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01.05.2007 | Original Article

A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease

verfasst von: K. Kita, K. Hujino, T. Nasu, K. Kawahara, Y. Sunami, Japanese Clinical Orthopaedic Association, Committee on Musculoskeletal Rehabilitation

Erschienen in: Osteoporosis International | Ausgabe 5/2007

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Abstract

Summary

Our protocol resulted in a significant prevention of falls and fractures in addition to marked improvements in the balance function. Intervention comprised a new balance exercise and quadriceps femoris exercise. Subjects were outpatients aged ≥65 years old with musculoskeletal disorders who had a result of ≤15 s for the timed one-leg balance test.

Introduction

A study on chronological changes in the level of required care revealed that the level of care increases markedly for older patients requiring non-intensive or intensive long-term care. The aim of the present study was to identify frail elderly patients among older patients with chronic pain of the musculoskeletal system and to assess the fracture prevention and fall prevention effects of exercise therapy using stratified analysis.

Methods

This was a prospective cohort study consisting of 683 outpatients with chronic pain of the musculoskeletal system who were ≥65 years old and had a result of ≤15 s for the timed one-leg balance test with eyes open. Intervention consisted of a new balance exercise and quadriceps femoris exercise regimen. The main outcome was fall rate, while secondary outcomes were the results of the timed one-leg balance test with eyes open and fracture rate.

Results

Fall rate was decreased by 44% (p < 0.001) and fracture rate by 47% (p < 0.05) by 8 months after the start of the intervention. The results of the timed one-leg balance testing with eyes open improved two- to threefold after intervention (p < 0.01).

Conclusions

Our protocol has been safely implemented at a large number of clinics in Japan, and the reductions in frequency of falls and fractures suggest that it provides effective preventive care.

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Titel: A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease
verfasst von: K. Kita
K. Hujino
T. Nasu
K. Kawahara
Y. Sunami
Japanese Clinical Orthopaedic Association, Committee on Musculoskeletal Rehabilitation
Publikationsdatum: 01.05.2007
Verlag: Springer-Verlag
Erschienen in: Osteoporosis International / Ausgabe 5/2007
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-006-0288-6

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Springer Medizin

A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease

Abstract

Summary

Introduction

Methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

Arthroskopie kann Knieprothese nicht hinauszögern

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Summary

Introduction

Methods

Results

Conclusions

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