Novaes Areta Dames Cachapuz, Ansai Juliana Hotta, Alberto Silsam Napolitano, Caetano Maria Joana Duarte, Rossi Paulo Giusti, de Melo Mariana Luiz, Gramani-Say Karina
Graduate Program in Gerontology, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil.
Paulínia City Hall, Paulínia 13140-000, SP, Brazil.
Healthcare (Basel). 2024 Aug 3;12(15):1541. doi: 10.3390/healthcare12151541.
Falls are among the top 10 causes of years lived with disability in people aged 75 and over. Preventive programs like case management (CM) are crucial.
To evaluate the effects of a multifactorial fall prevention program based on CM on physical performance, the presence of pain, and the risk of falls and fractures in older people who have suffered falls.
This randomized, single-blind clinical trial with parallel groups, Intervention Group (IG) and Control Group (CG), was composed of 55 older people with a history of falling, living in the community. All participants underwent an initial assessment via video call (containing anamnesis, timed up-and-go test, falls risk score, short physical performance battery, and clinical frax). The IG underwent CM, the physical exercise protocol, and the cognitive stimulation protocol. The CG was monitored through telephone calls and received general health and fall guidance.
No significant results were found in the physical capacity, the presence of pain, the risk of falls, or the fractures between the Intervention and Control Groups and between assessments.
This program was not effective in improving functional performance, but it was important for characterizing pain and the probability of fracture in the next 10 years in this population.
跌倒位列75岁及以上人群失能生存年数的十大原因之中。像个案管理（CM）这样的预防项目至关重要。
评估基于个案管理的多因素跌倒预防项目对跌倒过的老年人身体机能、疼痛情况、跌倒及骨折风险的影响。
本随机、单盲、平行组临床试验分为干预组（IG）和对照组（CG），纳入了55名有跌倒史的社区老年人。所有参与者通过视频通话进行初始评估（包括问诊、计时起立行走测试、跌倒风险评分、简短体能状况量表和临床骨折风险评估）。干预组接受个案管理、体育锻炼方案和认知刺激方案。对照组通过电话进行监测，并接受一般健康和跌倒指导。
干预组和对照组之间以及各次评估之间，在身体机能、疼痛情况、跌倒风险或骨折方面均未发现显著结果。
该项目在改善功能表现方面无效，但对于明确该人群的疼痛特征以及未来10年的骨折概率具有重要意义。
