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Systematic review of the effect of home modification and fall prevention programs on falls and the performance of community-dwelling older adults

CHASE A; MANN K; WASEK S; ARBESMAN M
AM J OCCUP THER , 2012, vol. 66, n° 3, p. 284-291
Doc n°: 157708
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2012.005017
Descripteurs : KB1 - TECHNIQUES D'ERGOTHERAPIE, MA - GERONTOLOGIE, DF11 - POSTURE. STATION DEBOUT

This systematic review explored the impact of fall prevention programs and home
modifications on falls and the performance of community-dwelling older adults. It
was conducted as part of the American Occupational Therapy Association's
Evidence-Based Practice Project. Thirty-three articles were analyzed and
synthesized. The strongest results were found for multifactorial programs that
included home evaluations and home modifications, physical activity or exercise,
education, vision and medication checks, or assistive technology to prevent
falls. Positive outcomes included a decreased rate of functional decline, a
decrease in fear of falling, and an increase in physical factors such as balance
and strength. The strength of the evidence for physical activity and home
modification programs provided individually was moderate. Implications for
practice, education, and research are also discussed.
CI - Copyright (c) 2012 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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