Evidence map›Paper›PMID 26838998›Full record

Trial reportBMC geriatrics2016

Exercise and fall prevention self-management to reduce mobility-related disability and falls after fall-related lower limb fracture in older people: protocol for the RESTORE (Recovery Exercises and STepping On afteR fracturE) randomised controlled trial.

Catherine Sherrington, Nicola Fairhall, Catherine Kirkham, Lindy Clemson, Kirsten Howard, Constance Vogler, Jacqueline C T Close, Anne M Moseley, Ian D Cameron, Jenson Mak and 2 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Extremity injuries and dementia disproportionately increase the risk for long-term care at older age in an analysis of German Health Insurance routine data for the years 2006 to 2010.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2016
    Article
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

12 authors at 5 institutions in 1 country.

Catherine SherringtonThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia. csherrington@georgeinstitute.org.au.
Nicola FairhallThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia. nfairhall@georgeinstitute.org.au.
Catherine KirkhamThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia. ckirkham@georgeinstitute.org.au.
Lindy ClemsonDiscipline of Occupational Therapy, Faculty of Heath Sciences, The University of Sydney, Sydney, Australia. lindy.clemson@sydney.edu.au.
Kirsten HowardSydney School of Public Health, The University of Sydney, Sydney, Australia. Kirsten.Howard@unisa.edu.au.
Constance VoglerNorthern Clinical School, Sydney Medical School, The University of Sydney, Sydney, Australia. constance.vogler@sydney.edu.au.
Jacqueline C T ClosePrince of Wales Clinical School, University of New South Wales, Sydney, Australia. j.close@neura.edu.au.
Anne M MoseleyThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, Australia. amoseley@georgeinstitute.org.au.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Sydney Medical School Northern, The University of Sydney, St Leonards, Australia. ian.cameron@sydney.edu.au.
Jenson MakJohn Walsh Centre for Rehabilitation Research, Sydney Medical School Northern, The University of Sydney, St Leonards, Australia. jenson.mak@health.nsw.gov.au.
David SonnabendNorthern Clinical School, Sydney Medical School, The University of Sydney, Sydney, Australia. David.Sonnabend@health.nsw.gov.au.
Stephen R LordNeuroscience Research Australia, University of New South Wales, Sydney, Australia. s.lord@neura.edu.au.
University of Sydney · AUNorthern Sydney Local Health District · AUNeuroscience Research Australia · AUThe George Institute for Global Health · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLasting disability and further falls are common and costly problems in older people following fall-related lower limb and pelvic fractures. Exercise interventions can improve mobility after fracture and reduce falls in older people, however the optimal approach to rehabilitation after fall-related lower limb and pelvic fracture is unclear. This randomised controlled trial aims to evaluate the effects of an exercise and fall prevention self-management intervention on mobility-related disability and falls in older people following fall-related lower limb or pelvic fracture. Cost-effectiveness of the intervention will also be investigated. METHODS/

designA randomised controlled trial with concealed allocation, assessor blinding for physical performance tests and intention-to-treat analysis will be conducted. Three hundred and fifty people aged 60 years and over with a fall-related lower limb or pelvic fracture, who are living at home or in a low care residential aged care facility and have completed active rehabilitation, will be recruited. Participants will be randomised to receive a 12-month intervention or usual care. The intervention group will receive ten home visits from a physiotherapist to prescribe an individualised exercise program with motivational interviewing, plus fall prevention education through individualised advice from the physiotherapist or attendance at the group based "Stepping On" program (seven two-hour group sessions). Participants will be followed for a 12-month period. Primary outcome measures will be mobility-related disability and falls. Secondary outcomes will include measures of balance and mobility, falls risk, physical activity, walking aid use, frailty, pain, nutrition, falls efficacy, mood, positive and negative affect, quality of life, assistance required, hospital readmission, and health-system and community-service contact. DISCUSSION: This study will determine the effect and cost-effectiveness of this exercise self management intervention on mobility-related disability and falls in older people who have recently sustained a fall-related lower limb or pelvic fracture. The results will have implications for the design and implementation of interventions for older people with fall related lower limb fractures. The findings of this study will be disseminated in peer-reviewed journals and through professional and scientific conferences.

trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12610000805077.

Indexed as

Disease ManagementMobility LimitationAccidental FallsAgedAged, 80 and overAustraliaExercise TherapyFemaleFractures, BoneHumansLower ExtremityMaleMiddle AgedNew ZealandQuality of LifeSelf Care

Identifiers

PMID26838998
PMCPMC4739405
OpenAlexW2267081704

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.