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| Short stick exercises for fall prevention among older adults: a cluster randomized trial [with consumer summary] |
| Yokoi K, Yoshimasu K, Takemura S, Fukumoto J, Kurasawa S, Miyashita K |
| Disability and Rehabilitation 2015;37(14):1268-1276 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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PURPOSE: To investigate the effects of short stick exercise (SSEs) on fall prevention and improvement of physical function in older adults. METHODS: A cluster randomized trial was conducted in five residential care facilities. The intervention group (n = 51) practiced SSEs for six months, followed by routine care for six more months. The control group (n = 54) received ordinary care for 12 months. The primary outcome measure was the number of fallers, taking into account the time to first fall using the Kaplan-Meier method. The secondary outcome measures were physical and mental functions. RESULTS: The number of fallers was significantly lower in the intervention group (n = 6) than in the control group (n = 16) during the 12 months. The adjusted hazard ratio for a first fall in the intervention group compared with the control group was 0.15 (CI 0.03 to 0.74, p = 0.02). The fall-free period was significantly longer in the intervention group than in controls (mean +/- SD 10.1 +/- 3.0 versus 9.0 +/- 4.1 months, p = 0.027). The functional reach and sit and reach tests were significantly improved at three and six months. CONCLUSION: The SSEs appeared effective for fall prevention and improvement of physical function in older adults.
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