Falls in elderly are major public-health concern, representing one of the main causes of longstanding pain, functional impairment, disability, and death in this population. Quasi-experimental study aimed to evaluate effects of a multifactorial fall prevention program on Knowledge, fall incidence and physical function in community-dwelling older adults. 70 populations in Tharuae sub district Muang Nakhon Si thammarat, Thailand with a risk of falling were enrolled in the program. The design of this study was a nonequivalent control group pretest-posttest design. There were 35 subjects in the experimental group and 35 in the control group. Age, gender, Muscle strength and balance were used for matched pairs design. First, the program was performed for health education, home hazards evaluation/modification, along with medication review and ophthalmology/other specialty consults. Experimental group received a 3 month multifactorial intervention program including 8 weeks of exercise for strength and balance training is applied from Otago-home-exercise-program 3 times per week. The control group received health education brochures, referrals, and recommendations without direct exercise intervention. Subjects were excluded from the study if they had cardiovascular disease or a Parkinson’s disease. The results of this study were statistically significant differences of knowledge, fall incidence and physical function between the experimental group and control group. The multifactorial fall prevention program improved function performance and decreased of fall incidence in 3 months for elderly with risk of fall. The program indeed produced differential effects to the elderly of different fall risk levels, the exercise program has to adjusted by the different functional level or fall risk.
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