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This article provides a summary of the importance in preventing falls and enhancing balance skills within the older populations. The summary emphasizes the beneficial aspects of the older populations engaging in frequent or regular exercising to helps minimize detrimental risk to overall health.
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Preventing falls within the elderly population is extremely vital that poses a concern to public health due to the increase risk of injury, hospitalization, and even death closely associated within falling. It has been identified within research on the risk factors that contribute to falls, such as impaired balance, muscle weakness, visual deficits. and medication side effects from regular usage. There have been studies conducted that have shown multifactorial interventions, specifically in those that integrate exercise programs, which have been highly effective in reducing fall risk among the elder population.
Strength training and balance through program designing and supervision by a physical therapist has been proven to be essential with improving physical function and reducing the falling rates. The emphasis from research that minimum duration of 12 weeks for exercise-based interventions is greatly optimal for achieving great outcomes. Interventions enhanced the confidence in balance, which further reduces the likelihood of falling. On the other hand, physical therapist often focus solely on addressing the gait or balance deficits without integrating a comprehensive plan, which is less effective.
As important as exercise is, proper assessment and management of present medical conditions such as polypharmacy, visual impairments, and postural hypotension are essential. Comprehensive risk assessments that encompass medication use, strength, mobility, and environmental hazards are vital with tailoring interventions effectively. Studies have highlighted the challenges that include gaps in care continuation, transportation obstacles, and the need for longer intervention duration, especially for the frail individuals.
Innovative partnerships between healthcare providers and caregivers are key to designing a sustainable and long term plans for fall prevention. The benefit of these interventions and programs are solely to help the older adults with maintaining independence and improve their quality of life (potentially adding more years), which reduces the burden on all parties within the healthcare systems.
Fall/Balance facts:
• Prevalence of Falls - Falls are a leading cause of injury and hospitalization in people 65+ years of age, with 1/3 of older adults experiencing at least one fall annually. (Oxford Academic) (SpringerLink)
• Impact of Visual Impairments - Vision-related issues, such as untreated cataracts, are a significant risk factor for falls, which studies showing that improving vision through connective measures reduces fall rates by up to 34%. (SpringerLink)
• Environmental Hazards/Modifications - Environmental factors, like poorly lit walkways or uneven surfaces in homes, account for a significant portion of falls. Simple interventions, such as improving lighting and removing tripping hazards, are recommended as part of comprehensive fall prevention strategies. (SpringerLink)
- ^ https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2004.057612
- ^ https://lmsspada.kemdikbud.go.id/pluginfile.php/145062/mod_resource/content/1/Falls-and-Their-Prevention-in-Elderly.pdf
- ^ https://bjsm.bmj.com/content/51/24/1750.full
- ^ https://wiki.riteme.site/wiki/Fall_prevention#Older_adults_2