Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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The Literature Review on the Effectiveness of Fall-related Hip Fracture Prevention Programs

노인의 넘어짐으로 인한 고관절 골절 예방프로그램의 효과: 문헌 고찰

  • Lee, Se-young (Injury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University) ;
  • Kim, Seung-su (Injury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University) ;
  • Lim, Kitaek (Injury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University) ;
  • Choi, Woochol Joseph (Injury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University)
  • 이세영 (연세대학교 물리치료학과 낙상예방생체역학연구실) ;
  • 김승수 (연세대학교 물리치료학과 낙상예방생체역학연구실) ;
  • 임기택 (연세대학교 물리치료학과 낙상예방생체역학연구실) ;
  • 최우철 (연세대학교 물리치료학과 낙상예방생체역학연구실)
  • Received : 2021.01.11
  • Accepted : 2021.01.27
  • Published : 2021.02.20
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Abstract

While efforts have been made to address fall-related injuries in older adults, the problem is unsolved to date. The purpose of this review is to provide a guideline for fall and injury prevention programs in older adults, based on evidence generated over the past 30 years. Research articles published between 1990 and 2020 have been searched on PubMed, using keywords, including but not limited to, falls, hip fracture, injuries, intervention, older adults, prevention, hip protector, vitamin D, safe landing strategy, and exercise. Total of 98 articles have been found and categorized into five intervention areas: exercise program, hip protector, safe landing strategy, vitamin D intake, and compliant flooring. Furthermore, the articles have been rated based on their study design: class 1, randomized controlled trials; class 2, non-randomized controlled trials; class 3, experimental studies; class 4, all other studies. Exercise programs have shown to decrease the risk of fall, and associated injuries. Hip protectors, safe landing strategy, and vitamin D intake were effective in reducing a risk and incidence of hip fracture during a fall. Furthermore, compliant flooring has also decreased hip fracture risk without affecting balance. An integrated approach combining exercise program, wearing a hip protector, teaching safe landing strategies, scheduled vitamin D intake, and compliant flooring installation, is suggested to address fall-related injuries in older adults.

Keywords

References

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