TY - JOUR
KW - Female
KW - Humans
KW - Aged
KW - Male
KW - Risk Factors
KW - Prospective Studies
KW - Risk Assessment
KW - Time Factors
KW - Age Factors
KW - New South Wales
KW - Aged, 80 and over
KW - Activities of Daily Living
KW - Frail Elderly
KW - Geriatric Assessment
KW - Exercise Therapy
KW - Mental health
KW - Accidental Falls/ prevention & control
KW - Aging
KW - Cooperative Behavior
KW - House Calls
KW - Interdisciplinary Communication
KW - Muscle Strength
KW - Muscle, Skeletal/physiopathology
KW - Nutrition Assessment
KW - Patient Care Team
AU - Kurrle S.
AU - Langron C.
AU - Lockwood K.
AU - Aggar C.
AU - Lord S.
AU - Cameron I.
AU - Monaghan N.
AU - Sherrington C.
AU - Fairhall N
AB - <p>
BACKGROUND: frail older people have a high risk of falling. OBJECTIVE: assess the effect of a frailty intervention on risk factors for falls and fall rates in frail older people. DESIGN: randomised controlled trial. PARTICIPANTS: 241 community-dwelling people aged 70+ without severe cognitive impairment who met the Cardiovascular Health Study frailty definition. INTERVENTION: multifactorial, interdisciplinary intervention targeting frailty characteristics with an individualised home exercise programme prescribed in 10 home visits from a physiotherapist and interdisciplinary management of medical, psychological and social problems. MEASUREMENTS: risk factors for falls were measured using the Physiological Profile Assessment (PPA) and mobility measures at 12 months by a blinded assessor. Falls were monitored with calendars. RESULTS: participants had a mean (SD) age of 83.3 (5.9) years, 68% were women and 216 (90%) completed the study. After 12 months the intervention group had significantly better performance than the control group, after controlling for baseline values, in the PPA components of quadriceps strength (between-group difference 1.84 kg, 95% CI 0.17-3.51, P = 0.03) and body sway (-90.63 mm, 95% CI -168.6 to -12.6, P = 0.02), short physical performance battery (1.58, 95% CI 1.02-2.14, P <!--= 0.001) and 4 m walk (0.06 m/s 95% CI 0.01-0.10, P = 0.02) with a trend toward a better total PPA score (-0.40, 95% CI -0.83-0.04, P = 0.07) but no difference in fall rates (incidence rate ratio 1.12, 95% CI 0.78-1.63, P = 0.53). CONCLUSION: the intervention improved performance on risk factors for falls but did not reduce the rate of falls. TRIAL REGISTRATION: ACTRN12608000250336.-->
</p>

AD - Rehabilitation Studies Unit, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.<br/>Musculoskeletal Division, The George Institute for Global Health, Sydney, New South Wales, Australia.<br/>Falls and Balance Research Group, Neuroscience Research Australia, Randwick, New South Wales, Australia.<br/>Division of Rehabilitation and Aged Care, Hornsby Ku-ring-gai Health Service, Sydney, New South Wales, Australia.<br/>Rehabilitation Studies Unit, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia Division of Rehabilitation and Aged Care, Hornsby Ku-ring-gai Health Service, Sydney, New South Wales, Australia.<br/>Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia.
AN - 24381025
BT - Age and Ageing
DA - -7388308502
DP - NLM
ET - 2014/01/02
LA - eng
LB - AUS<br/>MSK<br/>FY16
M1 - 5
N1 - Fairhall, Nicola<br/>Sherrington, Catherine<br/>Lord, Stephen R<br/>Kurrle, Susan E<br/>Langron, Colleen<br/>Lockwood, Keri<br/>Monaghan, Noeline<br/>Aggar, Christina<br/>Cameron, Ian D<br/>Randomized Controlled Trial<br/>Research Support, Non-U.S. Gov't<br/>England<br/>Age Ageing. 2014 Sep;43(5):616-22. doi: 10.1093/ageing/aft204. Epub 2013 Dec 30.
N2 - <p>
BACKGROUND: frail older people have a high risk of falling. OBJECTIVE: assess the effect of a frailty intervention on risk factors for falls and fall rates in frail older people. DESIGN: randomised controlled trial. PARTICIPANTS: 241 community-dwelling people aged 70+ without severe cognitive impairment who met the Cardiovascular Health Study frailty definition. INTERVENTION: multifactorial, interdisciplinary intervention targeting frailty characteristics with an individualised home exercise programme prescribed in 10 home visits from a physiotherapist and interdisciplinary management of medical, psychological and social problems. MEASUREMENTS: risk factors for falls were measured using the Physiological Profile Assessment (PPA) and mobility measures at 12 months by a blinded assessor. Falls were monitored with calendars. RESULTS: participants had a mean (SD) age of 83.3 (5.9) years, 68% were women and 216 (90%) completed the study. After 12 months the intervention group had significantly better performance than the control group, after controlling for baseline values, in the PPA components of quadriceps strength (between-group difference 1.84 kg, 95% CI 0.17-3.51, P = 0.03) and body sway (-90.63 mm, 95% CI -168.6 to -12.6, P = 0.02), short physical performance battery (1.58, 95% CI 1.02-2.14, P <!--= 0.001) and 4 m walk (0.06 m/s 95% CI 0.01-0.10, P = 0.02) with a trend toward a better total PPA score (-0.40, 95% CI -0.83-0.04, P = 0.07) but no difference in fall rates (incidence rate ratio 1.12, 95% CI 0.78-1.63, P = 0.53). CONCLUSION: the intervention improved performance on risk factors for falls but did not reduce the rate of falls. TRIAL REGISTRATION: ACTRN12608000250336.-->
</p>

PY - 2014
SN - 1468-2834 (Electronic)<br/>0002-0729 (Linking)
SP - 616
EP - 22
T2 - Age and Ageing
TI - Effect of a multifactorial, interdisciplinary intervention on risk factors for falls and fall rate in frail older people: a randomised controlled trial
VL - 43
Y2 - FY15
ER -