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A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease
1Japanese Clinical Orthopaedic Association, Okachimachi, Tokyo, Japan. single-k@sweet.ocn.ne.jp
Unlabelled:
Our protocol resulted in a significant prevention of falls and fractures in addition to marked improvements in the balance function. Intervention comprised a new balance exercise and quadriceps femoris exercise. Subjects were outpatients aged >or=65 years old with musculoskeletal disorders who had a result of
Introduction:
A study on chronological changes in the level of required care revealed that the level of care increases markedly for older patients requiring non-intensive or intensive long-term care. The aim of the present study was to identify frail elderly patients among older patients with chronic pain of the musculoskeletal system and to assess the fracture prevention and fall prevention effects of exercise therapy using stratified analysis.
Methods:
This was a prospective cohort study consisting of 683 outpatients with chronic pain of the musculoskeletal system who were >or=65 years old and had a result of
Results:
Fall rate was decreased by 44% (p < 0.001) and fracture rate by 47% (p < 0.05) by 8 months after the start of the intervention. The results of the timed one-leg balance testing with eyes open improved two- to threefold after intervention (p < 0.01).
Conclusions:
Our protocol has been safely implemented at a large number of clinics in Japan, and the reductions in frequency of falls and fractures suggest that it provides effective preventive care.
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