Multidisciplinary Combined Exercise and Education Intervention for Falls in Older Adults

This study aims to demonstrate the effect of combined exercise-education intervention in old adults with fall risk. This study will be conducted with prospectively randomized controlled trial comparing outcome of combined exercise-education intervention with conventional medical care. Falls efficacy scale-international, fall history, Balance function, handgrip strength, gait speed, knee extensor muscle power, physical performance, muscle mass using DEXA and BIA, quality of life, depression, cognitive function, activities of daily living, nutritional assessment will be evaluated on baseline, 1-month, 3-months, 6-months, and 12-months after intervention.

Inclusion Criteria:patients older than 65 years and under 90 yearsif at least one <3 key question> is met or <stay independent score> ≥ 4 pointspatients who can walk more than 10m without an assistive device (ambulatory without an assistive device)patients who are willing to participate in exercise intervention for 12 monthspatients who can receive information about this study, submit written consent before participating in the study, and can comply with the requirements of the clinical trialExclusion Criteria:medically unstable conditions (e.g., cirrhosis with complications, end-stage renal failure requiring regular dialysis, hemorrhagic disease, uncontrolled hypertension, those who have been treated for a malignant tumor within 5 years)in case of ongoing neurological deficit except for stroke survivors (e.g., dementia, Alzheimer's disease, Parkinson's disease, etc.)decreased cardiopulmonary function such as heart failure, chronic obstructive pulmonary diseasemusculoskeletal problems that affect physical function and athletic ability (e.g., those who have undergone hip joint surgery, artificial joint surgery, spine surgery within the last 1 year)patients who have experienced alcohol abuse within the last 1 year (if 3 or more are meet in Cut off, Annoyed, Guilty, Eye opener [CAGE] evaluation)in case the purpose of this clinical trial cannot be understood or the matters necessary for the study cannot be carried outwhen it is judged by other researchers that the subject's condition makes it difficult to participate in this study