Citation

Clemson L, Singh MF, Bundy A, Cumming RG, Weissel E, Munro J, Manollaras K, Black D. Aust. Occup. Ther. J. 2010; 57(1): 42-50.

Affiliation

Faculty of Health Sciences, The University of Sydney, Lidcombe, New South Wales, Australia.

Copyright

(Copyright © 2010, John Wiley and Sons)

DOI

10.1111/j.1440-1630.2009.00848.x

PMID

20854564

Abstract

Background:  Exercise as a falls prevention strategy is more complex with people at risk than with the general population. The Lifestyle approach to reducing Falls through Exercise (LiFE) involves embedding balance and lower limb strength training in habitual daily routines. Methods:  A total of 34 community-residing people aged ≥70 years were randomised either into the LiFE programme or into a no-intervention control group and followed up for six months. Inclusion criteria were two or more falls or an injurious fall in the past year. Results:  There were 12 falls in the intervention group and 35 in the control group. Therelative risk (RR) analysis demonstrated a significant reduction in falls (RR = 0.23; 0.07-0.83). There were indications that dynamic balance (P = 0.04 at three months) and efficacy beliefs (P = 0.04 at six months) improved for the LiFE programme participants. In general, secondary physical and health status outcomes, which were hypothesised as potential mediators of fall risk, improved minimally and inconsistently. Conclusions:  LiFE was effective in reducing recurrent falls in this at-risk sample. However, there were minimal changes in secondary measures. The study was feasible in terms of recruitment, randomisation, blinding and data collection. A larger randomised trial is needed to investigate long-term efficacy, mechanisms of benefit and clinical significance of this new intervention.

Language: en