Effects of a health improvement programme on quality of life in elderly people after falls
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Post Traumatic Rehabilitation Clinic, Medical University of Lodz, Poland
Clinic of Medical Rehabilitation, Medical University of Lodz, Poland
Universidad Católica de Valencia, Spain
Michał Hadała   

Fizjo-Sport, Stokrotek 10, Rzeszow 35-604, Poland. Tel.: +48 792 814 145.
Submission date: 2015-02-09
Acceptance date: 2016-01-24
Online publication date: 2016-03-02
Publication date: 2020-03-24
Pol. Ann. Med. 2016;23(2):129–134
Falls of elderly people illustrate a telling health problem related to both physical injury and its psychical effects. They also bring about significant medical and economic consequences.

The aim of this study is to assess the predisposition to falling as well as the subjective evaluation of quality of life in the elderly after implementation of the fall prevention programme.

Material and methods:
The observational study and statistical methods encompassed people aged 65 or older who reported falls during ordinary daily activity. A group of selected patients took part in a three-stage (three-month) rehabilitation programme designed by the authors. The research tools consisted in modified scales: the Katz ADL scale, the Lawton IADL scale, the Tinetti test for balance and gait evaluation, and the EuroQol 5D questionnaire for subjective evaluation of quality of life. The study included test performer before implementing the programme as well as after its completion.

Results and discussion:
Slipping at home was the most frequent cause of falling, as it constituted almost 50% of the analyzed cases. During the programme no falls were observed. Patients who completed the programme showed improvements in all the analyzed aspects, especially in activities of daily living and the level of pain.

Both considerable functional and physical improvement as well as lower levels of pain was observed in the participants of the programme. A systematically conducted health improvement exercise programme minimizes susceptibility to falls and has a beneficial effect on improvement of quality of life in elderly people.

None declared.
Szczerbińska K. [The circumstances and risk factors of recurrent and single falls in nursing homes]. Gerontol Pol. 2011;19(3–4):161–170 [in Polish].
Abrams WB, Beers MH, Berkow R, eds. [MSD Handbook of Geriatry]. Wrocław: Urban & Partner; 1999 [in Polish].
van Hensbroek PB, van Dijk N, van Breda GF, et al. The CAREFALL Triage instrument identifying risk factors for recurrent falls in elderly patients. Am J Emerg Med. 2009;27(1):23–36.
Żak M, Grodzicki T. [Assessing the risk of accidental falls in the elderly: an analysis of a medium-sized population]. Fizjoter Pol. 2004;4(4):391–395 [in Polish].
Lund J. EUNESE WG4 Members. Leaflets for Care Givers and Elderly People. Athens. 2007.
Li W, Keegan T, Sternfeld B, et al. Outdoor falls among middle-aged and older adults: a neglected public health problem. Am J Public Health. 2006;96(7):1192–1200.
Bergland A, Jarnlo G, Laake K. Predictors of falls in the elderly by location. Aging Clin Exp Res. 2003;15(1):43–50.
Mulcahy R, O'Shea D. Falls in the elderly. Geriatry. 2000;1(3):107–111.
Wdowiak L, Budzyńska-Kapczulc A. [Great geriatric problems – falls and disorders of mobility and balance]. Pielęg i Połóż. 2004;46(8):20–25 [in Polish].
Żak M. [Determiners of Recurrence of Falls in the Elderly People Aged 75 and More]. Kraków: Wyd. AWF; 2009 [in Polish].
Kriščiūnas A, Kowalski IM. Ensuring rehabilitation and a full quality of life for patients with chronic non-infectious diseases. Pol Ann Med. 2010;17(1):112–122.
Rockwood K, Song X, MacKnight Ch., et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489–495.
Rubenstein LV, Calkins DR, Greenfield S, et al. Health status assessment for elderly patients. Report of the Society of General Internal Medicine Task Force on Health Assessment. J Am Geriatr Soc. 1989;37(6):562–569.
Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119–126.
Seguin R, Nelson ME. The benefits of strength training for older adults. Am J Prev Med. 2003;25(3 Suppl 2):141–149.
Costello E, Edeistein JE. Current data on falls prevention in older people living environment – overview of univariate and multifactorial intervention programs. Rehabil Med. 2009;13(1):33–51.
Wizner B. [Gerontological prevention]. In: Grodzicki T, Kocemba J, Skalska A, eds. [Geriatry With Elements of General Gerontology]. Gdańsk: Via Medica; 2006:53–59 [in Polish].
Stel V, Smit J, Pluijm S, Lips P. Balance and mobility performance as treatable risk factors for recurrent falling in older persons. J Clin Epidemiol. 2003;56(7):659–668.
Stewart KJ, Bacher AC, Hees PS, Tayback M, Ouyang P, de Beur SJ. Exercise effects on bone mineral density relationships to changes in fitness and fitness. Am J Prev Med. 2005;28(5):453–460.
Wolska O, Zaborowska-Sapeta K, Kiebzak W, Kowalski IM, Torres MAT. Seniors rehabilitation – clinical implications and therapy planning. Pol Ann Med. 2009;16(1):148–159. [in Polish].
Axer H, Axer M, Sauer H, Witte O, Hagemann G. Falls and gait disorders in geriatric neurology. Clin Neurol Neurosurg. 2010;112(4):265–274.
Bishop G. [Health Psychology]. Wrocław: Astrum; 2000:228–230 [in Polish].
Borzym A. [Falls in old age – reasons, consequences, prophylaxis]. Psychogeriatr Pol. 2009;6(2):81–88 [in Polish].