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Trends in Hospitalization Associated with Alzheimer's Disease in the United States

This study compared the effectiveness of guided balance and strength training with that of self-administered training in institutionalized elderly adults. Residents with moderate to severe dementia could perform exercises in a five-person group under the supervision of one physiotherapist. As an outcome variable, falls occurring within the 3 years were evaluated. The results showed that, in institutionalized elderly adults, guided balance training can prevent falls. There was no difference between strength training and combined balance and strength training, which leads to the conclusion that rehabilitation with balance or strength training or both is useful but that other preventive measures should be included for institutionalized elderly adults to improve quality of life or prevent early death. In the present study, the residents were assessed for vertigo symptoms, gait problems, memory, and fear of falling. Whether any of these variables would be a significant risk factor for a fall in institutionalized elderly adults was also analyzed. Thus, influencing a single factor such as gait problems, postural instability, vertigo, or dizziness may not be enough to prevent accidental falls in institutionalized elderly people with several simultaneous health problems and taking medications.