.pub3
Interventions for preventing falls in older people living in the community
Abstract
Background: Approximately 30% of people over 65 years of age living in the community fall each year. This is an update of a Cochrane review first published in 2009.
Objectives: To assess the effects of interventions designed to reduce the incidence of falls in older people living in the community.
Search methods: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (February 2012), CENTRAL (The Cochrane Library 2012, Issue 3), MEDLINE (1946 to March 2012), EMBASE (1947 to March 2012), CINAHL (1982 to February 2012), and online trial registers.
Selection criteria: Randomised trials of interventions to reduce falls in community-dwelling older people.
Data collection and analysis: Two review authors independently assessed risk of bias and extracted data. We used a rate ratio (RaR) and 95% confidence interval (CI) to compare the rate of falls (e.g. falls per person year) between intervention and control groups. For risk of falling, we used a risk ratio (RR) and 95% CI based on the number of people falling (fallers) in each group. We pooled data where appropriate.
Main results: We included 159 trials with 79,193 participants. Most trials compared a fall prevention intervention with no intervention or an intervention not expected to reduce falls. The most common interventions tested were exercise as a single intervention (59 trials) and multifactorial programmes (40 trials). Sixty-two per cent (99/159) of trials were at low risk of bias for sequence generation, 60% for attrition bias for falls (66/110), 73% for attrition bias for fallers (96/131), and only 38% (60/159) for allocation concealment.Multiple-component group exercise significantly reduced rate of falls (RaR 0.71, 95% CI 0.63 to 0.82; 16 trials; 3622 participants) and risk of falling (RR 0.85, 95% CI 0.76 to 0.96; 22 trials; 5333 participants), as did multiple-component home-based exercise (RaR 0.68, 95% CI 0.58 to 0.80; seven trials; 951 participants and RR 0.78, 95% CI 0.64 to 0.94; six trials; 714 participants). For Tai Chi, the reduction in rate of falls bordered on statistical significance (RaR 0.72, 95% CI 0.52 to 1.00; five trials; 1563 participants) but Tai Chi did significantly reduce risk of falling (RR 0.71, 95% CI 0.57 to 0.87; six trials; 1625 participants).Multifactorial interventions, which include individual risk assessment, reduced rate of falls (RaR 0.76, 95% CI 0.67 to 0.86; 19 trials; 9503 participants), but not risk of falling (RR 0.93, 95% CI 0.86 to 1.02; 34 trials; 13,617 participants).Overall, vitamin D did not reduce rate of falls (RaR 1.00, 95% CI 0.90 to 1.11; seven trials; 9324 participants) or risk of falling (RR 0.96, 95% CI 0.89 to 1.03; 13 trials; 26,747 participants), but may do so in people with lower vitamin D levels before treatment.Home safety assessment and modification interventions were effective in reducing rate of falls (RR 0.81, 95% CI 0.68 to 0.97; six trials; 4208 participants) and risk of falling (RR 0.88, 95% CI 0.80 to 0.96; seven trials; 4051 participants). These interventions were more effective in people at higher risk of falling, including those with severe visual impairment. Home safety interventions appear to be more effective when delivered by an occupational therapist.An intervention to treat vision problems (616 participants) resulted in a significant increase in the rate of falls (RaR 1.57, 95% CI 1.19 to 2.06) and risk of falling (RR 1.54, 95% CI 1.24 to 1.91). When regular wearers of multifocal glasses (597 participants) were given single lens glasses, all falls and outside falls were significantly reduced in the subgroup that regularly took part in outside activities. Conversely, there was a significant increase in outside falls in intervention group participants who took part in little outside activity.Pacemakers reduced rate of falls in people with carotid sinus hypersensitivity (RaR 0.73, 95% CI 0.57 to 0.93; three trials; 349 participants) but not risk of falling. First eye cataract surgery in women reduced rate of falls (RaR 0.66, 95% CI 0.45 to 0.95; one trial; 306 participants), but second eye cataract surgery did not.Gradual withdrawal of psychotropic medication reduced rate of falls (RaR 0.34, 95% CI 0.16 to 0.73; one trial; 93 participants), but not risk of falling. A prescribing modification