Abstract:
BACKGROUND:Falls are the leading cause of fatal and non-fatal injuries among older adults. Exercise programs appear to reduce fall risk, but the optimal type, frequency, and duration of exercise is unknown. External perturbations such as tripping and slipping are a major contributor to falls, and task-specific perturbation training to enhance dynamic stability has emerged as a promising approach to modifying fall risk. The purpose of this pilot study was 1) to determine the feasibility of conducting a large pragmatic randomized trial comparing a multidimensional exercise program inclusive of the surface perturbation treadmill training (SPTT) to multidimensional exercise alone (Standard PT); and 2) to assess fall outcomes between the two groups to determine whether an effect size large enough to warrant further study might be present. METHODS:A randomized pilot study at two outpatient physical therapy clinics. Participants were over age 64 and referred for gait and balance training. Feasibility for a larger randomized trial was assessed based on the ability of therapists to incorporate the SPTT into their clinical practice and acceptance of study participation by eligible patients. Falls were assessed by telephone interview 3 months after enrollment. RESULTS:Of 83 patients who were screened, 73 met inclusion criteria. SPTT was successfully adapted into clinical practice and 88% of eligible subjects were willing to be randomized, although 10% of the SPTT cohort dropped out prior to treatment. The SPTT group showed fewer subjects having any fall (19.23% vs. 33.33% Standard PT; p < 0.227) and fewer having an injurious fall (7.69% vs. 18.18%; p < 0.243). These results were not statistically significant but this pilot study was not powered for hypothesis testing. CONCLUSIONS:Physical therapy inclusive of surface perturbation treadmill training appears clinically feasible, and randomization between these two PT interventions is acceptable to the majority of patients. These results appear to merit longer-term study in an adequately powered trial. TRIAL REGISTRATION:clinicaltrials.gov: NCT01006967.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Lurie JD,Zagaria AB,Pidgeon DM,Forman JL,Spratt KFdoi
10.1186/1471-2318-13-49subject
Has Abstractpub_date
2013-05-16 00:00:00pages
49issn
1471-2318pii
1471-2318-13-49journal_volume
13pub_type
杂志文章,随机对照试验相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:In Germany, the number of people with dementia living in nursing homes is rapidly increasing. Providing adequate care for their special needs is a challenge for institutions and their staff members. Because of the growing number of people with dementia, changes to the conceptual orientation of nursing homes ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-13-123
更新日期:2013-11-15 00:00:00
abstract:BACKGROUND:Frailty is seen across various health and social care settings. However, little is known about how healthcare professionals, particularly those who provide care for older adults living in the community view frailty. There is also a dearth of information about the extent to which a shared understanding of fra...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1069-3
更新日期:2019-02-19 00:00:00
abstract:BACKGROUND:Vascular dementia (VaD) is the second most common form of dementia. However, there were mixed evidences about the association between blood pressure (BP) and risk of VaD in midlife and late life and limited evidence on the association between pulse pressure and VaD. METHODS:This is a population-based observ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0649-3
更新日期:2017-10-27 00:00:00
abstract:BACKGROUND:The number of people with dementia is increasing alongside the aging population, and most of these patients manifest with neuropsychiatric symptoms (NPS). The objective of this study was to investigate anti-dementia drug use and its associations with NPS. METHODS:Questionnaires on demographic information, c...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0102-4
更新日期:2015-08-13 00:00:00
abstract:BACKGROUND:Current guidelines recommend considering life expectancy before aortic valve replacement (AVR). We compared the performance of a general mortality index, the Lee index, to a frailty index. METHODS:We conducted a prospective cohort study of 246 older adults undergoing surgical (SAVR) or transcatheter aortic ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1440-4
更新日期:2020-02-03 00:00:00
abstract:BACKGROUND:There is a need for more observational studies across different clinical settings to better understand the epidemiology of the novel COVID-19 infection. Evidence on clinical characteristics of COVID-19 infection is scarce in secondary care settings in Western populations. METHODS:We describe the clinical ch...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01803-5
更新日期:2020-10-16 00:00:00
abstract:BACKGROUND:The aims of this study are to examine possible associations between left cardiac ventricular measures in sixth decade and cognitive performance, both cross sectionally and longitudinally, and to examine if left cardiac ventricular measures could predict future changes in cerebral blood flow (CBF). METHODS:2...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-13-45
更新日期:2013-05-15 00:00:00
abstract:BACKGROUND:Primary care physicians need a brief and accurate screening test of dementia. The objective of this study was to determine whether a short form of Mini-Mental State Examination (SMMSE) was as accurate as the Mini-Mental State Examination (MMSE) in screening dementia. METHODS:Based on case control design stu...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-11-59
更新日期:2011-10-04 00:00:00
abstract:BACKGROUND:Older persons represent a growing share of the population, yet very little is known about their specific healthcare needs, problems, and expectations. IMPROVE is an international research project that seeks to improve elderly persons' involvement in their healthcare. This paper analyzes perceptions of patien...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-8-9
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older people living at home, it is also essential to maintain their safety. Integrated care programs have...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/s12877-020-1482-7
更新日期:2020-02-28 00:00:00
abstract:BACKGROUND:Previous studies have reported the associations of frailty phenotype or its components with mortality. However, studies that explored the effects of transition in frailty status on mortality were far less in Asian or Chinese. The aim of this study was to evaluate baseline frailty status and one-year change o...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1039-9
更新日期:2019-01-28 00:00:00
abstract:BACKGROUND:There are knowledge gaps about the life situation for people ageing with Parkinson's disease (PD), with virtually no understanding of home and health dynamics. Therefore, the aim of the present study was to explore the association between aspects of health and objective as well as perceived housing in people...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0319-x
更新日期:2016-07-27 00:00:00
