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Published in: Osteoporosis International 8/2014

01-08-2014 | Original Article

The effect of exercise and education on fear of falling in elderly women with osteoporosis and a history of vertebral fracture: results of a randomized controlled trial

Authors: C. F. Olsen, A. Bergland

Published in: Osteoporosis International | Issue 8/2014

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Abstract

Summary

This article explores the effect of a group-based exercise program and an educational session on the fear of falling among 89 women with osteoporosis and a history of vertebral fracture. This randomized clinical trial showed that the intervention had a positive and durable effect on the fear of falling.

Introduction

The aim of this study was to evaluate the effect of an intervention on fear of falling in women with osteoporosis and a history of vertebral fracture.

Methods

The study was a parallel-group randomized clinical trial with a blinded assessor. The participants were 89 community-dwelling elderly women with osteoporosis and a history of vertebral fracture. The intervention group (IT, n = 47) received a 3-month group-based circuit exercise program combined with a 3-h educational session focusing on the reduction of the risk of falls and challenges specific to osteoporosis and vertebral fractures. The control group (CT, n = 42) continued with their usual activities. Clinical outcomes were assessed at baseline, postintervention and 12 months after randomization. This article reports on the secondary outcome Falls Efficacy Scale—International (FES-I) from a previously reported trial.

Results

We found a significantly better result for the IT group compared with the CT group, both at 3 months (p = 0.004) and 12 months (p < 0.001) follow-up. The effect size at 3 months was small (0.4) and at 12 months moderate (0.7). Multiple regression analysis confirmed the effect of the intervention.

Conclusion

The intervention had a positive and durable effect on fear of falling as measured with the FES-I.
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Metadata
Title
The effect of exercise and education on fear of falling in elderly women with osteoporosis and a history of vertebral fracture: results of a randomized controlled trial
Authors
C. F. Olsen
A. Bergland
Publication date
01-08-2014
Publisher
Springer London
Published in
Osteoporosis International / Issue 8/2014
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-014-2724-3

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