Stephen R. Lord

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The purpose of this perspective article is to describe the use of a physiological profile approach to falls risk assessment and prevention that has been developed by the Falls and Balance Research Group of the Prince of Wales Medical Research Institute, Sydney, Australia. The profile's use for people with a variety of factors that put them at risk for falls(More)
The aim of this study was to evaluate acceleration patterns at the head and pelvis while subjects walked on a level and an irregular walking surface, to develop an understanding of how the postural control system responds to challenging walking conditions. Thirty young, healthy subjects walked on a level corridor and on artificial grass underlain with foam(More)
Over the past two decades there has been a great deal of international, specialized research activity focused on risk factors and prevention strategies for falls in older people. This book provides health care workers with a detailed analysis of the most recent developments in the area and helps bridge the gap between scientific journal articles and general(More)
BACKGROUND a large proportion of falls in older people occur when walking; however the mechanisms underlying impaired balance during gait are poorly understood. OBJECTIVE to evaluate acceleration patterns at the head and pelvis in young and older subjects when walking on a level and an irregular walking surface, in order to develop an understanding of how(More)
OBJECTIVES To determine the effects of exercise on falls prevention in older people and establish whether particular trial characteristics or components of exercise programs are associated with larger reductions in falls. DESIGN Systematic review with meta-analysis. Randomized controlled trials that compared fall rates in older people who undertook(More)
OBJECTIVE To test the effectiveness of, and explore interactions between, three interventions to prevent falls among older people. DESIGN A randomised controlled trial with a full factorial design. SETTING Urban community in Melbourne, Australia. PARTICIPANTS 1090 aged 70 years and over and living at home. Most were Australian born and rated their(More)
OBJECTIVE this study aimed to perform a comprehensive validation of the 16-item and 7-item Falls Efficacy Scale International (FES-I) by investigating the overall structure and measurement properties, convergent and predictive validity and responsiveness to change. METHOD five hundred community-dwelling older people (70-90 years) were assessed on the(More)
BACKGROUND A large proportion of falls in older people occur when walking, however the mechanisms underlying impaired balance during gait are poorly understood. This study evaluated acceleration patterns of the head and pelvis when walking on a level and an unpredictably irregular surface to determine whether older people at risk of falling demonstrate an(More)
A battery of 13 visual, vestibular, sensorimotor, and balance tests was administered to 95 elderly persons (mean age 82.7 years) to examine the relationships between specific sensorimotor functions and measures of postural stability. When subjects stood on a firm surface, increased body sway was associated with poor tactile sensitivity and poor joint(More)
This systematic review update includes 54 randomised controlled trials and confirms that exercise as a single intervention can prevent falls (pooled rate ratio 0.84, 95% CI 0.77-0.91). Meta-regression revealed programs that included balance training, contained a higher dose of exercise and did not include walking training to have the greatest effect on(More)