Evidence map›Paper›PMID 9366737›Full record

Trial reportBMJ (Clinical research ed.)1997

Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women.

A J Campbell, M C Robertson, M M Gardner, R N Norton, M W Tilyard, D M Buchner

8 registry-linked trialsAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 302 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
302citing papers in PubMed, 17 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.

NCT00545350 nacompletednot on this mapstarted 2007, after this paper: background citation

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
NCT01452243 phase3unknown statusnot on this mapstarted 2008, after this paper: background citation

Prevention of Falls and Fractures in Old People by Administration of Calcium and Vitamin D. Randomized Clinical Trial (ANVITAD)

TypeinterventionalSponsorGerencia de Atención Primaria, AlbaceteRan2008 to 2012Enrolled704ConditionsFall, FracturesArmsVitamin D and calcium suplementation
NCT02089815 nacompletednot on this mapstarted 2013, after this paper: background citation

Effectiveness of a Simple Designed Programme of Home Based Exercise in Preventing Fall and Improving Balance and Strength in Older People With Mild to Moderate Balance Dysfunction: A Randomized Controlled Trials

TypeinterventionalSponsorMahidol UniversityRan2013 to 2015Enrolled439ConditionsPatient Fall, Muscle Balance, Fear of Falling, Quality of LifeArmsHome based exercise, fall prevention education and counseling
NCT02687048 nacompletednot on this mapstarted 2016, after this paper: background citation

The Impact of Mindful Meditation on Mobility, Cognition and Fall Risk in the Older Adult.

TypeinterventionalSponsorUniversity of British ColumbiaRan2016 to 2016Enrolled23ConditionsStrokeArmsOtago Exercise program, Mindful meditation
NCT05091671 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Investigating the Effectiveness of the "Free From Pain" Exercise and Education Programme in Decreasing Early Osteoarthritic / Generalised Musculoskeletal Pain in People Over 60 Years of Age

TypeinterventionalSponsorTalita Cumi Ltd.Ran2023 to 2023Enrolled60ConditionsMusculoskeletal Pain, Fear of FallingArmsFree From Pain Exercise Programme Variation 1, Free From Pain Exercise Programme Variation 2
NCT05359107 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Pragmatic Randomised Control Trial Comparing the Efficacy of the "Free From Pain Exercise Book" Versus "The Back Book" in Decreasing Back Pain in Adults Over 60 Years of Age.

TypeinterventionalSponsorTalita Cumi Ltd.Ran2023 to 2023Enrolled60ConditionsSarcopenia, Back Pain, ArthritisArms"The Free From Pain Exercise Book", "The Back Book"
NCT06172790 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Investigation of the Effects of the Otago Exercise Program in Adults With Pulmonary Arterial Hypertension Associated With Congenital Heart Disease

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2024 to 2026Enrolled50ConditionsPulmonary Arterial Hypertension, Heart Defects, CongenitalArmsTraining
NCT06175871 nacompletednot on this mapstarted 2024, after this paper: background citation

Development of a New Clinical Rehabilitation Approach for the Management of Elderly People With a Neuromusculoskeletal Disorder and a Risk of Falls: a Partnership Project Between UQAC and the Specialized Geriatric Services of CIUSSS-SLSJ

TypeinterventionalSponsorUniversité du Québec à ChicoutimiRan2024 to 2025Enrolled11ConditionsMusculoskeletal Diseases, Chronic Disease, Fall Patients, Aging ProblemsArmsOTAGO exercises
3 · Its place in the literature

Who cites it

302 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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  9. Exercise for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2019
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  17. Effects of exercise on fracture reduction in older adults: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2013
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242 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

A J CampbellDepartment of Medicine, Dunedin School of Medicine, Otago Medical School, New Zealand. john.campbell@stonebow.otago.ac.nz
M C Robertson
M M Gardner
R N Norton
M W Tilyard
D M Buchner

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of a home exercise programme of strength and balance retraining exercises in reducing falls and injuries in elderly women.

designRandomised controlled trial of an individually tailored programme of physical therapy in the home (exercise group, n = 116) compared with the usual care and an equal number of social visits (control group, n = 117).

setting17 general practices in Dunedin, New Zealand. SUBJECTS: Women aged 80 years and older living in the community and registered with a general practice in Dunedin.

main outcome measuresNumber of falls and injuries related to falls and time between falls during one year of follow up; changes in muscle strength and balance measures after six months.

resultsAfter one year there were 152 falls in the control group and 88 falls in the exercise group. The mean (SD) rate of falls was lower in the exercise than the control group (0.87 (1.29) v 1.34 (1.93) falls per year respectively; difference 0.47; 95% confidence interval 0.04 to 0.90). The relative hazard for the first four falls in the exercise group compared with the control group was 0.68 (0.52 to 0.90). The relative hazard for a first fall with injury in the exercise group compared with the control group was 0.61 (0.39 to 0.97). After six months, balance had improved in the exercise group (difference between groups in change in balance score 0.43 (0.21 to 0.65).

conclusionsAn individual programme of strength and balance retraining exercises improved physical function and was effective in reducing falls and injuries in women 80 years and older.

Indexed as

Exercise TherapyHome Care ServicesAccidental FallsAgedAged, 80 and overFamily PracticeFemaleHumansMuscle, SkeletalNew ZealandOutcome Assessment, Health CarePostural BalanceProgram EvaluationRisk FactorsWounds and Injuries

Identifiers

PMID9366737
PMCPMC2127698

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 2 more above

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.