Progressive Balance Training Prevents Injuries from Falls in the Elderly

Background:  RCTs have shown that balance-training programs prevent falls in community-dwelling elders, but not clear whether it prevents injurious falls.
n = 706 older women > 75 yo (French study), living in own homes, at high risk for falls
Randomized to progressive balance training vs usual care
Training = weekly supervised training +/- home exercises
HR 0.8 favoring those who got balance training (305 vs 397), also HR 0.8 for severe injurious falls.
Benefit persisted for at least 2 years.
Conclusion:  Progressive balance training has lasting benefits for elders at risk for falls.
BMJ 2015; 351: h3830
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