CHARACTERISTICS OF PHYSICAL ACTIVITY AND EXCERCISE PRESCRIPTION BY PHYSICAL THERAPISTS FOR FALL PREVENTION IN COMMUNITY DWELLING ELDERS. A SISTEMATIC REVIEW.: uma revisão sistemática

Abstract

Background falls in elderly people over 65 years, caused by changes in movement systems, can result in drastic reductions in functionality and independence. The action of Physiotherapists in preventing them is fundamental; Objectives interpret the programs and types of intervention in the prevention of falls in the elderly, specifically produced by Physiotherapists; Methods PROSPERO registered with ID: CRD42021229343. Os estudos identificados, foram recolhidos nas bases de dados: PubMed, PEDro, Ovid e Web of Science. Pesquisa limitada a 10 anos e análise da qualidade dos artigos selecionados feita utilizando escala PEDro, incluindo-se aqueles com 6 ou mais valores. Incluídos apenas RCTs que avaliassem os efeitos de programas de exercício na redução do número de quedas em idosos. Programas orientados a idosos com idade igual ou superior a 65 anos. Excluíram-se indivíduos com condições de saúde associadas; Results 23 records selected for analysis. Effects in reducing falls were observed in 73.9% of the studies and 43.5% showed significant results from the implemented programs compared to the control groups. The adaptability and strength components were the most used and the multicomponent programs were those that indicated the highest degree of effectiveness; Conclusions strong evidence is shown in the effectiveness of reducing falls in the elderly when multicomponent exercise programs are applied. Programs with greater effectiveness have a weekly frequency of 1 to 2 times and for periods of up to 6 months, focusing on adaptability, strength, endurance and flexibility. TCM categorization was considered useful and easy to use to describe and interpret interventions.