RT Journal Article
T1 The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis
A1 Company-Sancho, María Consuelo
A1 Alonso-Poncelas, Emma
A1 Rich-Ruiz, Manuel
A1 Cidoncha-Moreno, María Ángeles
A1 Gonzalez-Pisano, Ana
A1 Abad-Corpa, Eva
K1 Falls
K1 Elderly
K1 Community
K1 Primary care
K1 Prevention
K1 Exercise
K1 Gait
K1 Risk Factors
K1 Physical functional performance
K1 Accidentes por caídas
K1 Anciano
K1 Atención primaria de salud
K1 Prevención
K1 Ejercicio físico
K1 Marcha
K1 Factores de riesgo
K1 Rendimiento físico funcional
AB Fall prevention is a key priority in healthcare policies. Multicomponent exercises reduce the risk of falls. The purpose of this study is to describe the relationship between functional performance and falls after following the Otago multicomponent exercise programme and previous falls. A prospective multi-centre intervention study was performed on 498 patients aged over 65 in primary care, with or without a history of previous falls. Sociodemographic, anthropometric and functionality data were collected. The primary outcome was the occurrence of falls; functional performance was measured using the Tinetti, Short Physical Performance Battery and Timed Up and Go tests. Among the patients, 29.7% referred to previous falls. There was a statistically significant (p < 0.001) increase in falls at 6 months (10.1%) and at 12 months (7.6%) among participants with previous falls in the baseline assessment compared to those without. In addition, the existence of previous falls could be considered a risk factor at 6 and 12 months (OR =2.37, p = 0.002, and OR = 1.76, p = 0.046, respectively). With regard to balance and gait, differences between the groups were observed at 6 months in the Tinetti score (p < 0.001) and in the baseline assessment Timed Up and Go score (p < 0.044). Multicomponent exercises improve the fall rate, balance and gait in older people, although this improvement is less in people with previous falls. Earlier intervention and tailoring of exercises in patients with previous falls could help improve outcomes.
PB MDPI
SN 1661-7827
YR 2021
FD 2021-06-16
LK http://hdl.handle.net/10668/4492
UL http://hdl.handle.net/10668/4492
LA en
NO cite Company-Sancho MC, Alonso-Poncelas E, Rich-Ruiz M, Cidoncha-Moreno MÁ, Gonzalez-Pisano A, Abad-Corpa E, On Behalf Of Otago Project Working Group. The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis. Int J Environ Res Public Health. 2021 Jun 16;18(12):6501
DS RISalud
RD Apr 7, 2025