{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:12:57Z","timestamp":1790716377322,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,9,3]],"date-time":"2013-09-03T00:00:00Z","timestamp":1378166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2013,10]]},"abstract":"\n Objectives<\/jats:title>\n \n To investigate the effects of a twice\u2010weekly multitarget stepping (\n MTS<\/jats:styled-content>\n ) task combined with a multicomponent exercise program on stepping accuracy, gaze behavior, fall risk factors, and fall rates.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Randomized controlled trial.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Community.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Community\u2010dwelling adults aged 65 and older in Japan (N\u00a0=\u00a0264) were randomized into an\n MTS<\/jats:styled-content>\n group (n\u00a0=\u00a0132) and a control group (n\u00a0=\u00a0132).\n <\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n \n Twenty\u2010four weeks of a twice\u2010weekly community\u2010based\n MTS<\/jats:styled-content>\n program in combination with a standardized multicomponent exercise program.\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Number of falls and fall\u2010related fractures during a 12\u2010month follow\u2010up period after completion of the intervention, stepping accuracy, gaze behavior while performing the\n MTS<\/jats:styled-content>\n test, and results of four clinical tests relevant to assessment of risk of falls (\n T<\/jats:styled-content>\n imed\n U<\/jats:styled-content>\n p and\n G<\/jats:styled-content>\n o (\n TUG<\/jats:styled-content>\n ), functional reach (\n FR<\/jats:styled-content>\n ), 10\u2010m walking, and\n F<\/jats:styled-content>\n ive\n C<\/jats:styled-content>\n hair\n S<\/jats:styled-content>\n tand (5\n CS<\/jats:styled-content>\n )) were measured.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Thirteen participants (11.6%) in the\n MTS<\/jats:styled-content>\n group and 39 (33.0%) in the control group fell during the 12\u2010month follow\u2010up period (incidence rate ratio\u00a0=\u00a00.35, 95% confidence interval (\n CI<\/jats:styled-content>\n )\u00a0=\u00a00.19\u20130.66). Three participants in the\n MTS<\/jats:styled-content>\n group and 13 in the control group experienced fall\u2010related fractures during the 12\u2010month follow\u2010up period (relative risk\u00a0=\u00a00.22, 95%\n CI<\/jats:styled-content>\n \u00a0=\u00a00.06\u20130.80). After the intervention, a subset of participants in the\n MTS<\/jats:styled-content>\n group had significantly greater improvement in stepping accuracy and gaze behavior during the\n MTS<\/jats:styled-content>\n test, and all participants in the\n MTS<\/jats:styled-content>\n group had significantly greater improvement in performing the\n TUG<\/jats:styled-content>\n and 10\u2010m walking (\n P<\/jats:italic>\n \u00a0<\u00a0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Participants who performed\n MTS<\/jats:styled-content>\n tests combined with a multicomponent exercise program showed greater improvements in stepping accuracy, gaze behavior, and physical performance in a virtually complex environment. Considering the less\u2010frequent fall rate in the follow\u2010up assessment, these improvements could contribute to preventing falls in community\u2010dwelling older adults.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.12453","type":"journal-article","created":{"date-parts":[[2013,9,3]],"date-time":"2013-09-03T15:42:50Z","timestamp":1378222970000},"page":"1669-1675","source":"Crossref","is-referenced-by-count":52,"title":["Multitarget Stepping Program in Combination with a Standardized Multicomponent Exercise Program Can Prevent Falls in Community\u2010Dwelling Older Adults: A Randomized, Controlled Trial"],"prefix":"10.1111","volume":"61","author":[{"given":"Minoru","family":"Yamada","sequence":"first","affiliation":[{"name":"Department of Human Health Sciences Graduate School of Medicine Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Higuchi","sequence":"additional","affiliation":[{"name":"Department of Health Promotion Science Graduate School of Human Health Science Tokyo Metropolitan University Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Nishiguchi","sequence":"additional","affiliation":[{"name":"Department of Human Health Sciences Graduate School of Medicine Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Yoshimura","sequence":"additional","affiliation":[{"name":"Department of Human Health Sciences Graduate School of Medicine Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuu","family":"Kajiwara","sequence":"additional","affiliation":[{"name":"Department of Human Health Sciences Graduate School of Medicine Kyoto University Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Aoyama","sequence":"additional","affiliation":[{"name":"Department of Human Health Sciences Graduate School of 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