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Evid Based Nurs 5:22 doi:10.1136/ebn.5.1.22
  • Treatment

A home based, nurse delivered exercise programme reduced falls and serious injuries in people ≥80 years of age


 
 QUESTION: In people ≥75 years of age, is a home based exercise programme that includes strength and balance retraining delivered by a nurse effective for reducing falls and related injuries?

Design

Randomised {allocation concealed}*, blinded (outcome assessors), controlled trial with 1 year of follow up.

Setting

A home health service in a geriatric assessment and rehabilitation hospital in New Zealand.

Participants

240 people who were ≥75 years of age (mean age 81 y, 68% women) and were living in their own homes. Exclusion criteria were inability to walk around their own residence, current receipt of physiotherapy, or inability to understand the study. 88% of participants completed 1 year of follow up.

Intervention

121 participants were allocated to a home based exercise programme run by a district nurse. The programme was implemented as part of the nurse's usual work and included muscle strengthening and balance retraining exercises of increasing difficulty and a walking programme. …

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