TY - JOUR
T1 - A systematic review and meta-analysis of exercise-based falls prevention strategies in adults aged 50+ years with visual impairment
AU - Dillon, Lisa
AU - Clemson, Lindy
AU - Ramulu, Pradeep
AU - Sherrington, Catherine
AU - Keay, Lisa
N1 - Publisher Copyright:
© 2018 The Authors Ophthalmic & Physiological Optics © 2018 The College of Optometrists
PY - 2018/7
Y1 - 2018/7
N2 - Purpose: To determine the impact of exercise or physical training on falls or physical function in people aged 50+ years with visual impairment, compared with control (no intervention or usual care). Methods: An updated systematic review of randomised controlled trials, investigating the effect of exercise or physical activity on falls prevention or physical function in adults aged 50+ with visual impairment. Searches of CINAHL, the Cochrane Register of Controlled Trials (CENTRAL), Embase, and Medline were undertaken. Three trials were identified for the period February 2013 to July 2017 and added to the four in the original review. Results: New trials evaluated yoga, the Otago Exercise Programme in combination with a home safety programme and the Alexander Technique. Meta-analysis of data from two trials (n = 163) indicated a non-statistically significant positive impact of exercise on the Chair Stand Test (WMD −1.85 s, 95% CI −4.65 to 0.96, p = 0.20, I2 22%). In this update, two new trials measured falls so meta-analysis was possible for three trials (n = 539) and revealed no impact on falls (RR 1.05, 95% CI 0.73 to 1.50, p = 0.81, I2 30%). Discussion: Although exercise or physical training can improve physical function in older adults with visual impairment, and diverse strategies are being evaluated, there are no proven falls prevention strategies. In the few studies available, falls are not consistently reported and more work is required to investigate falls prevention in older adults with visual impairment.
AB - Purpose: To determine the impact of exercise or physical training on falls or physical function in people aged 50+ years with visual impairment, compared with control (no intervention or usual care). Methods: An updated systematic review of randomised controlled trials, investigating the effect of exercise or physical activity on falls prevention or physical function in adults aged 50+ with visual impairment. Searches of CINAHL, the Cochrane Register of Controlled Trials (CENTRAL), Embase, and Medline were undertaken. Three trials were identified for the period February 2013 to July 2017 and added to the four in the original review. Results: New trials evaluated yoga, the Otago Exercise Programme in combination with a home safety programme and the Alexander Technique. Meta-analysis of data from two trials (n = 163) indicated a non-statistically significant positive impact of exercise on the Chair Stand Test (WMD −1.85 s, 95% CI −4.65 to 0.96, p = 0.20, I2 22%). In this update, two new trials measured falls so meta-analysis was possible for three trials (n = 539) and revealed no impact on falls (RR 1.05, 95% CI 0.73 to 1.50, p = 0.81, I2 30%). Discussion: Although exercise or physical training can improve physical function in older adults with visual impairment, and diverse strategies are being evaluated, there are no proven falls prevention strategies. In the few studies available, falls are not consistently reported and more work is required to investigate falls prevention in older adults with visual impairment.
KW - ageing
KW - exercise
KW - falls
KW - falls risk
KW - mobility
KW - visual impairment
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U2 - 10.1111/opo.12562
DO - 10.1111/opo.12562
M3 - Article
C2 - 29732579
AN - SCOPUS:85046435611
SN - 0275-5408
VL - 38
SP - 456
EP - 467
JO - Ophthalmic and Physiological Optics
JF - Ophthalmic and Physiological Optics
IS - 4
ER -