programme for primary care physicians significantly reduced risk of falling (RR 0.61, 95% CI 0.41 to 0.91; one trial; 659 participants).An anti-slip shoe device reduced rate of falls in icy conditions (RaR 0.42, 95% CI 0.22 to 0.78; one trial; 109 participants). One trial (305 participants) comparing multifaceted podiatry including foot and ankle exercises with standard podiatry in people with disabling foot pain significantly reduced the rate of falls (RaR 0.64, 95% CI 0.45 to 0.91) but not the risk of falling.There is no evidence of effect for cognitive behavioural interventions on rate of falls (RaR 1.00, 95% CI 0.37 to 2.72; one trial; 120 participants) or risk of falling (RR 1.11, 95% CI 0.80 to 1.54; two trials; 350 participants).Trials testing interventions to increase knowledge/educate about fall prevention alone did not significantly reduce the rate of falls (RaR 0.33, 95% CI 0.09 to 1.20; one trial; 45 participants) or risk of falling (RR 0.88, 95% CI 0.75 to 1.03; four trials; 2555 participants).No conclusions can be drawn from the 47 trials reporting fall-related fractures.Thirteen trials provided a comprehensive economic evaluation. Three of these indicated cost savings for their interventions during the trial period: home-based exercise in over 80-year-olds, home safety assessment and modification in those with a previous fall, and one multifactorial programme targeting eight specific risk factors.
Authors' conclusions: Group and home-based exercise programmes, and home safety interventions reduce rate of falls and risk of falling.Multifactorial assessment and intervention programmes reduce rate of falls but not risk of falling; Tai Chi reduces risk of falling.Overall, vitamin D supplementation does not appear to reduce falls but may be effective in people who have lower vitamin D levels before treatment.
Conflict of interest statement
Four review authors were investigators for 10 included studies: LM Clemson (Clemson 2004; Clemson 2010), WJ Gillespie (Carter 1997), MC Robertson (Campbell 1997; Campbell 1999c; Campbell 2005; Davis 2011a; Elley 2008; Robertson 2001a) and C Sherrington (Sherrington 2004). Investigators did not carry out 'Risk of bias' assessment on their own studies. No other conflicts are declared.
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Update of
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Interventions for preventing falls in older people living in the community.Cochrane Database Syst Rev. 2009 Apr 15;(2):CD007146. doi: 10.1002/14651858.CD007146.pub2. Cochrane Database Syst Rev. 2009. Update in: Cochrane Database Syst Rev. 2012 Sep 12;(9):CD007146. doi: 10.1002/14651858.CD007146.pub3. PMID: 19370674 Updated.
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- ACTRN12605000054617. Falls Assessment Clinical Trial: randomised controlled trial of a multi-component intervention in primary health care to reduce falls amongst over 75 year old adults with a history of falling. www.anzctr.org.au/trial_view.aspx?ID=85 (accessed 30 November 2011).
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Foss 2006 {published data only}
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- ACTRN12607000180415. Assessment and prevention of falls, functional decline and hospital re-admission in older adults post-hospitalisation. www.anzctr.org.au/trial_view.aspx?ID=81910 (accessed 30 November 2011).
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- 192080923. Randomised trial to assess the efficacy of expedited cataract extraction in the prevention of falls in elderly people awaiting cataract surgery. National Research Register (NRR) Archive. www.nihr.ac.uk/Pages/NRRArchiveSearch.aspx (accessed 30 November 2011). [NRR Publication ID: 192080923]
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- N0278078805. The Winchester Falls Project: A randomised controlled trial of multidisciplinary assessment in the secondary prevention of falls. National Research Register (NRR) Archive. www.nihr.ac.uk/Pages/NRRArchiveSearch.aspx (accessed 23 February 2011). [NRR Publication ID: N0278078805]
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- NCT00130624. The Winchester Falls Project: A cluster randomised community intervention trial of secondary prevention of falls in community-dwelling older people. clinicaltrials.gov/show/NCT00130624 (accessed 30 November 2011).
