Zusammenfassung
Stürze sind ein häufiges und ernstes Problem für ältere Menschen. Bedingt durch den demografischen Wandel wird es in Zukunft immer wichtiger, sturzgefährdete Personen rechtzeitig zu identifizieren und geeigneten Interventionen zuzuführen. In der Vergangenheit sind verschiedene Interventionsansätze entwickelt und evaluiert worden. Erkenntnisse daraus werden in diesem Artikel mit entsprechenden Empfehlungen vorgestellt.
Summary
Falls are a common and serious problem facing elderly persons. Based on the demographic changes, the identification of people at risk of falling will be a major challenge in the future. Falls are a major threat to independence. In the cascade of dealing with falls in the aged population, identification is only the first step. For people at risk of falling, the right (precise) intervention is the logical next step. Multiple intervention programs have emerged during the last decade and the outcomes and guidelines will be discussed in this article. Recommendation for intervention programs will be given.
Stichworte:
Übersichtsartikel - Trainingsprogramme - Sturz im Alter - Empfehlungen
Key words:
Falls - elderly persons - intervention programs - recommendations
Literatur
-
1
Province M A et al.
The effects of exercise on falls in the elderly patients.
JAMA.
1995;
273 (17)
341-1347
-
2
Feder G, Cryer C, Donovan S, Carter Y.
Guidelines for the prevention of falls in people over 65.
BMJ.
2000;
32
007-1011
-
3
American Geriatrics S ociety, British Geriatrics Society and American Academy of Orthopaedic Surgeons Panel on Falls P revention.
Guidelines for prevention of falls in older persons.
JAGS.
2001;
49 (5)
664-672
-
4
Chang J T, Morton S C, Rubenstein L Z et al.
Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials.
BMJ.
2004;
328 (7441)
680-687
-
5 Gillespie L D, Gillespie W J, Robertson M C, Lamb S E, Cumming R G, Rowe B H. Interventions for preventing falls in elderly people (Cochrane Review). In: The Cochrane Library, Issue 2. Chichester: John Wiley & Sons; 2004
-
6 McClure R, Turner C, Peel N et. al.. Population-Based Interventions for the Prevention of Fall-Related Injuries in Older People. Cochrane Database of Systematic Reviews. 2005; CD03487
-
7 Brehm W, Pahmeier I, Tiemann M. Gesund und Fit - Gesundheitsprogramme für Erwachsene. Schorndorf: Hofmman; 2001
-
8
Stiggelbout M, Popkema D Y, Hopman-Rock M, de Greef M, van Mechelen W.
Once a week is not enough: effects of a widely implemented group based exercise programme for older adults; a randomised controlled trial.
J Epi Com Health.
2004;
58 (2)
83-88
-
9
Skelton D, Dinan S, Campbell M, Rutherford O.
Tailord group exercise (Falls management Exercies -FAME) reduces falls in community-dwelling older frequent fallers (an RCT).
Age & Ageing.
2005;
34 (6)
636-639
-
10
Campbell A J, Robertson M C, Gardner M M, Norton R N, Buchner D M.
Falls prevention over 2 years: a randomized controlled trial in women 80 years and older.
Age & Ageing.
1999;
28
513-518
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