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A home-based, nurse-delivered exercise programme reduced falls and serious injuries in people ≥ 80 years of age
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 QUESTION: In people ≥ 75 years of age, is a home-based exercise programme that includes strength and balance retraining delivered by a nurse effective for reducing falls and related injuries?

Design

Randomised {allocation concealed*}, blinded (outcome assessors),* controlled trial with 1 year of follow up.

Setting

A home health service in a geriatric assessment and rehabilitation hospital in New Zealand.

Participants

240 people who were ≥ 75 years of age (mean age 81 y, 68% women) and were living in their own homes. Exclusion criteria were inability to walk around their own residence, current receipt of physiotherapy, or inability to understand the study. 88% of participants completed 1 year of follow up.

Intervention

121 participants were allocated to a home-based exercise programme run by a district nurse. The programme was implemented as part of the nurse's usual work and included muscle strengthening and balance-retraining exercises of increasing difficulty as well as a walking programme. Individually tailored exercise …

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