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

https://doi.org/10.1136/ebn.5.1.22

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    Robertson MC, Devlin N, Gardner MM, et al. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial.BMJ2001 Mar 24;322:697–701OpenUrlAbstract/FREE Full Text

    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. …

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    Footnotes

    • Source of funding: Health Funding Authority Northern Division, New Zealand.

    • For correspondence: Dr M C Robertson, Department of Medical and Surgical Sciences, Otago Medical School, PO Box 913, Dunedin, New Zealand. Fax +64 3 474 7641.

    • A modified version of this abstract appears in Evidence-Based Medicine.