Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.

Chronic musculoskeletal conditions in the lower extremities, particularly arthritis, and the chronic pain associated with them, are independent risk factors for falls, with approximately 50% of people with arthritis reporting one or more falls. Despite this, few studies have specifically addressed b...

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Main Authors: Levinger, P., Wallman, S., Hill, Keith
Format: Journal Article
Published: Springer 2012
Online Access:http://hdl.handle.net/20.500.11937/6860
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author Levinger, P.
Wallman, S.
Hill, Keith
author_facet Levinger, P.
Wallman, S.
Hill, Keith
author_sort Levinger, P.
building Curtin Institutional Repository
collection Online Access
description Chronic musculoskeletal conditions in the lower extremities, particularly arthritis, and the chronic pain associated with them, are independent risk factors for falls, with approximately 50% of people with arthritis reporting one or more falls. Despite this, few studies have specifically addressed balance dysfunction, falls risk and falls incidence in people with arthritis. This review aimed to identify potential factors contributing to the increased risk of falls in people with lower limb osteoarthritis or rheumatoid arthritis and to summarise the evidence base for effective exercise interventions targeted to reduce their risk of falls. A systematic search of the literature was conducted in February 2010 and included the following databases: MEDLINE (Ovid), EMBASE, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine, Cochrane Library and PsycINFO. Only three studies that investigated exercise programmes for people with lower limb arthritis met all inclusion criteria, but none used falls as an outcome measure. To broaden the review, systematic reviews that assessed the effectiveness of exercise interventions for fall prevention in older people were also included. The presence of any form of lower limb arthritis and the associated consequences including pain, balance impairment, reduced muscle strength and reduced function are all associated with increased risk of falling. Due to the link between musculoskeletal pain and the increased risk of falls, further research needs to investigate which type of exercise programme will be effective in reducing the risk of falls in populations with arthritis in the lower limbs.
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spelling curtin-20.500.11937-68602017-09-13T14:33:46Z Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions. Levinger, P. Wallman, S. Hill, Keith Chronic musculoskeletal conditions in the lower extremities, particularly arthritis, and the chronic pain associated with them, are independent risk factors for falls, with approximately 50% of people with arthritis reporting one or more falls. Despite this, few studies have specifically addressed balance dysfunction, falls risk and falls incidence in people with arthritis. This review aimed to identify potential factors contributing to the increased risk of falls in people with lower limb osteoarthritis or rheumatoid arthritis and to summarise the evidence base for effective exercise interventions targeted to reduce their risk of falls. A systematic search of the literature was conducted in February 2010 and included the following databases: MEDLINE (Ovid), EMBASE, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine, Cochrane Library and PsycINFO. Only three studies that investigated exercise programmes for people with lower limb arthritis met all inclusion criteria, but none used falls as an outcome measure. To broaden the review, systematic reviews that assessed the effectiveness of exercise interventions for fall prevention in older people were also included. The presence of any form of lower limb arthritis and the associated consequences including pain, balance impairment, reduced muscle strength and reduced function are all associated with increased risk of falling. Due to the link between musculoskeletal pain and the increased risk of falls, further research needs to investigate which type of exercise programme will be effective in reducing the risk of falls in populations with arthritis in the lower limbs. 2012 Journal Article http://hdl.handle.net/20.500.11937/6860 10.1007/s11556-011-0086-9 Springer restricted
spellingShingle Levinger, P.
Wallman, S.
Hill, Keith
Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.
title Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.
title_full Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.
title_fullStr Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.
title_full_unstemmed Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.
title_short Balance dysfunction and falls in people with lower limb arthritis: Factors contributing to risk and effectivenss of exercise interventions.
title_sort balance dysfunction and falls in people with lower limb arthritis: factors contributing to risk and effectivenss of exercise interventions.
url http://hdl.handle.net/20.500.11937/6860