@article{ref1,
title="A simple protocol for preventing falls and fractures in elderly individuals with musculoskeletal disease",
journal="Osteoporosis international",
year="2007",
author="Kita, Kiyoshi and Hujino, K. and Nasu, T. and Kawahara, Kazuo and Sunami, Y.",
volume="18",
number="5",
pages="611-619",
abstract="Our protocol resulted in a significant prevention of falls and fractures in addition to marked improvements in the balance function.  Intervention comprised a new balance exercise and quadriceps femoris exercise.  Subjects were outpatients aged &gt;/=65 years old with musculoskeletal disorders  who had a result of &lt;/=15 s for the timed one-leg balance test. INTRODUCTION:  A study on chronological changes in the level of required care revealed that the  level of care increases markedly for older patients requiring non-intensive or  intensive long-term care. The aim of the present study was to identify frail  elderly patients among older patients with chronic pain of the musculoskeletal  system and to assess the fracture prevention and fall prevention effects of  exercise therapy using stratified analysis. METHODS: This was a prospective  cohort study consisting of 683 outpatients with chronic pain of the  musculoskeletal system who were &gt;/=65 years old and had a result of &lt;/=15  s for the timed one-leg balance test with eyes open. Intervention consisted of a  new balance exercise and quadriceps femoris exercise regimen. The main outcome  was fall rate, while secondary outcomes were the results of the timed one-leg  balance test with eyes open and fracture rate. RESULTS: Fall rate was decreased  by 44% (p &lt; 0.001) and fracture rate by 47% (p &lt; 0.05) by 8 months after  the start of the intervention. The results of the timed one-leg balance testing  with eyes open improved two- to threefold after intervention (p &lt; 0.01).  CONCLUSIONS: Our protocol has been safely implemented at a large number of  clinics in Japan, and the reductions in frequency of falls and fractures suggest  that it provides effective preventive care. </=15 were the of with a was  exercise fall and fracture to The for that in balance one-leg timed s care.<p  preventive effective provides it suggest fractures falls frequency reductions  Japan, clinics number large at implemented safely been has protocol Our  CONCLUSIONS: 0.01). < (p intervention after threefold two- improved open eyes  testing results intervention. start months 8 by 0.05) 47% rate 0.001) 44%  decreased Fall RESULTS: rate. test outcomes secondary while rate, outcome main  regimen. femoris quadriceps new consisted Intervention open. /> <p>Language: en</p></BODY>",
language="en",
issn="0937-941X",
doi="10.1007/s00198-006-0288-6",
url="http://dx.doi.org/10.1007/s00198-006-0288-6"
}