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Fall prevention strategies in community-dwelling older adults aged 65 or over with type 2 diabetes mellitus: a systematic review and meta-analysis
Phys Ther Rehabil Sci 2018;7:197-203
Published online December 30, 2018
© 2018 Korean Academy of Physical Therapy Rehabilitation Science.

Sujin Hwanga , and Youngkeun Woob

aDepartment of Physical Therapy, Division of Health Science, Baekseok University, Cheonan, Republic of Korea
bDepartment of Physical Therapy, College of Medical Science, Jeonju University, Jeonju, Republic of Korea
Correspondence to: Sujin Hwang (ORCID https://orcid.org/0000-0001-8471-0103)
Department of Physical Therapy, Division of Health Science, Baekseok University, 76 Munam-ro, Dongnam-gu, Cheonan 31065, Republic of Korea
Tel: 82-41-550-2309 Fax: 82-41-550-2829 E-mail: sujin928@gmail.com
Received October 23, 2018; Revised November 20, 2018; Accepted November 21, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Objective: Independent walking is the most essential prerequisite to maintain quality of life in older persons. The purpose of this review was to investigate the effect of fall prevention strategies on fall risk for type 2 diabetes mellitus (T2DM) within community-dwelling older adults aged 65 and over.
Design: A systematic review and meta-analysis.
Methods: PubMed and three other databases were searched up to October 31st, 2018 and randomized controlled trials (RCTs) evaluating fall prevention strategies for fall risk in persons who were 65 years of age or above with T2DM were included. The review extracted the following information from each study selected: first author’s surname, published year, country, study population, type of intervention, intensity of intervention, comparison, measurement variables, additional therapy, summary of results, and mean and standard deviation from selected studies.
Results: This review selected fourteen RCTs with 460 older adults with diabetes mellitus. Of the 14 studies, the types of intervention used to improve the risk of falls were strengthening (5), aerobic exercises (2), multimodal exercises (4), one virtual reality exercise (1), whole body vibration with balance exercise (1), and Tai Chi exercise (1). Seven RCTs were eligible for the meta-analysis. Therapeutic interventions were more effective than the control group for the Timed Up-and-Go test (−1.11; 95% CI, −1.82 to −0.41) and the 6-minute Walk Test (−1.89; 95% CI, −8.33 to 4.54).
Conclusions: The results of the review suggest that interventions to prevent fall risk in older adults with T2DM should focus on strengthening, balance, aerobic, and multimodal exercises.
Keywords : Accidental falls, Aged, Diabetes mellitus

 

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