Accidental fall: Difference between revisions
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imported>Larry Sanger (Title should be singular) |
imported>Robert Badgett |
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====Treatment==== | ====Treatment==== | ||
One [[randomized controlled trial]] reported that [[tai chi]], one hour per week for 16 weeks, can prevent falls in patients aged 60 or more.<ref name="pmid17661956">{{cite journal |author=Voukelatos A, Cumming RG, Lord SR, Rissel C |title=A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial |journal=Journal of the American Geriatrics Society |volume=55 |issue=8 |pages=1185–91 |year=2007 |pmid=17661956 |doi=10.1111/j.1532-5415.2007.01244.x}}</ref> | One [[randomized controlled trial]] reported that [[tai chi]], one hour per week for 16 weeks, can prevent falls in patients aged 60 or more.<ref name="pmid17661956">{{cite journal |author=Voukelatos A, Cumming RG, Lord SR, Rissel C |title=A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial |journal=Journal of the American Geriatrics Society |volume=55 |issue=8 |pages=1185–91 |year=2007 |pmid=17661956 |doi=10.1111/j.1532-5415.2007.01244.x}}</ref> | ||
A [[meta-analysis]] by the [[Cochrane Collaboration]] found benefit among cummunity-dwelling persons from:<ref name="pmid14583918">{{cite journal |author=Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH |title=Interventions for preventing falls in elderly people |journal=Cochrane database of systematic reviews (Online) |volume= |issue=4 |pages=CD000340 |year=2003 |pmid=14583918 |doi=10.1002/14651858.CD000340}} [[http://www.acpjc.org/Content/141/1/issue/ACPJC-2004-141-1-017.htm ACP Journal Club]]</ref> | |||
* Individually targeted exercise or physical therapy consisting of strength training, balance, and walking. | |||
* Home safety interventions. | |||
* Multidisciplinary, multifactorial, health, or environmental risk-factor screening or intervention programs. | |||
According to a subsequent [[meta-analysis]] by the [[Cochrane Collaboration]], the role of modifying the home environment for the reduction of injuries has not been established.<ref name="pmid17054179">{{cite journal |author=Lyons RA, John A, Brophy S, ''et al'' |title=Modification of the home environment for the reduction of injuries |journal=Cochrane database of systematic reviews (Online) |volume= |issue=4 |pages=CD003600 |year=2006 |pmid=17054179 |doi=10.1002/14651858.CD003600.pub2}}</ref> | |||
==References== | ==References== | ||
Revision as of 06:55, 17 October 2007
An accidental fall is defined as a fall "due to slipping or tripping which result in injury".[1]
Falls in the elderly
Causes
Buckling, or sudden giving way, of the knees is associated with osteoarthritis of the knees and quadriceps muscle weakness.[2]
Treatment
One randomized controlled trial reported that tai chi, one hour per week for 16 weeks, can prevent falls in patients aged 60 or more.[3]
A meta-analysis by the Cochrane Collaboration found benefit among cummunity-dwelling persons from:[4]
- Individually targeted exercise or physical therapy consisting of strength training, balance, and walking.
- Home safety interventions.
- Multidisciplinary, multifactorial, health, or environmental risk-factor screening or intervention programs.
According to a subsequent meta-analysis by the Cochrane Collaboration, the role of modifying the home environment for the reduction of injuries has not been established.[5]
References
- ↑ Accidental Falls. Retrieved on 2007-10-17.
- ↑ Felson DT, Niu J, McClennan C, et al (2007). "Knee buckling: prevalence, risk factors, and associated limitations in function". Ann. Intern. Med. 147 (8): 534–40. PMID 17938391. [e]
- ↑ Voukelatos A, Cumming RG, Lord SR, Rissel C (2007). "A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial". Journal of the American Geriatrics Society 55 (8): 1185–91. DOI:10.1111/j.1532-5415.2007.01244.x. PMID 17661956. Research Blogging.
- ↑ Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH (2003). "Interventions for preventing falls in elderly people". Cochrane database of systematic reviews (Online) (4): CD000340. DOI:10.1002/14651858.CD000340. PMID 14583918. Research Blogging. [ACP Journal Club]
- ↑ Lyons RA, John A, Brophy S, et al (2006). "Modification of the home environment for the reduction of injuries". Cochrane database of systematic reviews (Online) (4): CD003600. DOI:10.1002/14651858.CD003600.pub2. PMID 17054179. Research Blogging.