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Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews

Harwood, Rowan; Booth, Vicky; Booth, Victoria; Logan, Pip; Harwood, Rowan H.; Hood, Victoria

Authors

Victoria Booth

PIP LOGAN pip.logan@nottingham.ac.uk
Professor of Rehabilitation Research

Rowan H. Harwood



Abstract

Aim: This critical review explores the review material on falls prevention interventions in older adults with a cognitive impairment such as dementia.

Method: A critical, systematic, review of review method was used. Five large electronic databases, MEDLINE, EMBASE, AMED, CINAHL, and the Cochrane electronic library, were searched. The search terms ‘falls’, ‘rehabilitation’, ‘falls prevention’, ‘interventions’, ‘cognitive impairment’, ‘dementia’, and ‘Alzheimer’s disease’, were used. All available reviews were marked against predetermined inclusion and exclusion criteria.

Results: There were seven reviews which met the inclusion criteria. Only one of the included reviews had a homogenous population of adults with a cognitive impairment. Exercise was the most commonly reported intervention, included in 91 studies and all seven reviews. Multifactorial and multicomponent falls prevention programmes were also frequently reported. Reports of efficacy were inconsistent for all interventions.

Conclusion: Evidence for falls prevention interventions for adults with cognitive impairment is varied and inconclusive. When compared to literature for falls interventions in healthy older adults, both primary and synthesis studies in older adults with cognitive impairment are lacking in quality, number and homogeneity of sample population and interventions. Promising results are emerging but clinical recommendations cannot be made at this time.

Journal Article Type Article
Publication Date Jun 2, 2015
Journal International Journal of Therapy and Rehabilitation
Print ISSN 1741-1645
Electronic ISSN 1759-779X
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 22
Issue 6
Pages 289-296
APA6 Citation Harwood, R., Booth, V., Booth, V., Logan, P., Harwood, R. H., & Hood, V. (2015). Falls prevention interventions in older adults with cognitive impairment: A systematic review of reviews. International Journal of Therapy and Rehabilitation, 22(6), 289-296. https://doi.org/10.12968/ijtr.2015.22.6.289
DOI https://doi.org/10.12968/ijtr.2015.22.6.289
Keywords cognitive impairment, dementia, falls, fall interventions, critical review
Publisher URL http://dx.doi.org/10.12968/ijtr.2015.22.6.289
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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