The second review, from the Cochrane Bone, Joint and Muscle Trauma Group, looked at falls prevention interventions for people aged over 65 living in the community. This review is really important for all those working to prevent falls in this The group of people being studied. Populations may be defined by any characteristics e.g. where they live, age group, certain diseases., around 30% of whom will fall each year.Key message: group exercise classes and exercises at home are amongst a number of strategies found to help prevent falls in people aged over 65 living in the community.
The review has been updated with a substantial body of new evidence and now includes 159 Randomization is the process of randomly dividing into groups the people taking part in a trial. One group (the intervention group) will be given the intervention being tested (for example a drug, surgery, or exercise) and compared with a group which does not receive the intervention (the control group). A trial in which a group (the ‘intervention group’) is given a intervention being tested (for example a drug, surgery, or exercise) is compared with a group which does not receive the intervention (the ‘control group’)., involving 79,193 people. There is plenty of good news, with evidence that a number of things work, including group exercise classes, exercises at home and Tai Chi. Tai Chi was less effective for those at high A way of expressing the chance of an event taking place, expressed as the number of events divided by the total number of observations or people. It can be stated as ‘the chance of falling were one in four’ (1/4 = 25%). This measure is good no matter the incidence of events i.e. common or infrequent. of falling, but for this group home Refers to serious adverse effects, such as those that threaten life, require or prolong hospitalization, result in permanent disability, or cause birth defects. measures were particularly helpful.
Overall the review provides good evidence of The ability of an intervention (for example a drug, surgery, or exercise) to produce a desired effect, such as reduce symptoms., but the reviewers note that falling was not always defined in the same way, or at all, and that this can alter the significance of the results.
The review contains evidence on a number of other strategies, which you can read in the full review or in a Cochrane summary; see the links below. You can also listen to a podcast of the review.
Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community.
Cochrane Database of In systematic reviews we search for and summarize studies that answer a specific research question (e.g. is paracetamol effective and safe for treating back pain?). The studies are identified, assessed, and summarized by using a systematic and predefined approach. They inform recommendations for healthcare and research. 2012, Issue 9. Art. No.: CD007146. DOI: 10.1002/14651858.CD007146.pub3 Cochrane summary and podcast http://www.cochrane.org/podcasts/issue-7-9-july-september-2012/interventions-preventing-falls-older-people-living-community
Research News: Exercises help prevent falls in older adults. BMJ 22 September 2012; 345:12.