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- Spice C, Morotti W, Dent T, George S, Rose J, Gordon C. The Winchester Falls Project: A randomised controlled trial of secondary falls prevention [abstract]. Age and Ageing 2005;34(Suppl 2):ii18. - PubMed
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- Spice C, Morotti W, George S, Dent T, Rose J, Harris S, et al. The Winchester falls project: a randomised controlled trial of secondary prevention of falls in older people. Age and Ageing 2009;38(1):33-40. [MEDLINE: ] - PubMed
Spink 2011 {published data only}
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- ACTRN12608000065392. Podiatry treatment to improve balance and prevent falls in older people. www.anzctr.org.au/trial_view.aspx?ID=82558 (accessed 30 November 2011).
Steadman 2003 {published and unpublished data}
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- Kalra L. personal communication March 27 2006.
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- Steadman J, Donaldson N, Kalra L. A randomized controlled trial of an enhanced balance training program to improve mobility and reduce falls in elderly patients. Journal of the American Geriatrics Society 2003;51(6):847-52. [MEDLINE: ] - PubMed
Steinberg 2000 {published and unpublished data}
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- Peel N, Cartwright C, Steinberg M. Monitoring slips, trips and falls in the older community: preliminary results. Health Promotion Journal of Australia 1998;8(2):148-50.
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- Peel N. personal communication October 10 2007.
Stevens 2001 {published data only}
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- Stevens M, Holman CD, Bennett N, De Klerk N. Preventing falls in older people: Outcome evaluation of a randomized controlled trial. Journal of the American Geriatrics Society 2001;49(11):1448-55. [MEDLINE: ] - PubMed
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- Stevens M, Holman CD, Bennett N. Preventing falls in older people: Impact of an intervention to reduce environmental hazards in the home. Journal of the American Geriatrics Society 2001;49(11):1442-7. [MEDLINE: ] - PubMed
Suman 2011 {published data only}
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Suzuki 2004 {published data only}
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Swanenburg 2007 {published data only}
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- Swanenburg J, De Bruin ED, Stauffacher M, Mulder T, Uebelhart D. Effects of exercise and nutrition on postural balance and risk of falling in elderly people with decreased bone mineral density: randomized controlled trial pilot study. Clinical Rehabilitation 2007;21(6):523-34. [MEDLINE: ] - PubMed
Tinetti 1994 {published data only}
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Trivedi 2003 {published data only}
Trombetti 2011 {published data only}
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- NCT01107288. Effects of a music-based multitask exercises program on gait, balance and fall risk in the elderly. clinicaltrials.gov/show/NCT01107288 (accessed 31 August 2011).
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- Trombetti A, Hars M, Herrmann F, Kressig R, Ferrari S, Rizzoli R. "Jaques-Dalcroze eurhythmics" improves gait and prevents falls in the elderly [Prevention des chutes par une methode d'exercice en musique (rythmique Jaques-Dalcroze)]. Revue Medicale Suisse 2011;7(299):1305-8. - PubMed
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Van Haastregt 2000 {published data only}
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Van Rossum 1993 {published data only}
Vellas 1991 {published data only}
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- Vellas B, Albarede JL. A randomized clinical trial on the value of raubasine-dihydroergocristine (Iskedyl(TM)) in the prevention of post fall syndrome [Effet de l'association raubasine-dihydroergocristine (Iskedyl(TM)) sur le syndrome post-chute et sur la prevention de la chute chez le sujet age]. Psychologie Medicale 1991;23(7):831-9. [EMBASE 1991275391]
Vetter 1992 {published data only}
Vind 2009 {published data only}
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- NCT00226486. Examination and treatment of elderly after a fall. clinicaltrials.gov/show/NCT00226486 (accessed 31 August 2011).