abstract:BACKGROUND:Although population-based studies have shown frailty predicted future falls, their follow-up periods were one year or longer and short-term fall risks associated with frailty are unknown. METHODS:A prospective cohort study nested within a randomised controlled trial was conducted to examine associations bet...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12877-015-0152-7
更新日期:2015-12-02 00:00:00
abstract:BACKGROUND:Older adults are at high risk for influenza-related complications including worsening frailty and function. We surveyed older Canadians to explore the impact of influenza and determine how influenza knowledge influences vaccination decision-making. METHODS:We disseminated an online survey through a national...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1180-5
更新日期:2019-06-26 00:00:00
abstract:BACKGROUND:Undernutrition prior to major abdominal surgery is frequent and increases morbidity and mortality, especially in older patients. The management of undernutrition reduces postoperative complications. Nutritional management should be a priority in patient care during the preoperative period. However undernutri...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12877-016-0402-3
更新日期:2017-01-07 00:00:00
abstract:BACKGROUND:A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disabi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01875-3
更新日期:2020-11-18 00:00:00
abstract:BACKGROUND:Research participation burden, despite being an integral concept in research ethics, is not well-conceptualized in the context of the use of technology in research. This knowledge gap is especially critical for the older adult population as new technology solutions are increasingly embedded in clinical trial...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1441-3
更新日期:2020-02-12 00:00:00
abstract:BACKGROUND:Medication related harm (MRH) is a common cause of morbidity and hospital admission in the elderly, and has significant cost implications for both primary and secondary healthcare resources. The development of risk prediction models has become an increasingly common phenomenon in medicine and can be useful t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0191-8
更新日期:2016-01-19 00:00:00
abstract:BACKGROUND:Risk prediction after myocardial infarction is often complex in older patients. The Global Registry of Acute Coronary Events (GRACE) model includes clinical parameters and age, but not frailty. We hypothesised that frailty would enhance the prognostic properties of GRACE. METHODS:We performed a prospective ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1500-9
更新日期:2020-03-13 00:00:00
abstract:BACKGROUND:The choice of measure for use as a primary outcome in geriatric research is contingent upon the construct of interest and evidence for its psychometric properties. The Late-Life Function and Disability Instrument (LLFDI) has been widely used to assess functional limitations and disability in studies with old...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2318-14-12
更新日期:2014-01-29 00:00:00
abstract:BACKGROUND:In 2015 in France, 585,560 people were nursing home residents. A large body of studies has identified predictors of poor quality of life and poor adaptation in institution, mostly for residents without dementia. With 42 to 72% of these residents diagnosed with dementia, it is crucial to identify what factors...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1434-2
更新日期:2020-03-06 00:00:00
abstract:BACKGROUND:Fall-related injuries in older adults are a major health problem. Although the aetiology of falls is multifactorial, physical factors are assumed to contribute significantly. The "Timed up and go test" (TUG) is designed to measure basic mobility function. This report evaluates the association between TUG tim...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-7-1
更新日期:2007-01-12 00:00:00
abstract:BACKGROUND:One of the most common uses of the Internet is to search for health-related information. Although scientific evidence pertaining to cognitive health promotion has expanded rapidly in recent years, it is unclear how much of this information has been made available to Internet users. Thus, the purpose of our s...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0515-3
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:The development of ambulatory emergency care services, now called 'Same Day Emergency Care' (SDEC) has been advocated to provide sustainable high quality healthcare in an ageing population. However, there are few data on SDEC and the factors associated with successful ambulatory care in frail older people. W...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01942-9
更新日期:2021-01-06 00:00:00
abstract:BACKGROUND:Sarcopenia often accompanies osteoarthritis (OA), which is managed by total knee arthroplasty (TKA) in the late stage. Recent studies have suggested a higher risk of post-operative complications after TKA in sarcopenic OA subjects, but whether TKA can benefit them similar to non-sarcopenic subjects remains u...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01929-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:As part of a nursing home intervention study, the aim of this paper was 1) to evaluate the effects of a staff education programme about person-centred care and promotion of thriving on relatives' satisfaction with quality of care and their perceptions of the person-centredness of the environment, and 2) to o...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01677-7
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The main objective is to better understand the prevalence of depressive symptoms, in long-term care (LTC) residents with or without cognitive impairment across Western Canada. Secondary objectives are to examine comorbidities and other factors associated with of depressive symptoms, and treatments used in LT...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/s12877-019-1298-5
更新日期:2019-12-02 00:00:00
abstract:BACKGROUND:Falls are a major threat to older people's health and wellbeing. Approximately half of falls occur in outdoor environments but little is known about the circumstances in which they occur. We conducted a qualitative study to explore older people's experiences of outdoor falls to develop understanding of how t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-13-125
更新日期:2013-11-18 00:00:00
abstract:BACKGROUNDS:Malnutrition has been shown to be associated with poor prognosis in older surgical patients. Several tools are available for detecting malnutrition. But little is known about their ability to assess risks of postoperative adverse outcomes. The study aimed to compare the ability of the Geriatric Nutritional ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1501-8
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:Most older adults with urinary incontinence use absorbent pads. Because of exposure to moisture and chemical irritating substances in urine, the perineal skin region is always at risk for development of incontinence-associated dermatitis (IAD). The aim of this study was to examine the efficacy of an improved...
journal_title:BMC geriatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2318-12-22
更新日期:2012-05-29 00:00:00