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Edmundo de Drummond Alves Junior
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Cornillon E., Blanchon M.A., Ramboatsisetraina P., Braize C., Beauchet O.,
Dubost V., Blanc P., Gonthier R.
[Effectiveness of falls prevention strategies for elderly subjects who live in
the community with performance assessment of physical activities
(before-after)]
Ann Readapt Med Phys 2002 Dec;45(9):493-504.
OBJECTIVES: The development of falls prevention strategies is an essential
health concern in elderly people. However, a global consensus does not exist
for elderly subjects who live independently in the community. The aim of the
study was to evaluate the benefit of an exercises program.MATERIALS AND
METHODS: A control group (153 subjects) and an "Intervention" group (150
subjects) were tested before and after a 1-year prospective study.
The"Intervention" group performed ten training sessions of physical
activity,based on balance, muscular activity and coordination. We compared the
incidence of falls, and the performances in several tests between the two
groups.RESULTS: The clinical features were similar between the two groups: mean
age 71 years, 83% of females, subjects who were independent for activities of
daily living. However, all subjects presented risk for factors for falls: 38%
were not able to maintain the unipodal position more than five seconds, 29% had
already fallen during the previous year. For the "Intervention" group, the
comparison of the performances before and after the physical activity program
showed significant increases (p < 0.001) for all the tests, and specifically
for the unipodal position and for the exercises performed with eyes closed.
After one year follow-up, the incidence rate of falls was lower in the
"Intervention" group compared with the control group, but the difference was
not significant (p = 0.32). However, falls occurred significantly latter in the
"Intervention" group (p = 0.02).CONCLUSION: Ten training sessions of physical
activity allowed to improve the performance of elderly people in several tests.
This result suggests that a fall preventionprogram based on collective and
regular exercises, may be efficient for elderly subjects who still have an
active and independent way of live.
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