This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Effects of a training of power and balance on the use of mechanical restraint among in-patients with dementia


Steinert, Tilman, Bohnet, Ulrich, Flammer, Erich, Lüchtenberg, Dietmar, Eisele, Frank


Psychiatrische Praxis, Volume: 36, No.: 6, Pages.: 273-278

Year of Publication



Background: Patients with dementia are most frequently affected by mechanical restraint in psychiatric hospitals, most frequently due to falls. There is evidence for beneficial effects of a training of power and balance on the frequency of falls in residential homes.; Methods: An adapted training of power and balance was developed by specialists of training in sports. In 2007, 159 patients with dementia were trained. The frequency and duration of mechanical restraint was compared with a control group of a different hospital (n = 217) and the patients treated in the year before (n = 164).; Results: The percentage of patients with mechanical restraint and the mean duration of restraint per admission were significantly lower than in the control group. However, only a non-significant reduction could be achieved in comparison with the patients treated in the year before without an increase of falls.; Conclusions: A considerable reduction of the use of mechanical restraint in patients with dementia is feasible. An unequivocal association with the training could not be confirmed due to other influencing factors.;

Bibtex Citation

@article{Steinert_2009, doi = {10.1055/s-0028-1090216}, url = {}, year = 2009, month = {apr}, publisher = {Thieme Publishing Group}, volume = {36}, number = {06}, pages = {273--278}, author = {Tilman Steinert and Ulrich Bohnet and Erich Flammer and Dietmar Lüchtenberg and Frank Eisele}, title = {Effekte eines Kraft- und Bewegungstrainings auf die Fixierungshäufigkeit bei Demenzpatienten in der stationären gerontopsychiatrischen Versorgung}, journal = {Psychiatrische Praxis} }


accidental falls, aged, aged, 80 and over, alzheimer disease, and, balance, epidemiology, exercise therapy, falls, feasibility studies, female, germany, hospitals psychiatric, humans, inservice training, male, mechanical, of, postural balance, power, prevention & control, psychiatric department hospital, psychology, rehabilitation, resistance training, restraint, restraint physical, retrospective studies, statistics & numerical data, training, use, utilization, utilization review

Countries of Study


Types of Dementia

Dementia (general / unspecified)

Types of Study

Case Control Study

Type of Outcomes



Hospital Inpatient Care

Type of Interventions

Non-pharmacological Treatment, Treatment/prevention of co-morbidities or additional risks

Non-Pharmaceutical Interventions

Exercise (inc. dancing)


Fall Prevention