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Dagens #fsvoversigt:
Exercise and physical training improve physical function in older adults with
visual impairments but their effect on falls is unclear: a systematic review.
J Physiother. 2014 Sep;60(3):130-5
Authors: Gleeson M, Sherrington C, Keay L
Abstract
QUESTION: Can exercise or physical training improve physical function and
prevent falls in older adults with visual impairments?
DESIGN: Systematic review of randomised controlled trials with meta-analysis.
PARTICIPANTS: Older adults (≥ 60 years) with visual impairments.
INTERVENTION: Individual or group exercise or physical training classes in any
settings.
OUTCOME MEASURES: Mobility, balance, strength and proprioception measured with
performance tests or questionnaires and/or falls with calendars or incident
reports.
RESULTS: Four eligible trials with a total of 522 participants were identified.
Multimodal group exercise (n = 50 and 41) and Tai Chi (n=40) improved physical
function among residents of care settings. Meta-analysis of data from two
trials indicated a significant positive impact of multimodal exercise on the
Berg Balance Score (weighted mean difference 3.9 points, 95% CI 1.8 to 6.0),
but not on the Timed Up and Go test (weighted mean difference 1.5seconds, 95%
CI -1.7 to 4.6). One trial (n=41) found that multimodal exercise reduced the
time to first fall (p=0.049). A factorial trial (n=391) among community
dwellers did not find a significant effect on falls from a home-based exercise
intervention, although clinically relevant effects in either direction were not
excluded by the study (incidence rate ratio=1.15, 95% CI 0.82 to 1.61).
CONCLUSION: Exercise interventions in residential care settings improve
performance on some tests of physical function that are risk factors for falls
but the impact on falls is not yet clear. The impact of exercise and training
on physical function and falls in community-dwelling older adults with visual
impairments also warrants further investigation.
PMID: 25066935 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1Mx9NXw
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