Falls are a multifactorial phenomenon, and subsequently assessment of risk factors for falls and implementation of preventive strategies need to reflect this. A number of large prospective studies have determined key risk factors for falling, many of which are amenable to correction.
In terms of single risk factor interventions, exercise has been found to be effective, whereas the value of environmental modifications to promote safety in the home and strategies for reducing hazardous medication use in preventing falls have not been demonstrated conclusively. Studies addressing further single risk factors amenable to intervention such as impaired vision, unsafe footwear, and non- or inappropriate use of assistive devices have yet to be performed.
Multifaceted interventions have been found to be effective in preventing falls, particularly those in which older people are assessed by a health professional trained to identify both intrinsic and environmental risk factors.
KeywordsStrong Risk Factor Multifaceted Intervention Older People Single Risk Factor Fall Risk Factor
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- Buchner DM, Cress ME, de Lateur BJ, et al. (1997) The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. J Gerontol 52: M218–224.Google Scholar
- Gillespie LD, Gillespie WJ, Cumming R, Lamb SE, Rowe BH (2001) Interventions to reduce the incidence of falling in the elderly (Cochrane Review). In: The Cochrane Library, Issue 4. Oxford: Update Software.Google Scholar
- Leipzig RM, Cumming RG, Tinetti ME (l999) Drugs and falls in older people: a systematic review and meta-analysis: I. Psychotropicdrugs. J Am Geriatr Soc 47: 30–39.Google Scholar
- Lord S, Sherrington C, Menz H (2001) Falls in Older People: Risk Factors and Strategies for Prevention. Cambridge: Cambridge University Press.Google Scholar
- Lord S, Ward J, Williams P, Strudwick M (1995) The effect of a 12-month exercise trial on balance, strength, and falls in older women: a randomized controlled trial. Arch Phys Med Rehabil 43: 1198–1206.Google Scholar
- Tinetti ME, Baker DI, McAvay G, et al. (1994) A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 331: 821–827.Google Scholar
- Wolf SL, Barnhart HX, Kutner NG, McNeely E, Coogler C, Xu T (l996) Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta PICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Am Geriatr Sac 44: 489–497.Google Scholar