Document Detail


Effects of risk-based multifactorial fall prevention program on maximal isometric muscle strength in community-dwelling aged: a randomized controlled trial.
MedLine Citation:
PMID:  19039292     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIMS: The aim of this study was to assess the effects of risk-based multifactorial fall prevention program on maximal isometric strength in the community-dwelling aged. METHODS: 591 subjects were randomized in two age groups (65-74 and > or = 75 yrs), intervention group (IG) (n=293) and control group (CG) (n=298). A 12-month program consisted of individual geriatric assessment, individual guidance on fall prevention, home hazards assessment, physical exercises in groups, lectures, psychosocial activity groups, and home exercises. Strength was measured on an adjustable dynamometer chair. RESULTS: Among women, the extension strength of the left knee increased by 7% in IG and 2% in CG (p=0.006), and that of the right knee by 7% and 4% (p=0.057), respectively. Subgroup analyses in the two age groups revealed a significant difference between groups among men aged 65-74 yrs, in favour of CG subjects, whose flexion strength of the left knee increased by 14% whereas the corresponding increase in IG was only 1% (p=0.042). Among women aged 65-74 yrs, the extension strength of right (increase of 8% in IG, 4% in CG) (p=0.046) and left knees (9% and 3%) (p=0.008) and flexion strength of right (10% and 4%) (p=0.042) and left knees (10% and 4%) (p=0.041) increased more in IG than in CG. CONCLUSIONS: The 12-month fall prevention program increased maximal isometric muscle strength among women only, especially those aged 65-74 years. We suggest that more intensive exercise, including the use of extra weights or resistance, is needed to increase muscle strength in men.
Authors:
Marika Salminen; Tero Vahlberg; Sanna Sihvonen; Maarit Piirtola; Raimo Isoaho; Pertti Aarnio; Sirkka Liisa Kivelä
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Aging clinical and experimental research     Volume:  20     ISSN:  1594-0667     ISO Abbreviation:  Aging Clin Exp Res     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-11-28     Completed Date:  2009-01-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101132995     Medline TA:  Aging Clin Exp Res     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  487-93     Citation Subset:  IM    
Affiliation:
Institute of Clinical Medicine, Family Medicine, University of Turku, Turku, FI-20014, Finland. majosa@utu.fi
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control*
Aged
Female
Housing for the Elderly*
Humans
Isometric Contraction*
Male
Muscle Strength*
Resistance Training
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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