As we become older or when we are recovering from illness or surgery, there is a tendency to lose muscle strength, mobility and balance. After a fall an older person has around 50% probability of having significantly reduced mobility and makes them feel more vulnerable and less independent. Around 1 in 10 people who had a fall become afraid to leave their homes in case they fall again.
There are a number of reasons why an elderly person may be more at risk of falls. These include:
- Muscle weakness, reduced activity level.
- Reduced Balance
- Mobility issues due to pain, low balance, fear of fall, Infections, illness or surgery.
- Dizziness and vestibular problems
- Low Blood pressure
- Feet and footwear issues.
- Hazards at home or outdoors (including dim lighting, uneven surface and other trip hazards)
- Medications (especially multiple medications, certain medications with side effects of drowsiness)
A falls prevention programme tailored to the individual person can reduce falls by approximately 54%. The falls prevention programme includes:
- Exercise programme (including evidence based Otago, FaME programme)- Evidence states that a minimum of 50 hours of exercise over a period of time such as 6 months should be advised, to achieve long term effect.
- Environment assessment and modification
- Advice on Equipment (aids and alarms – Telecare)
- Mobility and transfer practise
- Patient and carer education
Our Physiotherapist are trained in various specialist falls prevention and management courses. Some of our Physiotherapists are qualified as Postural Stability Instructors (www.laterlifetraining.co.uk), who are experienced in organising individual and group programmes for falls prevention, based on FaME and Otago exercises.
Following a fall or fracture or a period of stay at hospital, our therapists can see you at home or care home to help you to get going again as soon as possible.