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- Vind AB, Andersen HE, Pedersen KD, Joergensen T, Schwarz P. Effect of a program of multifactorial fall prevention on health-related quality of life, functional ability, fear of falling and psychological well-being. A randomized controlled trial. Aging-Clinical & Experimental Research 2010;22(3):249-54. - PubMed
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Von Stengel 2011 {published and unpublished data}
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- Kemmler W, Stengel V, Mayer S, Niedermayer M, Hentschke C, Kalender WA. Effect of whole body vibration on the neuromuscular performance of females 65 years and older. One-year results of the controlled randomized ELVIS study [Effekte von Ganzkorpervibrationen auf die neuromuskulare Leistungsfahigkeit von Frauen uber dem 65. Lebensjahr. Einjahresergebnisse der kontrollierten randomisierten ELVIS-Studie]. Zeitschrift fur Gerontologie und Geriatrie 2010;43(2):125-32. [MEDLINE: ] - PubMed
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- Stengel S, Kemmler W, Engelke K, Kalender WA. Effect of whole-body vibration on neuromuscular performance and body composition for females 65 years and older: a randomized-controlled trial. Scandinavian Journal of Medicine & Science in Sports 2012;22(1):119-27. [MEDLINE: ] - PubMed
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Voukelatos 2007 {published and unpublished data}
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- Haas M. Economic analysis of tai chi as a means of preventing falls and related injuries among older adults. CHERE working paper 2006/4. Sydney, Australia: Centre for Health Economics Research and Evaluation, University of Technology. datasearch.uts.edu.au/chere/research/working_papers.cfm (accessed 30 November 2011).
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- Rissel C, Voukelatos A, Cumming B, Lord S. Central Sydney Tai Chi Trial. Canberra: Australian Resource Centre for Health Care Innovations, 2005.
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- Voukelatos A, Cumming RG, Lord SR, Rissel C. A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney Tai Chi trial. Journal of the American Geriatrics Society 2007;55(8):1185-91. [MEDLINE: ] - PubMed
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Wagner 1994 {published data only}
Weber 2008 {published data only}
Weerdesteyn 2006 {published and unpublished data}
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- Weerdesteyn V, Rijken H, Geurts AC, Smits-Engelsman BC, Mulder T, Duysens J. A five-week exercise program can reduce falls and improve obstacle avoidance in the elderly. Gerontology 2006;52(3):131-41. [MEDLINE: ] - PubMed
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Whitehead 2003 {published data only}
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- Whitehead C, Wundke R, Crotty M, Finucane P. Evidence-based clinical practice in falls prevention: a randomised controlled trial of a falls prevention service. Australian Health Review 2003;26(3):88-96. [MEDLINE: ] - PubMed
Wilder 2001 {published data only}
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- Wilder P. Seniors to seniors exercise program: a cost effective way to prevent falls in the frail elderly living at home [abstract]. Journal of Geriatric Physical Therapy 2001;24(3):13.
Wolf 1996 {published data only}
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- Kutner NG, Barnhart H, Wolf SL, McNeely E, Xu T. Self-report benefits of Tai Chi practice by older adults. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences 1997;52(5):242-6. [MEDLINE: ] - PubMed
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- O'Grady M, Wolf SL, Barnhart HX, Kutner N, McNeely E. Tai Chi effect on falls in frail older adults [abstract]. Archives of Physical Medicine and Rehabilitation 1997;78:1028. [CENTRAL: CN-00507025]
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- Wolf SL, Barnhart HX, Kutner NG, McNeely E, Coogler C, Xu T. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. Journal of the American Geriatrics Society 1996;44(5):489-97. [MEDLINE: ] - PubMed
Wolf 2003 {published data only}
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- Greenspan AI, Wolf SL, Kelley ME, O'Grady M. Tai chi and perceived health status in older adults who are transitionally frail: a randomized controlled trial. Physical Therapy 2007;87(5):525-35. [MEDLINE: ] - PubMed
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- Sattin RW, Easley KA, Wolf SL, Chen Y, Kutner MH. Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults. Journal of the American Geriatrics Society 2005;53(7):1168-78. [MEDLINE: ] - PubMed
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- Wolf SL, O'Grady M, Easley KA, Guo Y, Kressig RW, Kutner M. The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 2006;61(2):184-9. [MEDLINE: ] - PubMed
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- Wolf SL, Sattin RW, Kutner M, O'Grady M, Greenspan AI, Gregor RJ. Intense Tai Chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. Journal of the American Geriatrics Society 2003;51(12):1693-701. [MEDLINE: ] - PubMed
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- Wolf SL, Sattin RW, O'Grady M, Freret N, Ricci L, Greenspan AI, et al. A study design to investigate the effect of intense Tai Chi in reducing falls among older adults transitioning to frailty. Controlled Clinical Trials 2001;22(6):689-704. [MEDLINE: ] - PubMed
Woo 2007 {published and unpublished data}
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- Woo J, Hong A, Lau E, Lynn H. A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Age and Ageing 2007;36(3):262-8. [MEDLINE: ] - PubMed
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- Woo J. personal communication May 6 2008.
