Document Detail

Trail-walking exercise and fall risk factors in community-dwelling older adults: preliminary results of a randomized controlled trial.
MedLine Citation:
PMID:  20831723     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To evaluate the effects of a trail-walking exercise (TWE) program on the rate of falls in community-dwelling older adults. DESIGN: Pilot randomized controlled trial (RCT). SETTING: This trial was conducted in Japan and involved community-dwelling older adults as participants. PARTICIPANTS: Sixty participants randomized into a TWE group (n=30) and a walking (W) group (n=30). INTERVENTION: Exercise class combined with multicomponent trail walking program, versus exercise class combined with simple indoor walking program. MEASUREMENT: Measurement was based on the difference in fall rates between the TWE and W groups. RESULTS: Six months after the intervention, the incidence rate ratio (IRR) of falls for the TWE group compared with the W group was 0.20 (95% confidence interval (CI)=0.04-0.91); 12 months after the intervention, the IRR of falls for the TWE group compared with the W group was 0.45 (95% CI=0.16-1.77). CONCLUSION: The results of this pilot RCT suggest that the TWE program was more effective in improving locomotion and cognitive performance under trail-walking task conditions than walking. In addition, participants who took part in the TWE demonstrated a decrease in the incidence rate of falls 6 months after trial completion. Further confirmation is needed, but this preliminary result may promote a new understanding of accidental falls in older adults.
Minoru Yamada; Buichi Tanaka; Koutatsu Nagai; Tomoki Aoyama; Noriaki Ichihashi
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2010-09-09
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  58     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1946-51     Citation Subset:  IM    
Copyright Information:
© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.
Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
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MeSH Terms
Accidental Falls / prevention & control*
Aged, 80 and over
Exercise Therapy / methods*
Follow-Up Studies
Japan / epidemiology
Pilot Projects
Time Factors
Treatment Outcome
Wounds and Injuries / epidemiology,  etiology,  rehabilitation*

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