Institut Régional de Formation aux Métiers de Rééducation et de Réadaptation des Pays de la Loire.
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Auteur Stanley John Winser
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Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations / Stanley John Winser in Annals of physical and rehabilitation medicine, Vol. 63 n° 1 (January 2020)
[article] Dosage for cost-effective exercise-based falls prevention programs for older people: A systematic review of economic evaluations [texte imprimé] / Stanley John Winser, Auteur ; Hei Tung Fion Chan, Auteur ; Lam Ho, Auteur . - 2020 . - p. 69-80.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 1 (January 2020) . - p. 69-80
Catégories : SANTÉ PHYSIQUE
Thesaurus Santé Publique
Tags : Physical exercise Dosage Falls prevention Older people Cost-effectiveness. Résumé : Background: Falls in older people is a global public health concern. Physical exercise is a useful and potentially cost-saving treatment option to prevent falls in older people.
Objectives: We aimed to summarize the research literature regarding the cost-effectiveness of exercise-based programs for falls prevention in older people and discuss the implications of the review's findings for clinical practice and future research on the dosage of cost-effective exercise-based falls prevention programs for older people.
Methods: Multiple databases were searched from inception until February 2019. Studies were included if they were randomized controlled trials with an economic evaluation of exercise-based falls prevention programs for people ≥ 60 years old and assessed the incremental cost-effectiveness ratios, cost per quality-adjusted life year, incremental cost per fall and benefit-to-cost ratio of programs. Methodological quality was assessed with the Physiotherapy Evidence Database scale and quality of economic evaluation with the Quality of Health Economic Studies.
Results: We included 12 studies (3668 older people). Interventions for falls prevention were either exercise-only or multifactorial programs. Five studies of high economic quality and 2 of high methodological quality provided evidence supporting exercise-only programs as cost-effective for preventing falls in older people. Specifically, a tailored exercise program including strengthening of lower extremities, balance training, cardiovascular exercise, stretching and functional training of moderate intensity performed twice per week with each session lasting 60min for ≥ 6 months delivered in groups of 3 to 8 participants with home-based follow-up appears to be cost-effective in preventing falls in older people.
Conclusion: There is evidence to support exercise-based interventions as cost-effective treatment for preventing falls. Further research is needed to fully establish the cost-effectiveness of such programs, especially in both developing and underdeveloped countries.
En ligne : http://www.em-consulte.com/produit/rehab Permalink : [article]Effectiveness of Pelvic Floor Muscle Training Alone and in Combination With Biofeedback, Electrical Stimulation, or Both Compared to Control for Urinary Incontinence in Men Following Prostatectomy: Systematic Review and Meta-Analysis / P. Kannan in Physical Therapy, Vol. 98 n° 11 (November 2018)
[article] Effectiveness of Pelvic Floor Muscle Training Alone and in Combination With Biofeedback, Electrical Stimulation, or Both Compared to Control for Urinary Incontinence in Men Following Prostatectomy: Systematic Review and Meta-Analysis [texte imprimé] / P. Kannan, Auteur ; Stanley John Winser, Auteur ; B. Fung, Auteur . - 2018 . - p. 932-945.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 11 (November 2018) . - p. 932-945
Catégories : PATHOLOGIE
INFORMATION & COMMUNICATION
Revue de littérature
Thesaurus Santé Publique
Périnée , Prostate
Résumé : Background: The efficacy of pelvic floor muscle training (PFMT) alone and in combination with biofeedback (BFB), electrical stimulation (ES), or both for urinary incontinence in men following prostatectomy is inconclusive.
Purpose: The purpose of this study was to determine whether PFMT works well alone or in combination with BFB, ES, or both in comparison with a control.
Data Sources: The databases Ovid Medline, EMBASE, CENTRAL, Scopus, and Web of Science, and the specialized register of the Citroen Incontinence Review Group were searched from study inception to August 2017. Abstract proceedings from urological meetings, including the European Association of Urology and the American Urological Association, were also searched.
Study Selection: Randomized controlled trials that compared PFMT alone and PFMT with ES, BFB, or both and no treatment, placebo, or sham were included in the review.
Data Extraction, Synthesis, and Quality: Two independent reviewers completed data extraction and quality appraisal. The Grading of Recommendations, Assessment, Development, and Evaluation tool was used for quality appraisal. Meta-analysis was done with software used for preparing and maintaining Cochrane reviews.
Limitations: Methodological flaws in the included studies limited internal validity.
Conclusions: PFMT alone, PFMT plus BFB and ES, and PFMT plus ES were more effective than the control for urinary incontinence following prostatectomy. The effect of PFMT plus BFB on postprostatectomy incontinence remains uncertain.
En ligne : https://academic.oup.com/ptj Permalink : [article]