Wu 2010 {published data only}
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- Wu G, Keyes L, Callas P, Ren X, Bookchin B. Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls. Archives of Physical Medicine & Rehabilitation 2010;91(6):849-56. - PubMed
Wyman 2005 {published and unpublished data}
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- Findorff MJ, Stock HH, Gross CR, Wyman JF. Does the Transtheoretical Model (TTM) explain exercise behavior in a community-based sample of older women? Journal of Aging & Health 2007;19(6):985-1003. [MEDLINE: ] - PubMed
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- Findorff MJ, Wyman JF, Nyman JA, Croghan CF. Measuring the direct healthcare costs of a fall injury event. Nursing Research 2007;56(4):283-7. [MEDLINE: ] - PubMed
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- Lindquist R, Wyman JF, Talley KM, Findorff M, Gross CR. Design of control-group conditions in clinical trials of behavioral interventions. Journal of Nursing Scholarship 2007;39(3):214-21. [MEDLINE: ] - PubMed
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- Nachreiner NM, Findorff MJ, Wyman JF, McCarthy TC. Circumstances and consequences of falls in community-dwelling older women. Journal of Women's Health 2007;16(10):1437-46. [MEDLINE: ] - PubMed
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Yamada 2010 {published data only}
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- Yamada M, Tanaka B, Nagai K, Aoyama T, Ichihashi N. Trail-walking exercise and fall risk factors in community-dwelling older adults: preliminary results of a randomized controlled trial. Journal of the American Geriatrics Society 2010;58(10):1946-51. [MEDLINE: ] - PubMed
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Aisen 2011 {published data only}
Alexander 2003 {published data only}
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- Alexander N. personal communication August 23 2006.
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- Alexander NB, Bentur N, Strasburg D, Nyquist LV. Fall risk reduction in Israeli day care center attendees using exercise and behavior strategies [abstract]. Journal of the American Geriatrics Society 2003;51(Suppl 4):S117.
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Chapuy 2002 {published data only}
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Crotty 2002 {published data only}
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- Crotty M, Kittel A, Hayball N. Home rehabilitation for older adults with fractured hips: how many will take part? Journal of Quality in Clinical Practice 2000;20(2-3):65-8. - PubMed
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De Deyn 2005 {published data only}
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Dubbert 2002 {published data only}
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- Dubbert PM, Cooper KM, Kirchner KA, Meydrech EF, Bilbrew D. Effects of nurse counseling on walking for exercise in elderly primary care patients. Journals of Gerontology Series A-Biological Sciences & Medical Sciences 2002;57(11):M733-40. - PubMed
Dubbert 2008 {published data only}
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- Dubbert PM, Morey MC, Kirchner KA, Meydrech EF, Grothe K. Counseling for home-based walking and strength exercise in older primary care patients. Archives of Internal Medicine 2008;168(9):979-86. - PubMed
Ebrahim 1997 {published data only}
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- Ebrahim S, Thompson PW, Baskaran V, Evans K. Randomized placebo-controlled trial of brisk walking in the prevention of postmenopausal osteoporosis. Age and Ageing 1997;26(4):253-60. - PubMed
Edwards {published data only}
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- Edwards N, Cere M, Leblond D. A community-based intervention to prevent falls among seniors. Family and Community Health 1993;15(4):57-65.
