AIM: In the elderly, falls and fall-related injuries are a major problem worldwide and the number of injuries are continuing to increase. It is well established that stability requires a well-functioning muscular-skeletal system as well as an intact balance system. The purpose of this comprehensive review of controlled trials is to examine the evidence for the value of balance and agility training in preventing falls and injuries resulting from falls in older people. METHODS: Thirteen studies meeting our inclusion criteria have been reviewed. RESULTS: Of these 13 studies, 6 demonstrated a significant reduction in the rate of falls. CONCLUSION: The conclusion is drawn that an exercise program with a balance component in healthy community dwelling older people is likely to prevent future falls.

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