【メタ分析】歩行適応トレーニングは高齢地域住民の転倒数と転倒に伴う骨折を減少させる

Conclusion:

Gait adaptability training significantly reduces the number of falls and prevents fall-related fractures in older community dwellers.

Result:

• Gait adaptability training reduces fall rates by 42% (incidence rate ratio 0.58, 95% confidence interval [CI] 0.39–0.81, I2 = 0.00%; moderate certainty; seven RCTs).

• Proportion with fall-related fractures and proportion of fallers was reduced by 81% (risk ratio [RR] 0.19, 95% CI 0.06–0.56, I2 = 0.00%; very low certainty; two RCTs) and 43% (RR 0.57, 95% CI 0.4–to 0.8, I2 = 47.08%; low certainty; 11 RCTs), respectively.

Nørgaard, J. E., Jorgensen, M. G., Ryg, J., Andreasen, J., Danielsen, M. B., Steiner, D. K., & Andersen, S. (2021). Effects of gait adaptability training on falls and fall-related fractures in older adults: a systematic review and meta-analysis. Age and ageing, afab105. Advance online publication.

https://doi.org/10.1093/ageing/afab105

accident prevention; accidental falls; exercise; gait adaptability training; older people; systematic review.

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