Elley 2003 {published data only}
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- Elley CR, Kerse NM, Arroll B. Why target sedentary adults in primary health care? Baseline results from the Waikato Heart, Health, and Activity Study. Preventive Medicine 2003;37(4):342-8. - PubMed
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- Kerse N, Elley CR, Robinson E, Arroll B. Is physical activity counseling effective for older people? A cluster randomized, controlled trial in primary care. Journal of the American Geriatrics Society 2005;53(11):1951-6. - PubMed
Faber 2006 {published and unpublished data}
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- Faber M. personal communication Aug 30 2006.
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- Faber MJ, Bosscher RJ, Chin A Paw MJ, Van Wieringen PC. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Archives of Physical Medicine and Rehabilitation 2006;87(7):885-96. - PubMed
Gill 2002 {published data only}
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- Gill TM, Baker DI, Gottschalk M, Peduzzi PN, Allore H, Byers A. A program to prevent functional decline in physically frail, elderly persons who live at home. New England Journal of Medicine 2002;347(14):1068-74. - PubMed
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- Gill TM, McGloin JM, Gahbauer EA, Shepard DM, Bianco LM. Two recruitment strategies for a clinical trial of physically frail community-living older persons. Journal of the American Geriatrics Society 2001;49(8):1039-45. - PubMed
Graafmans 1996 {published data only}
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- Graafmans WC, Ooms ME, Hofstee HM, Bezemer PD, Bouter LM, Lips P. Falls in the elderly: a prospective study of risk factors and risk profiles. American Journal of Epidemiology 1996;143(11):1129-36. - PubMed
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- Lips P, Graafmans WC, Ooms ME, Bezemer PD, Bouter LM. Vitamin D supplementation and fracture incidence in elderly persons. A randomized, placebo-controlled clinical trial. Annals of Internal Medicine 1996;124(4):400-6. - PubMed
Green 2002 {published data only}
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- Green J, Forster A, Bogle S, Young J. Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial. Lancet 2002;359(9302):199-203. - PubMed
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- N0049004427. A randomised trial of community physiotherapy one year post stroke. National Research Register (NRR) Archive: www.nihr.ac.uk/Pages/NRRArchiveSearch.aspx (accessed 23 February 2011). [NRR Publication ID: N0049004427]
Inokuchi 2007 {published data only}
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- Inokuchi S, Matsusaka N, Hayashi T, Shindo H. Feasibility and effectiveness of a nurse-led community exercise programme for prevention of falls among frail elderly people: a multi-centre controlled trial. Journal of Rehabilitation Medicine 2007;39(6):479-85. - PubMed
Iwamoto 2005 {published data only}
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- Iwamoto J, Takeda T, Sato Y, Uzawa M. Effect of whole-body vibration exercise on lumbar bone mineral density, bone turnover, and chronic back pain in post-menopausal osteoporotic women treated with alendronate. Aging-Clinical & Experimental Research 2005;17(2):157-63. - PubMed
Jee 2004 {published data only}
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- Wang J. personal communication August 03 2011.
Kerschan‐Schindl 2000 {published data only}
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- Kerschan-Schindl K, Uher E, Kainberger F, Kaider A, Ghanem AH, Preisinger E. Long-term home exercise program: Effect in women at high risk of fracture. Archives of Physical Medicine and Rehabilitation 2000;81(3):319-23. - PubMed
Kerse 2010 {published data only}
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- ACTRN12605000475640. Late life intervention to improve function in elderly patients with depression. www.anzctr.org.au/trial_view.aspx?ID=736 (accessed 2 September 2011).
Kiehn 2009 {published data only}
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- NCT00140322. Dane county safety assessment (SAFE) research study. clinicaltrials.gov/ct2/show/NCT00140322 (accessed 30 November 2011).
Kruse 2010 {published data only}
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- Kruse RL, Lemaster JW, Madsen RW. Fall and balance outcomes after an intervention to promote leg strength, balance, and walking in people with diabetic peripheral neuropathy: "feet first" randomized controlled trial. Physical Therapy 2010;90(11):1568-79. [MEDLINE: ] - PubMed
Larsen 2005 {published data only}
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- Larsen ER, Mosekilde L, Foldspang A. Vitamin D and calcium treatment and environmental adjustment in the prevention of falls and osteoporotic fractures among elderly Danish community residents [abstract]. Journal of Bone and Mineral Research 2002;17(Suppl 1):S157.
