{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T18:25:34Z","timestamp":1767723934848,"version":"3.48.0"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000026","name":"Institute of Aging","doi-asserted-by":"publisher","award":["201603PJT\u2010364485\u2010PJT\u2010CFBA\u2010137982"],"award-info":[{"award-number":["201603PJT\u2010364485\u2010PJT\u2010CFBA\u2010137982"]}],"id":[{"id":"10.13039\/501100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000026","name":"Institute of Aging","doi-asserted-by":"publisher","award":["TI3\u2010370912"],"award-info":[{"award-number":["TI3\u2010370912"]}],"id":[{"id":"10.13039\/501100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Older adults consulting Emergency Departments (EDs) for minor injuries are at risk for new functional impairments in the 6\u2009months following their injuries.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To compare the effects of exercise programs versus usual ED practices on functional status and physical performance at 3\u20136\u2009months in at\u2010risk older adults with minor injuries.<\/jats:p>\n <\/jats:sec>\n \n Design and Settings<\/jats:title>\n \n Stepped\u2010wedge randomized trial in six Canadian\n EDs<\/jats:styled-content>\n from 2017 to 2020. Participants aged \u2265\u200965\u2009years were screened for low, moderate, or high risk of functional decline and assessed three times: baseline at\n ED<\/jats:styled-content>\n , 3 and 6\u2009months.\n <\/jats:p>\n <\/jats:sec>\n \n Intervention and Measures<\/jats:title>\n \n Multicomponent (flexibility, balance, strengthening, aerobic) and risk\u2010level adapted exercise programs targeting moderate\u2010 and high\u2010risk patients, 3\u00d7\/week for 12\u2009weeks, at home or in community groups.\n Control<\/jats:italic>\n : Usual\n ED<\/jats:styled-content>\n care.\n Measures<\/jats:italic>\n : Functional decline was defined as a 2\/28\u2010point loss from baseline on the Older Americans Resources and Services (\n OARS<\/jats:styled-content>\n ) scale. Basic physical performance (leg strength, balance, walking speed) was measured using the Short Physical Performance Battery (\n SPPB<\/jats:styled-content>\n ) test. Generalized linear mixed log\u2010binomial regressions were used to examine the effects of the intervention on outcomes compared to usual\n ED<\/jats:styled-content>\n care, stratified by risk level.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The intervention and control phases included 277 and 205 moderate\u2010risk individuals, and 249 and 128 high\u2010risk individuals, respectively. Among moderate\u2010risk individuals, functional loss in intervention participants at 3 months was half that of controls: 12% [95%\n CI<\/jats:styled-content>\n : 8%\u201317%] vs. 25% [95%\n CI<\/jats:styled-content>\n : 18%\u201334%],\n RR<\/jats:styled-content>\n : 0.48 [0.26, 0.90].\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n 12\u2010week multicomponent exercises implemented early after minor injuries are associated with lower proportions of functional decline at 3 months in moderate\u2010risk seniors and may help those at high risk recover some physical performance.<\/jats:p>\n <\/jats:sec>\n \n Trial Registration<\/jats:title>\n \n ClinicalTrials.gov<\/jats:ext-link>\n , ID Cedecoms NCT03991598\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.70166","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T04:14:30Z","timestamp":1761020070000},"page":"74-84","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Exercise in Older Adults Discharged From the\n ER<\/scp>\n After Minor Injuries: The\n CEDeComS<\/scp>\n Stepped\u2010Wedge Trial"],"prefix":"10.1111","volume":"74","author":[{"given":"Marie\u2010Jos\u00e9e","family":"Sirois","sequence":"first","affiliation":[{"name":"\u00c9cole des sciences de la r\u00e9adaptation, Universit\u00e9 Laval Qu\u00e9bec Quebec Canada"},{"name":"Centre d'Excellence sur le Vieillissement de Qu\u00e9bec Qu\u00e9bec Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joannie","family":"Blais","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval Qu\u00e9bec Quebec 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