Evidence-based Exercise Programme to Reduce Falls in an Elderly Population

Physiotherapy ◽  
2000 ◽  
Vol 86 (11) ◽  
pp. 594
Author(s):  
JC Adams ◽  
SL Mitchell
Keyword(s):  
Elderly Population ◽  
Exercise Programme ◽  
Evidence Based

scholarly journals Irish occupational therapists use of evidenced-based falls prevention programmes

2019 ◽  
Vol 48 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Kim Lombard ◽  
Laura Desmond ◽  
Ciara Phelan ◽  
Joan Brangan
Keyword(s):  
Older Adults ◽  
Occupational Therapists ◽  
Exercise Programme ◽  
Falls Prevention ◽  
Evidence Based ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Prevention Programmes

Purpose As one ages, the risk of experiencing a fall increases and poses a number of serious consequences; 30 per cent of individuals over 65 years of age fall each year. Evidence-based falls prevention programmes demonstrate efficacy in reducing the rate and risk of falls among older adults, but their use in Irish occupational therapy practice is unknown. This study aims to investigate the implementation of falls prevention programmes by occupational therapists working with older adults in Ireland. Design/methodology/approach A cross-sectional survey was used to gather data on the use of falls prevention programmes among occupational therapists working with older adults in any clinical setting across Ireland. Purposeful, convenience and snowball sampling methods were used. The Association of Occupational Therapists of Ireland acted as a gatekeeper. Descriptive statistics and summative content analysis were used to analyse quantitative and qualitative data, respectively. Findings In all, 85 survey responses were analysed. Over 85 per cent of respondents reported “Never” using any of the evidence-based falls prevention programmes. The “OTAGO” Exercise Programme was the most “Frequently” used programme (9.5 per cent, n = 7); 29 respondents reported using “in-department” developed falls prevention programmes and 14 provided additional comments regarding current falls prevention practices in Ireland. Originality/value In the absence of Irish data on the subject, this study provides a benchmark to describe the use of evidence-based falls programmes by Irish occupational therapists with older adults.

The Role of Novel Bone Forming Agents in the Treatment of Osteoporosis

2020 ◽  
pp. 089719002096122
Author(s):  
Hansita B. Patel ◽  
Lynsie J. Lyerly ◽  
Cheryl K. Horlen
Keyword(s):  
Elderly Population ◽  
Cost Effective ◽  
The Elderly ◽  
Bisphosphonate Therapy ◽  
Evidence Based ◽  
First Line ◽  
Treatment Of Osteoporosis ◽  
Cost Effective Treatment

Osteoporosis is a growing epidemic that leads to significant morbidity and mortality among the elderly population due to associated fractures that lead to disabilities and reduced quality of life. Bisphosphonates are well-established as a first-line and cost-effective treatment for osteoporosis. Unfortunately, clinicians are often uncertain as to how to select treatments when bisphosphonates are ineffective as initial treatment or contraindicated. Romosozumab and abaloparatide are 2 alternative agents that have been recently FDA approved for the treatment of osteoporosis in postmenopausal women at high risk for fracture or patients who have failed or are intolerant to other osteoporosis therapies. Currently, the National Osteoporosis Foundation (NOF) has no formal recommendations in regard to these 2 novel agents. The purpose of this review is to help guide pharmacists on how to ensure appropriate utilization of these 2 novel bone-forming agents as potential alternatives to bisphosphonate therapy by providing evidence-based recommendations according to the current literature and key counseling points.

scholarly journals Otago exercise programme—from evidence to practice: a qualitative study of physiotherapists’ perceptions of the importance of organisational factors of leadership, context and culture for knowledge translation in Norway

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hilde Worum ◽  
Daniela Lillekroken ◽  
Birgitte Ahlsen ◽  
Kirsti Skavberg Roaldsen ◽  
Astrid Bergland
Keyword(s):  
Knowledge Translation ◽  
Fall Prevention ◽  
Evidence Based Practice ◽  
Real Life ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Evidence Based ◽  
Major Public Health Problem ◽  
Leadership Culture ◽  
Organisational Factors

