Evidence map›Paper›PMID 25573760›Full record

GuidelinePhysical therapy2015

Management of falls in community-dwelling older adults: clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association.

Keith G Avin, Timothy A Hanke, Neva Kirk-Sanchez, Christine M McDonough, Tiffany E Shubert, Jason Hardage, Greg Hartley, Academy of Geriatric Physical Therapy of the American Physical Therapy Association

Registry-linked trialAbstract readPractice Guideline
PubMed Full text at PMC Publisher
In one paragraph

Guideline in Physical therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05173532 (The Prescriptive Validity of a Novel Fall Risk Clinical Prediction Rule for People With COPD), which is not on this map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05173532 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The Prescriptive Validity of a Novel Fall Risk Clinical Prediction Rule for People With COPD

TypeinterventionalSponsorTexas Woman's UniversityRan2021 to 2022Enrolled88ConditionsPulmonary Disease, Chronic ObstructiveArmsBalance Training, Breathing and Stretching Exercises
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
    Trial
  10. Trial
  11. A Systematic Review of Stair Fall Risk Assessment Instruments in Older Adults.Archives of rehabilitation research and clinical translation · 2026
    Review
  12. Article
  13. Effects of balance physical therapy with or without cognitive training in adults with cognitive and balance impairments : a systematic review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
    Review
  14. Article
  15. Article
  16. Fall prevention among older adults in KSA: Role of physical therapy.Journal of Taibah University Medical Sciences · 2024
    Article
  17. Observational
  18. Article
  19. Article
  20. Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Keith G AvinK.G. Avin, PT, PhD, Department of Physical Therapy, Indiana University School of Health and Rehabilitation Sciences, Indianapolis, Indiana.
Timothy A HankeT.A. Hanke, PT, PhD, Physical Therapy Program, College of Health Sciences, Midwestern University, Downers Grove, Illinois.
Neva Kirk-SanchezN. Kirk-Sanchez, PT, PhD, Department of Physical Therapy, University of Miami, Coral Gables, Florida.
Christine M McDonoughC.M. McDonough, PT, PhD, Department of Health Policy and Management, Health and Disability Research Institute, Boston University School of Public Health, Boston, Massachusetts, and Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Tiffany E ShubertT.E. Shubert, PT, PhD, Shubert Consulting, Chapel Hill, North Carolina.
Jason HardageJ. Hardage, PT, DPT, DScPT, GCS, NCS, CEEAA, Outpatient Neurologic Rehabilitation Program, Stanford Health Care, 300 Pasteur Dr, Room B33, MC 5284, Stanford, CA 94305 (USA). JHardage@stanfordhealthcare.org.
Greg HartleyG. Hartley, PT, DPT, GCS, CEEAA, Department of Rehabilitation, St Catherine's Rehabilitation Hospital, North Miami, Florida, and Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, Florida.
Academy of Geriatric Physical Therapy of the American Physical Therapy Association

Funding

Outcomes Calculators for Informed Decision Making in Back SurgeryP60AR062799 · NIAMS · DARTMOUTH COLLEGE · PI TOSTESON, ANNA N. A. · 2012 to 2016
$6.1M
NIAMS NIH HHS P60 AR062799
6 · The paper itself

Abstract

backgroundFalls in older adults are a major public health concern due to high prevalence, impact on health outcomes and quality of life, and treatment costs. Physical therapists can play a major role in reducing fall risk for older adults; however, existing clinical practice guidelines (CPGs) related to fall prevention and management are not targeted to physical therapists.

objectiveThe purpose of this clinical guidance statement (CGS) is to provide recommendations to physical therapists to help improve outcomes in the identification and management of fall risk in community-dwelling older adults. DESIGN AND

methodsThe Subcommittee on Evidence-Based Documents of the Practice Committee of the Academy of Geriatric Physical Therapy developed this CGS. Existing CPGs were identified by systematic search and critically appraised using the Appraisal of Guidelines, Research, and Evaluation in Europe II (AGREE II) tool. Through this process, 3 CPGs were recommended for inclusion in the CGS and were synthesized and summarized.

resultsScreening recommendations include asking all older adults in contact with a health care provider whether they have fallen in the previous year or have concerns about balance or walking. Follow-up should include screening for balance and mobility impairments. Older adults who screen positive should have a targeted multifactorial assessment and targeted intervention. The components of this assessment and intervention are reviewed in this CGS, and barriers and issues related to implementation are discussed. LIMITATIONS: A gap analysis supports the need for the development of a physical therapy-specific CPG to provide more precise recommendations for screening and assessment measures, exercise parameters, and delivery models.

conclusionThis CGS provides recommendations to assist physical therapists in the identification and management of fall risk in older community-dwelling adults.

Indexed as

Independent LivingMass ScreeningAccidental FallsAgedHumansPhysical Therapy SpecialtyPostural BalanceRisk AssessmentWalking

Identifiers

PMID25573760
PMCPMC4757637

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.