THERAPEUTICS
Review: exercise programmes prevent falls in elderly people
| The first 150 words of the full text of this article appear below. |
QUESTIONS
Do exercise programmes prevent falls in elderly people? What are the most important components of effective exercise interventions?
REVIEW SCOPE
Included studies evaluated exercise interventions for falls prevention in elderly people. Studies in which the control group received exercise or the intervention group received additional non-exercise interventions for >25% of the time were excluded. Outcome was the pooled incidence rate ratio (IRR), which allows for multiple falls per person.
REVIEW METHODS
Medline, CINAHL, EMBASE/Excerpta Medica, PubMed, Physiotherapy Evidence Database, SafetyLit, Prevention of Falls Network Europe, and the Cochrane Bone, Joint, and Muscle Trauma Group’s trial register (May 2007); and references were searched for published randomised controlled trials (RCTs). 44 RCTs (49 comparisons, n = 9603) met the selection criteria. Mean age was 
75 years in 65% of comparisons. 16 trials reported allocation concealment, and 22 used intention-to-treat analysis. Most trials involved community-dwelling elderly people who were at increased risk of falling. Most exercise programmes
Florida State University College of Medicine, Tallahassee, Florida, USA
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