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Effectiveness of interventions to prevent falls in people with Alzheimer's disease and related dementias

BUUS JENSEN AS; PADILLA R
AM J OCCUP THER , 2011, vol. 65, n° 5, p. 532-540
Doc n°: 153568
Localisation : Documentation IRR
Descripteurs : KB2 - ERGOTHERAPIE EN SANTE MENTALE, DF11 - POSTURE. STATION DEBOUT, AF921 - ALZHEIMER

A systematic review was conducted to determine the effectiveness of interventions
to prevent falls in people with Alzheimer's disease (AD) and related dementias.
Twelve research reports met inclusion criteria. Studies reported on three types
of intervention: (1) exercise- and motor-based interventions, (2) nursing
staff-directed interventions, and (3) multidisciplinary interventions. Strategies
were offered as single or multifaceted intervention programs. All types of intervention resulted in benefit, although the evidence for effectiveness is
tentative because of the studies' limitations. More research is needed to better
understand appropriate dosages of intervention. No evidence was found for the
effectiveness of prevention programs accessed as part of occasional respite care.
Occupational therapy was seldom involved in the interventions researched. Because
effective fall prevention programs are embedded in people's daily routines and
encouraged participation in occupation, the contribution occupational therapy
practitioners can make to the care of people with AD has yet to be fully
realized.

Langue : ANGLAIS

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