Evidence map›Paper›PMID 26201510›Full record

Trial reportBMJ (Clinical research ed.)2015

Effectiveness of two year balance training programme on prevention of fall induced injuries in at risk women aged 75-85 living in community: Ossébo randomised controlled trial.

Fabienne El-Khoury, Bernard Cassou, Aurélien Latouche, Philippe Aegerter, Marie-Aline Charles, Patricia Dargent-Molina

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00545350 (Randomized Controlled Trial of Prevention of Fall-related Fractures and Other Injuries by Physical Exercise Among Community Dwelling Elderly Women), which is not on this map. Cited by 46 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 12 pooled it
12.2field-weighted citation impact, top 1% of its field
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.

NCT00545350 nacompletednot on this map

Randomized Controlled Trial of Prevention of Fall-related Fractures and Other Injuries by Physical Exercise Among Community Dwelling Elderly Women

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2007 to 2013Enrolled706ConditionsAccidental Falls, Fractures, Fall-related InjuriesArmsFall prevention exercise program
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 12 syntheses or guidelines pooled it, 117 citations in OpenAlex.

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  7. Guideline
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  11. Exercise for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2019
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  13. Trial
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  17. Build better bones with exercise (B3E pilot trial): results of a feasibility study of a multicenter randomized controlled trial of 12 months of home exercise in older women with vertebral fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Fabienne El-KhouryUniversité Paris-Sud, UMR-S1018, F-94807, Villejuif, France Université Paris Descartes, UMR-S 1153, F-75014, Paris, France Inserm, Centre de Recherche Epidémiologie et Statistique Sorbonne Paris Cité (CRESS), U1153, F-94807, Villejuif, France.
Bernard CassouUVSQ, UMR-S 1168, Université Versailles St-Quentin-en-Yvelines, France Inserm, VIMA: Vieillissement et Maladies Chroniques, U1168, F-94807, Villejuif, France AP-HP, Hôpital Sainte Périne, Centre de Gérontologie, F-75016, Paris, France.
Aurélien LatoucheConservatoire National des Arts et Metiers (Cnam), Centre for Research in Computer Science and Telecommunications (Cédric), EA4629, Paris, France.
Philippe AegerterUVSQ, UMR-S 1168, Université Versailles St-Quentin-en-Yvelines, France Inserm, VIMA: Vieillissement et Maladies Chroniques, U1168, F-94807, Villejuif, France A1 AP-HP, Hôpital Ambroise Paré, Unité de Recherche Clinique, Département de Santé Publique, Boulogne-Billancourt, France.
Marie-Aline CharlesUniversité Paris Descartes, UMR-S 1153, F-75014, Paris, France Inserm, Centre de Recherche Epidémiologie et Statistique Sorbonne Paris Cité (CRESS), U1153, F-94807, Villejuif, France.
Patricia Dargent-MolinaUniversité Paris Descartes, UMR-S 1153, F-75014, Paris, France Inserm, Centre de Recherche Epidémiologie et Statistique Sorbonne Paris Cité (CRESS), U1153, F-94807, Villejuif, France patricia.dargent@inserm.fr.
Centre de Recherche Épidémiologie et StatistiqueConservatoire National des Arts et Métiers · FRDélégation Paris 5 · FRHôpital Sainte-Périne · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of a two year exercise programme of progressive balance retraining in reducing injurious falls among women aged 75-85 at increased risk of falls and injuries and living in the community.

designPragmatic multicentre, two arm, parallel group, randomised controlled trial.

setting20 study sites in 16 medium to large cities throughout France.

participants706 women aged 75-85, living in their own home, and with diminished balance and gait capacities, randomly allocated to the experimental intervention group (exercise programme, n=352) or the control group (no intervention, n=354).

interventionWeekly supervised group sessions of progressive balance training offered in community based premises for two years, supplemented by individually prescribed home exercises. OUTCOME MEASURES: A geriatrician blinded to group assignment classified falls into one of three categories (no consequence, moderate, severe) based on physical damage and medical care. The primary outcome was the rate of injurious falls (moderate and severe). The two groups were compared for rates of injurious falls with a "shared frailty" model. Other outcomes included the rates of all falls, physical functional capacities (balance and motor function test results), fear of falling (FES-I), physical activity level, and perceived health related quality of life (SF-36). Analysis was by intention to treat.

resultsThere were 305 injurious falls in the intervention group and 397 in the control group (hazard ratio 0.81, 95% confidence interval 0.67 to 0.99). The difference in severe injuries (68 in intervention group v 87 in control group) was of the same order of magnitude (0.83, 0.60 to 1.16). At two years, women in the intervention group performed significantly better on all physical tests and had significantly better perception of their overall physical function than women in the control group. Among women who started the intervention (n=294), the median number of group sessions attended was 53 (interquartile range 16-71). Five injurious falls related to the intervention were recorded.

conclusionA two year progressive balance retraining programme combining weekly group and individual sessions was effective in reducing injurious falls and in improving measured and perceived physical function in women aged 75-85 at risk of falling.Trial registration ClinicalTrials.gov (NCT00545350).

Indexed as

Accidental FallsAccidents, HomeActivities of Daily LivingAgedAged, 80 and overEnvironment DesignExercise TherapyFemaleFranceHumansPatient CompliancePostural BalanceQuality of LifeResistance TrainingTreatment Outcome

Identifiers

PMID26201510
PMCPMC4511529
OpenAlexW2153199561

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.