Abstract Background Falls and fall-related injuries are a major public health problem and an international priority for health services. Despite research showing that evidence-based fall prevention is effective, its translation into practice has been delayed and limited. Although organisational factors such as leadership, culture and context are key factors for implementing evidence-based practice, there is still limited information on whether these factors represent barriers in the Norwegian and international healthcare context. Thus, this study aimed to explore the views of physiotherapists in clinical practice and their leaders’ views on the importance of organisational factors, such as leadership, culture and contextual and human resources, regarding successful knowledge translation of the Otago evidence-based fall programme in a Norwegian community. Methods Four in-depth interviews with physiotherapists and a focus group interview with nine physiotherapists and leaders representing local hospitals and municipalities were conducted to collect data. The data were analysed using a thematic analysis. Results The analysis yielded an overarching theme: an empowering leader as an anchor is needed for successful knowledge translation of physiotherapists’ and leaders’ views about the role of organisational structure, leadership, culture, financial resources and competence in research-based knowledge, as well as how to enhance the clinical staff’s expertise. Four main themes further elaborated on the overarching theme: (1) multifactor leadership—the importance of reinforcement, knowledge, goals and attention; (2) potential for change in professional roles as shaped by culture, context and type of practice; (3) knowledge translation—the tension between real-life capabilities, optimism and learning; and (4) different types of support—environmental resources and social influences. Conclusions This study highlighted the importance of organisational factors in knowledge translation in fall prevention. The findings emphasise the importance of leaders’ role and style in providing a supportive culture and contextual factors during the knowledge translation process. This study provides an understanding of the knowledge translation and sustainability of evidence-based practice and the Otago exercise programme for fall prevention programmes for community-dwelling older adults in Norway.

Knowledge into action: proposing an evidence-based group prenatal exercise prescription

2021 ◽  
pp. 175791392110187
Author(s):  
M Sánchez-Polán ◽  
TS Nagpal ◽  
R Barakat
Keyword(s):  
Exercise Programme ◽  
Evidence Based ◽  
Short Report ◽  
Warm Up ◽  
Pelvic Floor Training ◽  
High Adherence ◽  
Exercise Programmes ◽  
Exercise During Pregnancy ◽  
Programme Adherence ◽  
Prenatal Exercise

Aims: In accordance with the American College of Obstetricians and Gynaecologists recommendations for exercise during pregnancy, this article provides an evidence-based prescription for a group-based prenatal exercise programme. Methods: This prescription has been tested in 21 randomized controlled trials. This short report outlines in detail the seven components included in each session (warm-up, aerobic training, resistance training, coordination and balance, pelvic floor training, cool-down, and final discussion). Results: Using the 26-item behaviour change taxonomy proposed by Abraham and Michie, we identified common techniques that are employed in each session to provide a rationale for the high-programme adherence. Conclusions: This session model can be replicated to design prenatal exercise programmes with high adherence and that can be offered by trained exercise professionals.

Osteoarthritis of the knee

2018 ◽  
Vol 11 (4) ◽  
pp. 190-197 ◽  
Author(s):  
Raymond Leung
Keyword(s):  
Knee Joint ◽  
Knee Osteoarthritis ◽  
Clinical Assessment ◽  
Elderly Population ◽  
The Elderly ◽  
Osteoarthritis Of The Knee ◽  
Evidence Based ◽  
Management Options ◽  
Common Features ◽  
Athletic Population

Osteoarthritis of the knee is a degenerative condition that is commonly seen in the elderly population and sometimes occurs earlier in the athletic population. Pain and stiffness are common features, which can be debilitating. Clinical assessment of the knee joint requires consideration of its associated muscles, ligaments, tendons, bursae and menisci. The aim of this article is to provide an overview of knee pain assessment, to discuss the diagnosis of knee osteoarthritis, and to review some evidence-based management options.

scholarly journals China’s New Directives on Nutraceuticals and Hong Kong Experience

2019 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Hong Kong ◽  
Healthy Aging ◽  
Elderly Population ◽  
The Elderly ◽  
Evidence Based ◽  
The European Union ◽  
Functional Value ◽  
Standard Procedures ◽  
Clear Change ◽  
Health Supplements

Nutraceuticals could be food or health supplements with vaguely described functional value. Inspite of the obvious uncertain health benefits, consumers maintain a blind trust. With the rising concern of healthy aging because of the explosion of the elderly population, health supplements have become ever popular. In Asia, Traditional Herbal Medicine is commonly used in nutraceuticals and China must be one of the greatest producers. Since 2015, the China FDA has issued a series of recommendations for the production of nutraceuticals which have been granted a new unique description of “Food Supplements with specific clinical use”, and instructions on their production and evaluation are subsequently given. Clinical trials with the evidence-based principles are definite requirements. Evidence-based production of nutraceuticals with specific clinical indications would follow the standard procedures of quality control; biological and pharmacological evaluation; followed by the provision of clinical evidences. Hong Kong has been following such directions of developing health supplements. Brief descriptions will be given followed with the example of a cardiovascular tonic. With such clear change of policy on the production of health supplements which is also in line with the recommendations of the European Union, one could expect a continuous supply of efficacious nutraceuticals which could be registered for marketing as proprietary drug or health supplements.

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