Why not use your own body weight to prevent falls? A randomized, controlled trial of balance therapy to prevent falls and fractures for elderly people who can stand on one leg for ≤15 s
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
Maintaining or improving motor (balance) ability is essential to extending the healthy lifespan of elderly people, and developing effective and efficient strategies to prevent falls of elderly people is an urgent. The purpose of this study was to determine the effects of balance exercise on fall and fracture prevention for elderly people with poor balance.
A 6-month, randomized controlled trial was conducted to verify whether one-leg standing with eyes open for a total of 1 min, three times a day (dynamic flamingo exercise) prevents falls and fractures. Setting and participants were elderly people ≥75 years of age and one-leg standing time ≤15.0 s living in their own home. They were visiting orthopaedic clinics for orthopaedic handicaps. Subjects with poor balance were allowed to hold on to something. If a subject’s lifted leg touched the ground during the exercise, they were allowed to lift it again and continue so that they stood on one leg for a total of 60 s.
The dynamic flamingo exercise group (410 people; 86 men, 324 women) and the no exercise group (455 people; 78 men, 377 women) were compared. After dynamic flamingo exercise for 6 months, significant differences were seen in the increase in one-leg standing time with eyes open (men right/left, women right/left), in the improvement in independence in daily living (women), number of people who fell during the 6 months (women), and adverse events (women). The number of fractures was not significantly different for men or women.
Dynamic flamingo exercise prevents falls but no significant difference was demonstrated in fracture prevention in elderly women with poor balance.
- Miller CW. Survival and ambulation following hip fracture. J Bone Joint Surg Am. 1978;60:930–4.
- de Palma L, Rizzi L, Lorini G, Greco F. Survival after trochanteric fracture. Biological factors analyzed in 270 patients. Acta Orthop Scand. 1992;63:645–7.
- Sakamoto K, Nakamura T, Hagino H, Endo N, Mori S, Muto Y, Harada A, Nakano T, Yamamoto S, Kushida K, Tomita K, Yoshimura M, Yamamoto H. Report on the Japanese Orthopaedic Association’s 3-year project observing hip fractures at fixed-point hospitals. J Orthop Sci. 2006;11:127–34. CrossRef
- Lord SR, Ward JA, Williams P. J. An epidemiological study of falls in older community-dwelling women: the Randwick falls and fractures study. Austr J. Public Health. 1993;17:240–5. CrossRef
- Cripps R, Carman J. 2. Hospitalisations due to accidental falls. Falls by the elderly in Australia: trends and data for 1998. Canberra, Australia: Australian Institute of Health and Welfare, 2001;1–9.
- Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JCT. Effective exercise for the prevention of falls: a systematic review and meta-analysis. JAGS. 2008;56:2234–43. CrossRef
- Robertson MC, Devlin N, Gardner MM, Campbell AJ. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: randomised controlled trial. BMJ. 2001;322:697–701. CrossRef
- Haeney RP. Chapter 6 calcium, bone health, and osteoporosis (Peck WA editor). Bone Miner Res. 1986;4:255–301.
- Sibonga JD, Evans HJ, Sung HG, Spector ER, Lang TF, Oganov VS, Bakulin AV, Shackelford LC, LeBlanc AD. Recovery of spaceflight-induced bone loss: bone mineral density after long-duration missions as fitted with an exponential function. Bone. 2007;41:973–8. CrossRef
- Turner CH. Three rules for bone adaptation to mechanical stimuli. Bone. 1998;23:399–407. CrossRef
- Sakamoto K, Tashiro Y, Sato Y, Sugimoto F, Kawasaki K, Honmo J, Yamaguchi A, Fujimaki E. Dynamic flamingo therapy for reducing of femoral neck fracture—a preliminary study. Bone. 1995;16(Suppl):164S.
- Sakamoto K, Sugimoto F, Sato Y, Fujimaki E, Tashiro Y. Dynamic Flamingo Therapy for prevention of femoral neck osteoporosis and fractures-part 1: theoretical background-Showa. Med Sci. 1999;11:247–54.
- Wolf SL, Bamhart HX, Kutner NG, McNeely E, Coogler C, Xu T and the Atlanta FICSIT Group. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. JAGS. 1996;44:489–97.
- Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomized controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997;315:1065–9. CrossRef
- Sakai A, Oshige T, Zenke Y, Yamanaka Y, Nagaishi H, Nakamura T. Unipedal standing exercise and hip bone mineral density in postmenopausal women: a randomized controlled trial. J Bone Miner Metab. 2010;28:42–8. CrossRef
- Sakamoto K, Tashiro Y. Protective exercise for osteoporosis—unipedal standing exercise. J Phys Med. 2005;16:2–7 (in Japanese).
- Schulz KF, Altman DG, Moher D, for the CONSORT Group. CONSORT. Statement: updated guidelines for reporting parallel group randomized trials. BMJ. 2010;2010(340):698–702.
- Liberman U, Weiss SR, Brőll J, Minne HW, Quan H, Bell NH, Rodriguez-Portales J, Downs Jr RW, Dequeker J, Favus M, Seeman E, Recker RR, Capizzi T, Santora II AG, Lombardi A, Sah RV, Hirsch LJ, Karpf D. For the Alendronate Phase III Osteoporosis Treatment Study Group. Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis. N Engl J Med. 1995;333:1437–43.
