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A Review of Exercise Interventions for Fall Prevention in the Elderly  

Gu, Mee Ock (Department of Nursing, Gyeong Sang National University, Gerontological Health Research Center, Gyeongsang Institute of Health Science)
Jeon, Mi Yang (Department of Nursing, Kuekdong College)
Kim, Hee-Ja (Department of Nursing, Chong Ju National College of Science and Technology)
Eun, Young (Department of Nursing, Gyeong Sang National University, Gerontological Health Research Center, Gyeongsang Institute of Health Science)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.6, 2005 , pp. 1101-1112 More about this Journal
Abstract
Purpose: This study was done to suggest directions for developing exercise interventions for fall prevention in the elderly in Korea in the future, Method: Twenty five articles for fall prevention exercises were reviewed and analyzed. Result: $84.0\%$ of subjects were older adults age 65 and older living in the community. The most frequently performed interventions were lower limb strength and balance exercises together $43.3\%$, group exercise $70.0\%$, exercise 3 times/week $60.0\%$, 60 min per session $36.7\%$, duration of 12 weeks and 1 year $23.3\%$ each. The most frequently used outcome variables were static balance $84.0\%$, lower limb muscle strength $72.0\%$, dynamic balance $56.0\%$, and falls $56.0\%$. The effect of exercise interventions on fall prevention was inconclusive. Lower limb strength exercises with resistance were effective for increasing muscle strength. Balance exercises with various movements for balance were effective for increasing balance. Conclusion: Exercise interventions for fall prevention is recommended for older adults with risk factors of falling. The desirable type of exercise intervention is lower limb strength and balance exercise together.
Keywords
Elderly; Exercise; Fall;
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1 Carter, N. D., Kannus, P., & Khan, K. M. (2001). Exercise in the Prevention of Falls in Older People - Systemic Literature Review Examing the Rational and the Evidence. Sports Med, 31(6), 427-438   DOI   ScienceOn
2 Jeon, M. Y. (2001). Effect of the Fall Prevention Program on gait, balance and muscle strength in elderly women. Unpublished doctoral dissertation, Seoul National University, Seoul
3 Kim, M. C. (2001). Effects of ankle muscle strengthening for preventing of falls in the elderly persons. Unpublished master's thesis, Korea National Sport University, Seoul
4 Kim, M. C, Cho, H. K., Sunwoo, S., Kim, S. W., & Cho, H. J. (1999). Prevalence and Associated Factors of Fall Among the Elderly in Nursing Home. J Korean Geriatr Soc, 5(4), 29-38
5 Lee, I. S., Chin, Y. R., Lee, D. O, Kim, Y. A., & Baek, K. A. (2001). Effect of Rhythmic Exercise Program to Elderly on Risk Factors of Fall Injury. J Korean Comm Nurs, 12(3), 600-608
6 Rubenstein, L. Z., & Josephson, K. R. (2002). The epidemiology of falls and syncope. In R. A. Kenny & D. O'Shea (eds.). Falls and Syncope in Eldely Patients. Philadelphia : W.B.Saunders Co
7 Schoenfelder, D. P., & Van Why, K. (1997). A fall prevention educational program for community dwelling seniors. Public Health Nurs, 14(6), 383-390   DOI   ScienceOn
8 Cumming, R. G. (2002). Interventions strategies and risk-factor modification for falls prevention: A review of recent intervention studies. Clin Geriatr Med, 18, 175-189   DOI   PUBMED   ScienceOn
9 Steinberg, M., Cartwringt, C, Peel, N., & Williams, G. (2000). A sustainable programme to prevent falls and near falls in community dwelling older people : results of a randomised trial. J Epidemiol Community Health, 54(3), 227-232   DOI   ScienceOn
10 Wu, G. (2002). Evaluation of the Effectiveness of Tai Chi for Improving Balance and Preventing Falls in the Older Population -A Review. J Am Geriatr Soc, 50(4), 746-754   DOI   PUBMED   ScienceOn
11 Cho, K. C. (1996). A Study on the Risk Factors for Falls Among the Elderly. Unpublished master's thesis, Chungnam National University, Daejeon
12 Edwards, N., Cere, M., & Leblond, D. (1993). A Community based intervention to prevent falls at home. Community Health, 15(4), 51-65
13 Eu, S. H., & Park, S. Y. (2000). Exercise Prescription. Seoul : Taegun
14 American Geriatrics Society (2001). Guideline for the Prevention of Falls in Older Persons. J Am Geriatr Soc, 49(5), 664-672   DOI   ScienceOn
15 Ministry of Health & Welfare (2001). 2000 Yearbook of health and welfare statistics, http://www.moha.go.kr
16 Province, M. A., Hadley, E. C, Hornbrook, M. C, Lipsitz, L. A., Miller, J. P., Mulrow, C. D., Ory, M. G., Sattin, R. W., Tinetti, M. E., & Wolf, S. L. (1995). The Effects of Exercise on Falls in Elderly Patients - Preplanned Meta-analysis of the FICSIT Trials. JAMA, 273(11), 1341-1347   DOI   PUBMED
17 Lim, N. G., Shim, K. B., Kim, Y. B., Park, J. L., Kim, E. Y., Na, B. J., Kim, D. K., & Lee, M. S. (2002). A Study on the Prevalence and Associated Factors of Falls in Some Rural Elderly. J Korean Geriatr Soc, 6(3), 183-196
18 Choi, M. A., Jeon, M. Y., & Choi, J. A. (2000). Effect of Walk Training on Physical Fitness for Prevention in A home Bound Elderly. J Korean Acad Nurse, 30(5), 1318-1332
19 Sohng, K. Y., Moon, J. S., Kang, S. S., & Choi, J. H. (2001). The Survey of Activities and Fear of Falling in the Community Dwelling Elderly. J Korea Commu Health Nurs Acad Soc, 15(2), 324-333
20 Cho, J. P., Pack, K. W., Song, H. J., Jung, Y. S., & Moon, H. W. (2001). Prevalence and Associated Factors of Falls in the Elderly Community. Korean J Prev Med, 34(1), 47-54