Lawton 2008 {published data only}
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- Lawton BA, Rose SB, Elley CR, Dowell AC, Fenton A, Moyes SA. Exercise on prescription for women aged 40-74 recruited through primary care: two year randomised controlled trial. British Journal of Sports Medicine 2009;43(2):120-3. - PubMed
Lehtola 2000 {published data only}
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- Lehtola S, Hanninen L, Paatalo M. The incidence of falls during a six-month exercise trial and four-month followup among home dwelling persons aged 70-75 years [Kaatumistapaturmien ilmaantuvuus 70-75-vuotiailla oululaisilla liikuntaintervention ja sen jälkeisen seurannan aikana]. Liikuntatiede 2000;6:41-6.
McMurdo 2010 {published data only}26786857
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- ISRCTN43792817. Reduction of fear of falling and associated increase in functional ability, activity level and quality of life in community-living older adults who are at risk for falling: a randomised controlled trial. controlled-trials.com/ISRCTN43792817 (accessed 14 September 2011).
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- ACTRN12609000748213. A randomised controlled placebo-controlled study to evaluate the effects of vitamin D treatment on reducing hospital admissions for falls, fractures and other disorders in elderly women. www.anzctr.org.au/trial_view.aspx?ID=308329 (accessed 11 October 2011).
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ACTRN012606000023550 {published data only}
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- ACTRN12606000023550. Healthy Steps: A trial of pedometer-based Green Prescription to improve physical activity, health-related quality of life, and health and physical functioning in low-active older adults. www.anzctr.org.au/trial_view.aspx?ID=996 (accessed 2 September 2011).
ACTRN12607000017426 {published data only}
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- ACTRN12607000017426. A randomised controlled trial on improving gait speed and other health outcomes for elderly patients with hip fracture using an individualised nutrition and exercise program. www.anzctr.org.au/trial_view.aspx?ID=81735 (accessed 2 September 2011).
ACTRN12607000018415 {published data only}
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- ACTRN12607000018415. An evaluation of the Accident Compensation Corporation (ACC) Tai Chi programme in older adults: does it reduce falls. www.anzctr.org.au/trial_view.aspx?ID=1475 (accessed 11 August 2011).
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ACTRN12607000206426 {published data only}
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- ACTRN12607000206426. Community care and hospital based collaborative falls prevention project. www.anzctr.org.au/trial_view.aspx?ID=81955 (accessed 30 November 2011).
ACTRN12607000563460 {published data only}
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- ACTRN12607000563460. Minimising disability and falls in older people through a post-hospital individualised exercise program. www.anzctr.org.au/trial_view.aspx?ID=82384 (accessed 2 September 2011).
ACTRN12610000576022 {published data only}
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- ACTRN12610000576022. A comparison on the effectiveness of a novel intervention programme against a traditional supervised exercise programme in improving the fall efficacy in the moderate frail population aged 60 and above. www.anzctr.org.au/trial_view.aspx?ID=335721 (accessed 31 July 2011).
ACTRN12610000805077 {published data only}
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- ACTRN12610000805077. RESTORE: Recovery exercises and Stepping On after fracture. www.anzctr.org.au/trial_view.aspx?ID=335781 (accessed 28 March 2012).
ACTRN12610000838011 {published data only}
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- ACTRN12610000838011. In community-dwelling older people who have fallen, does the provision of falls prevention interventions and osteoporosis treatment through a specialist Falls and Bone service prevent more falls than care coordinated by General Practitioners. www.anzctr.org.au/trial_view.aspx?ID=335807 (accessed 30 November 2011).
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- Ferrer A, Badia T, Formiga F, Almeda J, Fernandez C, Pujol R. Gender differences in health status in a population of over 85 year-olds. The Octabaix study [Diferencias de genero en el perfil de salud de una cohorte de 85 anos. Estudio Octabaix]. Atencion Primaria 2011;43(11):577-84. [EMBASE: 2011609254] - PMC - PubMed
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- Snooks H, Cheung WY, Close J, Dale J, Gaze S, Humphreys I, et al. Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial. BMC Emergency Medicine 2010;10:2. - PMC - PubMed
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ISRCTN11861569 {published data only}11861569
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- ISRCTN11861569. Falls prevention for frail older adults: Cost-efficacy analysis of balance training based on Tai Chi. www.controlled-trials.com/ISRCTN11861569 (accessed 19 September 2008).
