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Date of Award
Capstone Project (On-Campus Access Only)
Doctor of Physical Therapy (DPT)
Floris G.H. Van de Ven, DPT
This work is licensed under a Creative Commons Attribution 3.0 License.
OBJECTIVE: To determine the effects of community group exercise on falls prevention in older people living in their own residences.
DESIGN: Systematic review with meta-analysis. Twenty randomized controlled trials that compared fall rates in older people, who participated in group exercise programs, with fall rates in those who did not exercise.
SETTING: Community exercise centers.
PARTICIPANTS: Subjects 60 years of age and older, living in their own residences in their communities.
RESULTS: The pooled estimate of the incidence rate ratio (effect of exercise on fall rates) was 0.96 (95% CI= 0.64-1.53). There was a high level of heterogeneity in estimates of the effects of exercise (Chi2=635.43; 19 degrees of freedom (p>.OOOOl); I2=97%.
CONCLUSION: Group exercise can prevent falls in older people. Greater effects are seen in programs that include exercises that challenge balance and have a high dose of exercise (>50 hours in the trial period). These findings can be used to design and implement exercise programs for fall prevention.
Miller, John K., "Can Exercise Programs Reduce Falls in Senior Adults?" (2010). School of Physical Therapy. 203.