. . . "Sturzpr\u00E4vention"@de . . . . . . . . . . . . . . "\u0627\u0644\u0648\u0642\u0627\u064A\u0629 \u0645\u0646 \u0627\u0644\u0648\u0642\u0648\u0639"@ar . . . . . . . . . "1104081028"^^ . . . . . . . . . "Sturzpr\u00E4vention oder Sturzprophylaxe umfasst die Gesamtheit vorbeugender Ma\u00DFnahmen gegen St\u00FCrze, insbesondere gegen St\u00FCrze im Alter. St\u00FCrze und Sturzverletzungen geh\u00F6ren zu den h\u00E4ufigen medizinischen Problemen bei Senioren. Etwa ein Drittel aller Senioren \u00FCber 65 Jahren st\u00FCrzt einmal pro Jahr und davon die H\u00E4lfte mehrmals j\u00E4hrlich. Aufgrund von Osteoporose und eingeschr\u00E4nkter Mobilit\u00E4t und Reflexen resultieren St\u00FCrze oft in H\u00FCft- und anderen Frakturen, Kopfverletzungen oder sogar in Mortalit\u00E4t. Unfallverletzungen sind die f\u00FCnfth\u00E4ufigste Todesursache bei \u00E4lteren Erwachsenen. Bei 75 % der H\u00FCftfraktur-Patienten erfolgt keine vollst\u00E4ndige Genesung und der Allgemeingesundheitszustand verringert sich. Die am konsistentesten nachgewiesenen Vorhersagefaktoren f\u00FCr das Sturzrisiko einer Einzelperson sind die Sturzgeschichte des letzten Jahres sowie Gang- und Balanceabnormalit\u00E4ten. Schlechte Sichtverh\u00E4ltnisse, bestimmte Medikationen (speziell psychotrope Medikamente, aber auch Antihypertensiva, Muskelrelaxanzien und Diuretika) oder eingeschr\u00E4nkte kognitive F\u00E4higkeiten werden ebenfalls mit einem erh\u00F6hten Sturzrisiko assoziiert."@de . . . "Sturzpr\u00E4vention oder Sturzprophylaxe umfasst die Gesamtheit vorbeugender Ma\u00DFnahmen gegen St\u00FCrze, insbesondere gegen St\u00FCrze im Alter. St\u00FCrze und Sturzverletzungen geh\u00F6ren zu den h\u00E4ufigen medizinischen Problemen bei Senioren. Etwa ein Drittel aller Senioren \u00FCber 65 Jahren st\u00FCrzt einmal pro Jahr und davon die H\u00E4lfte mehrmals j\u00E4hrlich. Aufgrund von Osteoporose und eingeschr\u00E4nkter Mobilit\u00E4t und Reflexen resultieren St\u00FCrze oft in H\u00FCft- und anderen Frakturen, Kopfverletzungen oder sogar in Mortalit\u00E4t. Unfallverletzungen sind die f\u00FCnfth\u00E4ufigste Todesursache bei \u00E4lteren Erwachsenen. Bei 75 % der H\u00FCftfraktur-Patienten erfolgt keine vollst\u00E4ndige Genesung und der Allgemeingesundheitszustand verringert sich."@de . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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"52121"^^ . . . . . . . . . . . . . . . . . . "Fall prevention includes any action taken to help reduce the number of accidental falls suffered by susceptible individuals, such as the elderly (idiopathic) and people with neurological (Parkinson's, Multiple sclerosis, stroke survivors, Guillain-Barre, traumatic brain injury, incomplete spinal cord injury) or orthopedic (lower limb or spinal column fractures or arthritis, post-surgery, joint replacement, lower limb amputation, soft tissue injuries) indications."@en . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "Fall prevention"@en . . . . . . . . . . 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"Fall prevention includes any action taken to help reduce the number of accidental falls suffered by susceptible individuals, such as the elderly (idiopathic) and people with neurological (Parkinson's, Multiple sclerosis, stroke survivors, Guillain-Barre, traumatic brain injury, incomplete spinal cord injury) or orthopedic (lower limb or spinal column fractures or arthritis, post-surgery, joint replacement, lower limb amputation, soft tissue injuries) indications. Current approaches to fall prevention are problematic because even though awareness is high among professionals that work with seniors and fall prevention activities are pervasive among community living establishments, fall death rates among older adults have more than doubled. The challenges are believed to be three-fold. First, insufficient evidence exists that any fall risk screening instrument is adequate for predicting falls. While the strongest predictors of fall risk tend to include a history of falls during the past year, gait, and balance abnormalities, existing models show a strong bias and therefore mostly fail to differentiate between adults that are at low risk and high risk of falling. Second, current fall prevention interventions in the United States are limited between short-term individualized therapy provided by a high-cost physical therapist or longer-term wellness activity provided in a low-cost group setting. Neither arrangement is optimum in preventing falls over a large population, especially as these evidence-based physical exercise programs have limited effectiveness (approximately 25%). Even multifactorial interventions, which include extensive physical exercise, medication adjustment, and environmental modification only lower fall risk by 31% after 12 months. Questions around effectiveness of current approaches (physical exercise and multifactorial interventions) have been found in multiple settings, including long-term care facilities and hospitals. The final challenge is adherence. Average adherence in group-based fall prevention exercise programs is around 66%, mostly due to the highly repetitive nature of the programs and the extremely long duration required for noticeable benefits accrue. Adherence to physical therapy can be even lower. When adherence is below 70%, effectiveness of fall prevention physical exercise programs can drop to less than 10%. Practitioners are aware that the most successful approach to fall prevention utilizes a multimodal, motor-cognitive training approach that could be introduced to all adults over 65. The scientific basis of this approach is an understanding of how the dual-task paradigm induces neuroplasticity in the brain, especially in aging populations. This is driving a growing body of research that specifically links the cognitive sub-domains of attention and executive function (EF) to gait alterations and fall risk."@en . . . . . . . . . . . . . . . . . . . "5486225"^^ . .