Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 11-19 |
| Number of pages | 9 |
| Journal | Journal of Frailty, Sarcopenia and Falls |
| Volume | 4 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 31 Mar 2019 |
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Keywords
- exercise
- intervention
- falls prevention
- strength
- balance
- RCT
- functional ability
- bone health
- falls
- power
- physical function
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Effects of a falls exercise intervention on strength, power, functional ability and bone in older frequent fallers: FaME (Falls Management Exercise) RCT secondary analysis. / Skelton, Dawn A.; Rutherford, Olga M.; Dinan-Young, Susie; Sandlund, Marlene.
In: Journal of Frailty, Sarcopenia and Falls, Vol. 4, No. 1, 31.03.2019, p. 11-19.Research output: Contribution to journal › Article
TY - JOUR
T1 - Effects of a falls exercise intervention on strength, power, functional ability and bone in older frequent fallers: FaME (Falls Management Exercise) RCT secondary analysis
AU - Skelton, Dawn A.
AU - Rutherford, Olga M.
AU - Dinan-Young, Susie
AU - Sandlund, Marlene
N1 - Acceptance from webpage CC licence on webpage, not in VoR This journal is OA (all published work is licensed under Creative Commons Attribution NonCommercial - ShareAlike 4.0 International) Added last day of month as pub date (journal gives month and year)
PY - 2019/3/31
Y1 - 2019/3/31
N2 - Objectives: Falls Management Exercise (FaME) has been shown to reduce falls in frequent fallers and in lower risk sedentary older people. The effects of FaME on the strength, power, physical function and bone health of frequently falling older women are yet to be established. Methods: This paper reports secondary analysis of data from the original randomised controlled trial of FaME in 100 community dwelling women aged =65 years with a history of =3 falls in the previous year. Intervention was group delivered, weekly one hour tailored dynamic balance and strength exercise classes and home exercise for nine months. Outcome measures included: strength (handgrip, quadriceps, hamstrings, hip abductors, ankles), lower limb explosive power and functional tests (timed up and go, functional reach, timed floor rise and balance), analysed using Linear Mixed Model analysis. Bone Mineral Density (BMD) at hip and spine was measured in a smaller sub-group and analysed using t-tests. Results: Significant time*group interactions in all measures of strength, except isometric ankle dorsiflexion, concentric hamstring and eccentric quadriceps strength. These improvements in strength equated to average improvements of 7-45%. There were also significant improvements in explosive power (W/kg) (18%, p=0.000), timed up and go (16%, p=0.000), functional reach (17%, p=0.000), floor rise (10%, p=0.002) and eyes closed static balance (56%, p=0.000). There was a significant loss of hip BMD in the control group (neck of femur p<0.05; ward’s triangle p<0.02). Conclusion: The FaME intervention improves lower limb strength, power and clinically relevant functional outcomes in frequently falling older women.
AB - Objectives: Falls Management Exercise (FaME) has been shown to reduce falls in frequent fallers and in lower risk sedentary older people. The effects of FaME on the strength, power, physical function and bone health of frequently falling older women are yet to be established. Methods: This paper reports secondary analysis of data from the original randomised controlled trial of FaME in 100 community dwelling women aged =65 years with a history of =3 falls in the previous year. Intervention was group delivered, weekly one hour tailored dynamic balance and strength exercise classes and home exercise for nine months. Outcome measures included: strength (handgrip, quadriceps, hamstrings, hip abductors, ankles), lower limb explosive power and functional tests (timed up and go, functional reach, timed floor rise and balance), analysed using Linear Mixed Model analysis. Bone Mineral Density (BMD) at hip and spine was measured in a smaller sub-group and analysed using t-tests. Results: Significant time*group interactions in all measures of strength, except isometric ankle dorsiflexion, concentric hamstring and eccentric quadriceps strength. These improvements in strength equated to average improvements of 7-45%. There were also significant improvements in explosive power (W/kg) (18%, p=0.000), timed up and go (16%, p=0.000), functional reach (17%, p=0.000), floor rise (10%, p=0.002) and eyes closed static balance (56%, p=0.000). There was a significant loss of hip BMD in the control group (neck of femur p<0.05; ward’s triangle p<0.02). Conclusion: The FaME intervention improves lower limb strength, power and clinically relevant functional outcomes in frequently falling older women.
KW - exercise
KW - intervention
KW - falls prevention
KW - strength
KW - balance
KW - RCT
KW - functional ability
KW - bone health
KW - falls
KW - power
KW - physical function
U2 - 10.22540/JFSF-04-011
DO - 10.22540/JFSF-04-011
M3 - Article
VL - 4
SP - 11
EP - 19
JO - Journal of Frailty, Sarcopenia and Falls
JF - Journal of Frailty, Sarcopenia and Falls
SN - 2459-4148
IS - 1
ER -