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A fall prevention program for elderly individuals. Exercise in long-term care settings.

D P Schoenfelder1

  • 1University of Iowa College of Nursing, Iowa City 52242, USA.

Journal of Gerontological Nursing
|December 9, 2000
PubMed
Summary
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An ankle strengthening and walking program showed promise in preventing falls for nursing home residents. This exercise intervention improved balance and walking speed, and reduced fear of falling.

Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Preventive Medicine

Background:

  • Falls are a significant concern for elderly nursing home residents, leading to injury and reduced quality of life.
  • Fear of falling and decreased physical function contribute to fall risk in this population.
  • Effective interventions are needed to improve mobility and reduce fall incidence in long-term care settings.

Purpose of the Study:

  • To evaluate the effectiveness of a 3-month supervised ankle strengthening and walking program.
  • To assess the program's impact on balance, ankle strength, walking speed, falls efficacy, fear of falling, and fall rates.
  • To determine if exercise can prevent functional decline and improve fall-related outcomes in elderly residents.

Main Methods:

  • A randomized controlled trial was conducted with 16 nursing home residents.

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  • Participants were assigned to either an intervention group (ankle strengthening and walking) or a control group.
  • Outcome variables were measured at baseline, 3 months, and 6 months post-intervention.

    • Main Results:

    • The intervention group demonstrated maintained or improved outcomes from pretest to 3-month posttest.
    • Positive trends were observed in balance, ankle strength, and walking speed.
    • The program showed potential in reducing fear of falling and improving falls efficacy.

    Conclusions:

    • Regular exercise, specifically an ankle strengthening and walking program, shows promise for preventing functional deterioration in elderly nursing home residents.
    • This type of intervention may be effective in improving fall-related outcomes and reducing fall risk.
    • Further research is warranted to confirm these findings and optimize exercise protocols for fall prevention.