Fall Prevention

By Malcolm P. Berger, M.D.

Wednesday, January 18, 2006
The effects of balance training and high-intensity resistance training on persons with idiopathic Pa
Important study shows that even patients with parkinsonism can improve with an exercise program
Amantadine 2001 RCT
Improves gait; works well with physical therapy for frontal gait disorders and those due to small vessel disease
Hypogonadism 2003 CS
One of the contributors to falls; no prospective data yet
Growth Hormone or testosterone 2002 RCT
Both improve balance to some extent
HRT 1999 RCT
No benefit
HRT 1995 RCT
No benefit
Causes of falls 1994 CT
Cognitive impairment, psychoactive drugs, prior stroke are risk factors
Postural Balance Training 1997 RCT
PBT did better than Tai Chi
Multimodal therapy 1999 RCT
Good study with positive results
Exercise 1999 RCT
Exercise prevents falls
Calcium Vitamin D 2003 RCT
May reduce falls?
Hip protector 2003 RCT
Prevent fractures, but patients don't wear them!!
Group Exercise 2003 RCT
Some benefit in the frail elderly
Tai Chi 2003 RCT
In the frail elderly, limited, but some, benefit of tai chi.
Resistance and Agility 2004 RCT
Resistance and agility training reduce sway and reduce falls in the elderly
Fall Prevention Program 1994 RPCT
Mildly effective in reducing falls
HRT 1996 RCT
HRT does not prevent falls
Fall Prevention 2000 RPCT
No benefit, but high dropout rate
Fall Prevention Program 2002 RPCT
Fall prevention program effective in mild reduction of fall rate and severity of injury.
Reduce Meds 2003 CT
Reduction of cardiovascular, analgesic, psychoactive, sedative and hypnotic drugs reduced fall rate by 47%.

Made with CityDesk