The Literature Review on the Effectiveness of Fall-related Hip Fracture Prevention Programs
While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles publi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Research Society of Physical Therapy
2021-02-01
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| Series: | Physical Therapy Korea |
| Subjects: |
| Summary: | While efforts have been made to address fall-related injuries in older adults, the problem
is unsolved to date. The purpose of this review is to provide a guideline for fall and injury
prevention programs in older adults, based on evidence generated over the past 30 years.
Research articles published between 1990 and 2020 have been searched on PubMed, using
keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults,
prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles
have been found and categorized into five intervention areas: exercise program, hip protector,
safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have
been rated based on their study design: class 1, randomized controlled trials; class 2, nonrandomized
controlled trials; class 3, experimental studies; class 4, all other studies. Exercise
programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe
landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip
fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk
without affecting balance. An integrated approach combining exercise program, wearing a
hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant
flooring installation, is suggested to address fall-related injuries in older adults. |
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| ISSN: | 1225-8962 2287-982X |