With great interest we read the article by de Vries et al1 in which they showed that their multifactorial fall-prevention program did not reduce falls in high-risk, cognitively intact, older persons.1 Together with the conflicting results of previous meta-analyses, these results question the effectiveness of fall prevention programs.2- 4 The heterogeneity of the studies included in these meta-analyses may have caused the conflicting results. The preventive measures applied in the various multifactorial programs were different, and a major problem is the lack of evaluation of the effects of the single preventive measures.
van Hateren KJJ, Kamper AM, Bilo HJG. Lack of Evaluation of the Effects of Single Preventive Measures for Falling. Arch Intern Med. 2011;171(2):181-182. doi:10.1001/archinternmed.2010.506