Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study

Sara Cederbom,1 Marina Arkkukangas2,31OsloMet – Oslo Metropolitan University, Faculty of Health Sciences, Department of Physiotherapy, Oslo, Norway; 2Uppsala University, Department of Neuroscience, Section of Physiotherapy, Eskilstuna, Sweden; 3Uppsala University, Centre for Clinical Resea...

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Autores principales:	Cederbom S, Arkkukangas M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	elderly pain management physical therapy randomized controlled trial Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5a5dc826b5fc4d169ea91b4f1352ee43
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spelling	oai:doaj.org-article:5a5dc826b5fc4d169ea91b4f1352ee432021-12-02T07:08:30ZImpact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study1178-1998https://doaj.org/article/5a5dc826b5fc4d169ea91b4f1352ee432019-04-01T00:00:00Zhttps://www.dovepress.com/impact-of-the-fall-prevention-otago-exercise-programme-on-pain-among-c-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sara Cederbom,1 Marina Arkkukangas2,31OsloMet – Oslo Metropolitan University, Faculty of Health Sciences, Department of Physiotherapy, Oslo, Norway; 2Uppsala University, Department of Neuroscience, Section of Physiotherapy, Eskilstuna, Sweden; 3Uppsala University, Centre for Clinical Research Sörmland, Eskilstuna, SwedenBackground: Pain is a major public health issue among community-dwelling older adults, with a prevalence of 45–80%. In addition to being strongly associated with reduced physical function, loss of independence, psychological distress, lower quality of life, and risk of earlier death. Recent research has also found that pain in older adults is associated with a higher risk of falls, which itself is another major health concern. Long-term and high-intensity pain are predictors of chronic pain and pain-related disability. Therefore, establishing an evidence-based intervention that can reduce both pain and falls in older adults is of high importance.Purpose: This study aimed to investigate whether a home-based fall-preventive exercise-program can reduce pain in the target population over both the short and long term.Patients and methods: This was a quasi-experimental study with a 1-group pretest-posttest design. We included 119 participants who had participated in a recent 2-year fall prevention intervention in a randomized controlled trial. The intervention included exercises based on the Otago Exercise Programme (OEP), an individually tailored and prescribed program that involves home-based exercises supervised by a physiotherapist. Pain was measured using an item from the EuroQol-5D questionnaire.Results: Pain was significantly reduced from baseline (n=119) at 3 (n=105, p=0.003), 12 (n=96, p=0.041), and 24 (n=80, p=0.028) months following the commencement of OEP-based exercises.Conclusions: These results indicate that the OEP could be a suitable evidence-based program for both pain management and fall prevention among community-dwelling older people who live with pain and are at a higher risk of falling. Our study highlights an effective technique for better pain management and fall prevention in older adults.Keywords: elderly, pain management, physical therapy, randomized controlled trialCederbom SArkkukangas MDove Medical Pressarticleelderlypain managementphysical therapyrandomized controlled trialGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 721-726 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	elderly pain management physical therapy randomized controlled trial Geriatrics RC952-954.6
spellingShingle	elderly pain management physical therapy randomized controlled trial Geriatrics RC952-954.6 Cederbom S Arkkukangas M Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study
description	Sara Cederbom,1 Marina Arkkukangas2,31OsloMet – Oslo Metropolitan University, Faculty of Health Sciences, Department of Physiotherapy, Oslo, Norway; 2Uppsala University, Department of Neuroscience, Section of Physiotherapy, Eskilstuna, Sweden; 3Uppsala University, Centre for Clinical Research Sörmland, Eskilstuna, SwedenBackground: Pain is a major public health issue among community-dwelling older adults, with a prevalence of 45–80%. In addition to being strongly associated with reduced physical function, loss of independence, psychological distress, lower quality of life, and risk of earlier death. Recent research has also found that pain in older adults is associated with a higher risk of falls, which itself is another major health concern. Long-term and high-intensity pain are predictors of chronic pain and pain-related disability. Therefore, establishing an evidence-based intervention that can reduce both pain and falls in older adults is of high importance.Purpose: This study aimed to investigate whether a home-based fall-preventive exercise-program can reduce pain in the target population over both the short and long term.Patients and methods: This was a quasi-experimental study with a 1-group pretest-posttest design. We included 119 participants who had participated in a recent 2-year fall prevention intervention in a randomized controlled trial. The intervention included exercises based on the Otago Exercise Programme (OEP), an individually tailored and prescribed program that involves home-based exercises supervised by a physiotherapist. Pain was measured using an item from the EuroQol-5D questionnaire.Results: Pain was significantly reduced from baseline (n=119) at 3 (n=105, p=0.003), 12 (n=96, p=0.041), and 24 (n=80, p=0.028) months following the commencement of OEP-based exercises.Conclusions: These results indicate that the OEP could be a suitable evidence-based program for both pain management and fall prevention among community-dwelling older people who live with pain and are at a higher risk of falling. Our study highlights an effective technique for better pain management and fall prevention in older adults.Keywords: elderly, pain management, physical therapy, randomized controlled trial
format	article
author	Cederbom S Arkkukangas M
author_facet	Cederbom S Arkkukangas M
author_sort	Cederbom S
title	Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study
title_short	Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study
title_full	Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study
title_fullStr	Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study
title_full_unstemmed	Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study
title_sort	impact of the fall prevention otago exercise programme on pain among community-dwelling older adults: a short- and long-term follow-up study
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/5a5dc826b5fc4d169ea91b4f1352ee43
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Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: a short- and long-term follow-up study

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