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- Tousignant M, Corriveau H, Roy PM, Desrosiers J, Dubec N, Hébert R, et al. The effect of supervised Tai Chi intervention compared to a physiotherapy program on fall-related clinical outcomes: a randomized clinical trial. Disability & Rehabilitation 2012;34(3):196-201. [MEDLINE: ] - PubMed
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ISRCTN48015966 {published data only}48015966
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- ISRCTN48015966. The Chaos Clinic for prevention of falls and related injuries: a randomised, controlled trial. www.controlled-trials.com/ISRCTN48015966 (accessed 2 September 2011).
ISRCTN57066881 {published data only}57066881
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- ISRCTN57066881. The Home-based Older People's Exercise (HOPE) programme: an exercise programme to improve the functional status of older people. www.controlled-trials.com/ISRCTN57066881 (accessed 2 September 2011).
ISRCTN60481756 {published data only}60481756
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- Care of older people who fall: evaluation of the clinical and cost effectiveness of new protocols for emergency ambulance personnel to assess and refer to appropriate community based care. www.hta.ac.uk/1802 (accessed 2 May 2011).
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- Gaze S. SAFER 2: Support and assessment for fall emergency referrals (part of the SAFER research programme [abstract]. Emergency Medicine Journal 2011;28(3):3.
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- ISRCTN60481756. Care of older people who fall: evaluation of the clinical and cost effectiveness of new protocols for emergency ambulance personnel to assess and refer to appropriate community based care - a cluster randomised controlled trial. www.controlled-trials.com/ISRCTN60481756 (accessed 2 May 2011).
ISRCTN68240461 {published data only}68240461
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- ISRCTN68240461. Multifaceted podiatry intervention for fall prevention in patients over 70 years of age. www.controlled-trials.com/ISRCTN68240461 (accessed 2 September 2011).
ISRCTN71002650 {published data only}71002650
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- ISRCTN71002650. Prevention of Fall Injury Trial: a parallel group cluster randomised controlled trial and economic evaluation. www.controlled-trials.com/ISRCTN71002650 (accessed 22 Sept 2010).
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- Lamb S. Prevention of fall related injuries trial (Pre-FIT). www.hta.ac.uk/2146 (accessed 22 Sept 2010).
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NCT00483275 {published data only}
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- NCT00483275. Fall prevention by alfacalcidol and training (SPALT). clinicaltrials.gov/show/NCT00483275 (accessed 23 February 2011).
NCT00934531 {published data only}
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- NCT00934531. Donepezil and the risk of falls in seniors with cognitive impairment. clinicaltrials.gov/show/NCT00934531 (accessed 31 August 2011).
NCT00946062 {published data only}
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- NCT00946062. Evaluation of a standardised orientation and mobility training in older adults with low vision. clinicaltrials.gov/show/NCT00946062 (accessed 31 August 2011).
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- Zijlstra GA, Rens GH, Scherder EJ, Brouwer DM, der V, Verstraten PF, et al. Effects and feasibility of a standardised orientation and mobility training in using an identification cane for older adults with low vision: design of a randomised controlled trial. BMC Health Services Research 2009;9:153. - PMC - PubMed
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NCT01029171 {published data only}
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- Donaldson MG, Khan KM, Sobolev B, Janssen P, Cook WL, McKay HA. Action Seniors!: An RCT of the Otago Home Exercise Program to ameliorate fall risk factor profile in patients at high risk of falls [abstract]. Annual Meeting of the American Society for Bone and Mineral Research; 2007 Sept 16-20; Honolulu (Hawaii).
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NCT01032252 {published data only}
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NCT01080196 {published data only}
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- NCT01080196. Reducing falls with RENEW in older adults who have fallen. clinicaltrials.gov/show/NCT01080196 (accessed 31 August 2011).
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References to other published versions of this review
Gillespie 2008
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