Physiotherapy
Volume 96, Issue 1 , Pages 38-43 , March 2010

The National Clinical Audit of Falls and Bone Health—secondary prevention of falls and fractures: a physiotherapy perspective

  • Victoria Goodwin

      Affiliations

    • Primary Care Research Group, Peninsula College of Medicine and Dentistry, Exeter EX1 2LU, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 (0) 1392 262745; fax: +44 (0) 1392 432223.
    • ,
  • Finbarr C. Martin

      Affiliations

    • Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK
    • ,
  • Janet Husk

      Affiliations

    • Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK
    • ,
  • Derek Lowe

      Affiliations

    • Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK
    • ,
  • Robert Grant

      Affiliations

    • Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK
    • ,
  • Jonathan Potter

      Affiliations

    • Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK

References 

  1. Braithwaite RS, Col NF, Wong JB. Estimating hip fracture morbidity, mortality and costs. J Am Geriatr Soc. 2003;51:364–370
  2. Blake AJ, Morgan K, Bendall MJ, Dallosso H, Ebrahim SB, Arie TH, et al. Falls by elderly people at home: prevalence and associated factors. Age Ageing. 1998;17:365–372
  3. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707
  4. Jarvinen TLN, Sievanen H, Khan KM, Heinonen A, Kannus P. Shifting the focus in fracture prevention from osteoporosis to falls. BMJ. 2008;336:124–126
  5. British Orthopaedic Association . The care of patients with a fragility fracture. London: British Orthopaedic Association; 2007;
  6. Lord SR, McLean D, Stathers G. Physiological factors associated with injurious falls in older people living in the community. Gerontology. 1992;38:338–346
  7. Salkeld G, Cameron ID, Cumming RG, Easter S, Seymour J, Kurrle SE, et al. Quality of life related to fear of falling and hip fracture in older women: a time trade off study. BMJ. 2000;320:341–346
  8. Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004;328:680–686
  9. Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet. 1999;353:93–97
  10. Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009;2:Art.No.CD007146. doi:10.1002/14651858.CD007146.pub2
  11. Tinetti ME, Baker D, McAvay G, Claus EB, Garrett P, Gottschalk M, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994;331:821–827
  12. Gates S, Lamb SE, Fisher JD, Cooke MW, Carter YH. Multifactorial assessment and targeted intervention for preventing falls and injuries among older people in community and emergency care settings: systematic review and meta-analysis. BMJ. 2008;336:130–133
  13. Barnett A, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age Ageing. 2003;32:407–414
  14. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997;315:1065–1069
  15. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Buchner DM. Falls prevention over 2 years: a randomised controlled trial in women aged 80 years and over. Age Ageing. 1999;28:513–518
  16. Day L, Fildes B, Gordon I, Fitzharris M, Flamer H, Lord S. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ. 2002;325:128–133
  17. Province MA, Hadley EC, Hornbrook MC. 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
  18. Robertson MC, Devlin N, Gardner MM, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls 1: randomised controlled trial. BMJ. 2001;322:697–701
  19. Robertson MC, Campbell AJ, Gardner MM, Devlin N. Preventing injuries in older people by preventing falls: a meta-analysis of individual level data. J Am Geriatr Soc. 2002;50:905–911
  20. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56:2234–2243
  21. Skelton D, Dinan S, Campbell M, Rutherford O. Tailored group exercise (Falls Management Exercise—FaME) reduces falls in community-dwelling older frequent fallers (an RCT). Age Ageing. 2005;34:636–639
  22. Todd C, Skelton D. What are the main risk factors for falls among older people and what are the most effective interventions to prevent these falls?. Copenhagen: WHO Regional Office for Europe (Health Evidence Network); 2004;
  23. National Institute for Health Clinical Excellence . Falls: the assessment and prevention of falls in older people. Report no. CG21. London: Royal College of Nursing; 2004;
  24. Goodwin VA, Richards SH, Taylor RS, Taylor AH, Campbell JL. The effectiveness of exercise interventions for people with Parkinson's disease: a systematic review and meta-analysis. Mov Disord. 2008;23:631–640
  25. Shaw FE. Prevention of falls in older people with dementia. J Neural Transm. 2007;114:1259–1264
  26. American Geriatrics Society , British Geriatrics Society , American Academy of Orthopaedic Surgeons . Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 2001;49:664–672
  27. Department of Health . National service framework for older people. Report no. 23633. London: HMSO; 2001;
  28. Department of Health . Preventing accidental injury—priorities for action. London: The Stationary Office; 2002;
  29. Simpson JM, Harrington R, Marsh N. Managing falls among elderly people. Physiotherapy. 1998;84:173–177
  30. Chartered Society of Physiotherapy , College of Occupational Therapists . The national collaborative audit for the rehabilitative management of elderly people who have fallen. London: Chartered Society of Physiotherapy; 2000;
  31. Royal College of Physicians . National audit of the organisation of services for falls and bone health for older people. London: Royal College of Physicians; 2006;
  32. MacGregor C, Riglin J. Update on the national clinical audit of falls and bone health for older people 2007. Agility. 2007;20–22
  33. Royal College of Physicians . National clinical audit of falls and bone health in older people. London: Royal College of Physicians; 2007;
  34. Chartered Society of Physiotherapy . Core standards of physiotherapy practice. London: Chartered Society of Physiotherapy; 2005;
  35. Royal College of Physicians . National audit of the organisation of services for falls and bone health of older people. London: Royal College of Physicians; 2009;
  36. Campbell AJ, Robertson MC. Rethinking individual and community fall prevention strategies: a meta-regression comparing single and multifactorial interventions. Age Ageing. 2007;36:656–662
  37. Salter AE, Khan KM, Donaldson MG, Davis JC, Buchanan J, Abu-Laban RB, et al. Community-dwelling seniors who present to the emergency department with a fall do not receive guideline care and their fall risk profile worsens significantly: a 6-month prospective study. Osteoporos Int. 2006;17:672–683
  38. Lamb SE. Effectiveness of falls prevention and rehabilitation strategies in older people: implications for physiotherapy. London: Chartered Society of Physiotherapy; 2001;
  39. Edwards BJ, Bunta AD, Simonelli C, Bolander M, Fitzpatrick LA. Prior fractures are common in patients with subsequent hip fracture. Clin Orthop Relat Res. 2007;461:226–230
  40. Shumway-Cook A, Ciol MA, Gruber W, Robinson C. Incidence of and risk factors for falls following hip fracture in community dwelling older adults. Phys Ther. 2005;85:648–655
  41. Metcalfe C, Lewin R, Wisher S, Perry S, Bannigan K, Klaber Moffett J. Barriers to implementing the evidence base in four NHS therapies. Physiotherapy. 2001;87:433–441
  42. Barnard S, Wiles R. Evidence-based physiotherapy: physiotherapists’ attitudes and experiences in the Wessex area. Physiotherapy. 2001;87:115–124

PII: S0031-9406(09)00089-3

doi: 10.1016/j.physio.2009.07.003

Physiotherapy
Volume 96, Issue 1 , Pages 38-43 , March 2010

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