Resistance and Agility Training Reduce Fall Risk in Women Aged 75 to 85 with Low Bone Mass: A 6-Month Randomized, Controlled Trial

Journal of the American Geriatrics Society

Volumn 52, Issue 5, 2004, Pages 657-665

  Liu Ambrose, Teresa ^a,b   Khan, Karim M ^a,b,c   Eng, Janice J ^b,c   Janssen, Patti A ^a,b   Lord, Stephen R ^d   McKay, Heather A ^a,b  

^a University of British Columbia and the Children s and Women s Hospital and Health Centre of British Columbia   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c GF STRONG REHABILITATION CENTRE   (Canada)

^d UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Accidental falls; Aged; Exercise; Fall risk; Low bone mass

Indexed keywords

AGED; ARTICLE; BONE MASS; CLINICAL TRIAL; COMMUNITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EXERCISE; FALLING; FEMALE; HUMAN; MAJOR CLINICAL STUDY; OUTCOMES RESEARCH; PROPRIOCEPTION; RANDOMIZED CONTROLLED TRIAL; REACTION TIME; RISK ASSESSMENT; SCORING SYSTEM; STRENGTH; TRAINING; VISION;

ACCIDENTAL FALLS; AGE FACTORS; AGED; AGED, 80 AND OVER; BONE DENSITY; DENSITOMETRY, X-RAY; EXERCISE; FEMALE; FRACTURES, BONE; HUMANS; PHYSICAL FITNESS; POSTURE; PROSPECTIVE STUDIES; RISK FACTORS; TIME FACTORS;

EID: 2342521854     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2004.52200.x     Document Type: Article

References (33)

1. Tinetti ME. Clinical practice. Preventing falls in elderly persons. N Engl J Med 2003;348:42-49.
2. Evans JG. Fallers, non-fallers and Poisson. Age Ageing 1990;19:268-269.
3. Carter ND, Kannus P, Khan KM. Exercise in the prevention of falls in older people: A systematic literature review examining the rationale and the evidence. Sports Med 2001;31:427-438.
4. Lord S, Ward J, Williams P et al. The effect of a 12-month exercise trial on balance, strength, and falls in older women: A randomized trial. J Am Geriatr Soc 1995;43:1198-1206.
5. Wolf S, Barnhart H, Kutner N et al. Reducing frailty and falls in older persons: An investigation of tai chi and computerized balance training. J Am Geriatr Soc 1996;44:489-497.
6. Campbell J, Robertson M, Gardner M et al. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ 1997;315:1065-1069.
7. Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures. Lancet 2002;359:1761-1767.
8. Cummings S, Black D, Nevitt M et al. Bone density at various sites for prediction of hip fractures. Lancet 1993;341:72-75.
9. Liu-Ambrose T, Eng J, Khan K et al. Older women with osteoporosis have increased postural sway and weaker quadriceps strength than counterparts with normal bone mass: Overlooked determinants of fracture risk? J Gerontol A Biol Sci Med Sci 2003;58A:M862-M866.
10. Carter ND, Khan KM, McKay HA et al. Community-based exercise program reduces risk factors for falls in 65- to 75-year-old women with osteoporosis: Randomized controlled trial. Can Med Assoc J 2002;167:997-1004.
11. WHO Study Group. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Geneva: World Health Organization, 1994.
12. Chisholm D, Collins M, Kulak L et al. Physical activity readiness. BrCol MedJ 1975;17:375-378.
13. Canadian Society for Exercise Physiology. Par-Q and You. Gloucester, Ontario. Canada: Canadian Society of Exercise Physiology, 1994.
14. Folstein MF, Folstein SE, McHugh PR. 'Mini-mental state'. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.
15. Krieger N, Tenenhouse A, Joseph L et al. The Canadian Multicentre Osteoporosis Study. Can J Aging 1999;18:376-387.
16. Washburn RA, Smith KW, Jette AM et al. The Physical Activity Scale for the Elderly (PASE): Development and evaluation. J Clin Epidemiol 1993;46:153-162.
17. Washburn RA, McAuley E, Katula J et al. The physical activity scale for the elderly (PASE): Evidence for validity. J Clin Epidemiol 1999;52:643-651.
18. Lord S, Menz H, Tiedeman A. A physiological profile approach to falls risk assessment and prevention. Phys Thor 2003;83:237-252.
19. Lord S, Clark R, Webster 1. Physiological factors associated with falls in an elderly population. J Am Geriatr Soc 1991;39:1194-1200.
20. Lord S, Ward J, Williams P et al. Physiological factors associated with falls in older community-dwelling women. J Am Geriatr Soc 1994;42:1110-1117.
21. Lord S, Castell S. Physical activity program for older people: Effect on balance, strength, neuromuscular control, and reaction time. Arch Phys Med Rehabil 1994;75:648-652.
22. Howe J, Inness E, Verrier M. et al. Development of the Community Balance and Mobility Scale (CB & M) for Traumatic Brain Injury (TBI). Indianapolis, IN: American Congress of Rehabilitation Medicine, 1999.
23. Wallmann HW. Comparison of elderly nonfallers and fallers on performance measures of functional reach, sensory organization, and limit of stability. J Gerontol A Biol Sci Mol Sci 2001;56A:M580-M583.
24. Briggs R, Gossman M, Birch R et al. Balance performance among noninstitutionalized elderly women. Phys Activity 1989;69:748-756.
25. Braith RW, Graves JE, Leggett SH et al. Effect of training on the relationship between maximal and submaximal strength. Med Sci Sports Exerc 1993; 25:132-138.
26. Province MA, Hadley EC, Hornbrook MC et al. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA 1995;273:1341-1347.
27. Ledin T, Kronhed A, Moller C et al. Effects of balance training in elderly evaluated by clinical tests and dynamic posturography. J Vestib Res 1991; 1:129-138.
28. Lord S, Caplan G, Ward J. Balance, reaction time, and muscle strength in exercising and nonexercising older women: A pilot study. Arch Phys Med Rehabil 1993;74:837-839.
29. Wolfson L, Whipple R, Derby C et al. Balance and strength training in older adults: Intervention gains and Tai Chi maintenance. J Am Geriatr Soc 1996;44:498-506.
30. Chandler J, Duncan P, Kochersberger G et al. Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders? Arch Phys Med Rehabil 1998;79:24-30.
31. Nelson ME, Fiatarone MA, Morganti CM et al. Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA 1994;272:1909-1914.
32. Murphy A, Wilson The ability of tests of muscular function to reflect training-induced changes in performance. J Sports Sci 1997;15:191-201.
33. Spirduso W. Physical fitness in relation to motor aging. In: Mortimer J, Pirozzolo E, Maletta G., eds. The Aging Motor System. New York: Praeger, 1982, pp 120-151.