- Reid DM, Hughes A, Laan RFJM, Sacco-Gibson NA, Wenderoth DH, Adami S, Eusebio RA, Devogelaer J-P. Efficacy and safety of daily risedronate in the treatment of corticosteroid-induced osteoporosis in men and women: a randomized trial. J Bone Miner Res. 2000;15:1006–13. CrossRef
- Shiraki M, Kushida K, Yamazaki K, Nagai T, Inoue T, Orimo H. Effects of 2 years’ treatment of osteoporosis with 1 α-hydroxy vitamin D3 on bone mineral density and incidence of fracture: a placebo-controlled double-blind prospective study. Endocr J. 1996;43:211–20. CrossRef
- Hayashi Y, Fujita T, Inoue T. Decrease of vertebral fracture in osteoporosis by administration of 1α-hydroxy-vitamin D3. J Bone Miner Metab. 1992;10:184–8. CrossRef
- Kanis JA, Johansson H, Oden A, McCloskey EV. Bazedoxifene reduces vertebral and clinical fractures in postmenopausal women at high risk assessed with FRAX. Bone. 2009;44:1049–54. CrossRef
- Silverman S, Christiansen C, Genant HK, Vukicevic S, Zanchetta JR, de Villiers TJ, Constantine GD, Chines A. Efficacy of bazedoxifene in reducing new vertebral fracture risk in postmenopausal women with osteoporosis: results from a 3-year, randomized, placebo, and active-controlled clinical trial. J Bone Miner Res. 2008;23:1923–34. CrossRef
- McMurdo ME, Millar AM, Daly F. A randomized controlled trial of fall prevention strategies in old peoples’ homes. Gerontology. 2000;46:83–7. CrossRef
- Mulrow CD, Gerety MB, Kanten D, Cornel JE, DeNino LA, Chiodo L, Aguilar C, O’Neil MB, Rosenberg J, Solis RM. A randomized trial of physical rehabilitation for very frail nursing home residents. JAMA. 1994;271:519–24. CrossRef
- Province MA, Hadley EC, Hornbrook MC, Lipsitz LA, Miller JP, Mulrow CD, Ory MG, Sattin RW, Tinetti ME, Wolf S, for the FICSIT Group. The effects of exercise on falls in elderly patients. JAMA. 1995;273:1341–7. CrossRef
- Campbell AJ, Robertson MC, Gardner MM, Norton RN, Buchner DM. Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Age Ageing. 1999;28:513–8. CrossRef
- Kasahara M, Yamasaki H, Aoki U, Yokoyama H, Omori Y, Hiraki K. Relationship between one leg standing time and knee extension strength in elderly patients. Jpn J Phys Fitness Sports Med. 2001;50:369–74 (in Japanese).
- Michikawa T, Nishiwaki Y, Takebayashi T, Toyama Y. One-leg standing test for elderly populations. J Orthop Sci. 2009;14:675–85. CrossRef
- Sakai A, Toba N, Takeda M, Suzuki M, Abe Y, Aoyagi K, Nakamura T. Association of unipedal standing time and bone mineral density in community-dwelling Japanese women. Osteoporos Int. 2009;20:731–6. CrossRef
- Why not use your own body weight to prevent falls? A randomized, controlled trial of balance therapy to prevent falls and fractures for elderly people who can stand on one leg for ≤15 s
Journal of Orthopaedic Science
Volume 18, Issue 1 , pp 110-120
- Cover Date
- Print ISSN
- Online ISSN
- Springer Japan
- Additional Links
- Author Affiliations
- 1. Department of Orthopaedic Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan
- 2. Department of Orthopaedic Surgery, Niigata University School of Medicine, 1-757 Asahimachi Street, Chuou-ku, Niigata, Niigata, Japan
- 3. National Center for Geriatrics and Gerontology, 36-3 Gengo, Morioka-machi, Oofu, Aichi, Japan
- 4. School of Health and Social Services, Saitama Prefectural University, 820 Sannomiya, Koshigaya, Saitama, Japan
- 5. Comprehensive Health Science Center, Aichi Health Promotion Foundation, 1-1 Gengoyama, Morioka Higashiura-machi, Chita-gun, Aichi, Japan
- 6. Kita Orthopaedic Clinic, 165-5 Kariguchi, Ohkuratani, Akashi, Hyogo, Japan
- 7. School of Health Science, Tottori University, 86 Nishimachi, Yonago, Tottori, Japan
- 8. Department of Orthopaedic Surgery, University of Occupational and Environmental Health, 1-1 Iohgaoka, Yahatanishi-ku, Kitakyushu, Fukuoka, Japan
- 9. Department of Orthopaedic Surgery, Niigata Rehabilitation Hospital, 761 Kizaki, Niigata, Niigata, Japan
- 10. Mirai Orthopedics and Pain Clinic, 1-22-19 Kitasakae-machi, Tomakomai, Hokkaido, Japan
- 11. Department of Rehabilitation Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan
- 12. Department of Public Health, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, Japan
- 13. International Medical Information Center, 35 Shinano-machi, Shinjyuku-ku, Tokyo, Japan