The impact of a standing intervention on falls in long term care: a secondary analysis of a randomised controlled trial

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University of New Brunswick


The purpose of this study was to investigate if a 22-week standing intervention would reduce falls in long term care (LTC). LTC residents were randomized to either a sitting control or standing intervention comprised of up to 20 minutes of supervised sessions five times per week over 22 weeks. The outcome measure was time to fall events during the post-trial 12-month follow-up. Falls were identified from incident reports at the LTC facilities. An Andersen-Gill model was used to assess the hazard ratio of falls in the intervention group relative to the control group while adjusting for previous number of falls, cognition, frailty status and sex. Eighty-nine participants were followed over 12-month follow-up. The hazard ratio (95% CI) for falls was 2.01 (1.11 to 3.63) relative to the sitting control group. Future work interested in increasing standing time within this population should monitor falls.