Additional exercise for older subacute hospital inpatients to prevent falls: benefits and barriers to implementation and evaluation

Haines, Terry, Hill, Keith, Bennell, Kim and Osborne, Richard 2007, Additional exercise for older subacute hospital inpatients to prevent falls: benefits and barriers to implementation and evaluation, Clinical rehabilitation, vol. 21, no. 8, pp. 742-753.

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Title Additional exercise for older subacute hospital inpatients to prevent falls: benefits and barriers to implementation and evaluation
Author(s) Haines, Terry
Hill, Keith
Bennell, Kim
Osborne, Richard
Journal name Clinical rehabilitation
Volume number 21
Issue number 8
Start page 742
End page 753
Publisher Sage Science Press
Place of publication London, England
Publication date 2007-08
ISSN 0269-2155
1477-0873
Summary Objective: To evaluate the clinical effectiveness and implementation of a falls prevention exercise programme for preventing falls in the subacute hospital setting.

Design: Randomized controlled trial, subgroup analysis.

Participants: Patients of a metropolitan subacute/aged rehabilitation hospital who were recommended for a falls prevention exercise programme when enrolled in a larger randomized controlled trial of a falls prevention programme.

Methods: Participants in both the control and intervention groups who were recommended for the exercise programme intervention were followed for the duration of their hospital stay to determine if falls occurred. Participants had their balance, strength and mobility assessed upon referral for the exercise programme and then again prior to discharge. Participation rates in the exercise programme were also recorded.

Results: Intervention group participants in this subgroup analysis had a significantly lower incidence of falls than their control group counterparts (control: 16.0 falls/1000 participant-days, intervention: 8.2 falls/1000 participant-days, log-rank test: P = 0.007). However few differences in secondary balance, strength and mobility outcomes were evident.

Conclusion: This exercise programme provided in addition to usual care may assist in the prevention of falls in the subacute hospital setting.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2007, SAGE Publications
Persistent URL http://hdl.handle.net/10536/DRO/DU:30019386

Document type: Journal Article
Collection: School of Health and Social Development
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