Health Management

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Effects of a multi-factorial falls prevention program for people with stroke returning home after rehabilitation: a randomized controlled trial. Batchelor FA, Hill KD, Mackintosh SF, Said CM, Whitehead CH. Arch. Phys. Med. Rehabil. 2012; ePub(ePub): ePub. Stroke victims aged 45 and older being discharged home received usual care (n = 85) which included referrals to physiotherapists and occupational therapists and follow-up by their general medical practitioner or received the intervention (n = 71) which consisted of a multifactorial, individually tailored falls prevention program. The intervention consisted of Otago home exercise program and other risk reduction strategies/information (additional exercise recommendations along with information and referrals around footwear, hearing, vision, medication information, etc.) Participants at high risk for falling were prescribed hip protectors or referred to their general practitioner for vitamin D and calcium. Results over 12 months showed no significant reduction in falls nor was it more effective than usual care in improving gait, balance and strength. Issues related to sample size, recruitment, heterogeneity of the sample, the intervention and the potential for similarity in intervention and control conditions may have contributed to the lack of a significant effect. http://www.sciencedirect.com/science/article/pii/S0003999312002511

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تاریخ انتشار 2012