Why discuss falls in the first place? According to National Council on Aging 1 in 4 older adults aged 65 and older fall each year.
Falls are the leading cause of fatal and non-fatal injuries for older adults. Falls can completely change a person’s quality of life and also can be very costly. Falling is not an inevitable part of aging, even though many people believe so. Identifying risk factors and making lifestyle changes can help your future stay free of falls.
Molly Gerbutavich is the Healthy Living Falls Coordinator for the Healthy Living Center of Excellence. Molly’s job is to individually assess older adults for fall risk using the Center for Disease Control (CDC) STEADI Toolkit. Molly’s main duties are to inform consumers of fall prevention tips, education, and risk factors, inform consumer of community programs to reduce fall risk, encourage consumer to engage in physical activity to reduce falls and to review a home safety checklist to ensure consumer is staying safe in the home. Molly can assess consumers both in the home and out in the community.
A Matter of Balance is a free, 8 week evidence based program developed at the Roybal Center at Boston University, which looks at practical strategies to reduce the fear of falling and increase activity levels in participants. Participants learn to view falls and fear of falls as controllable, set attainable goals to increase activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance. The emphasizes on group provides an opportunity for people with a common problem to learn from each other, bounce ideas off each other, and to help one another deal with the shared problem of fear of falling.
An evidence based program is a program that has been demonstrated to be effective in basic research that involved the same target audience. The program then has been demonstrated to be effective in dissemination in the “real world.” There are clear protocols for training and conducting of the program so that community programs can maintain fidelity and be successful.
There are many contributing factors that result in falls, which range from physical, behavioral, and environmental risk factors.
Environmental risk factors include hazards in the home and/or community that may cause your loved one to fall.
In the home risk factors include:
Community risk factors include:
Physical risk factors are changes in your body that increase your risk of falling (NCOA).
There are things that we do every day that we may not realize that are putting us at a fall risk, otherwise known as behavioral risk factors.
Exercise is one of the best ways to prevent falls. The body is a moving a machine and staying active at any age is very important. Some physical activity is better than none at all (CDC). You can gain a lot by staying active and lose more by not being active (Go4life). Physical activity helps maintain the ability to live independently and reduces the risk of falling and fracturing bones. Regular exercise helps keep your joints, tendons, and ligaments flexible. Keeping your muscles in shape helps you prevent falls that can cause greater problems such as a broken/fractured hip. An older adult should try engaging in different types of exercise to maximize their benefits. The four best exercises for fall prevention are balance, strength, endurance, and flexibility. Mild-weight bearing activities may slow bone loss from osteoporosis. Strengthening exercises are key to fall prevention when they are completed alongside balance training (Mayo Clinic). Physical activity can help people with chronic conditions improve their stamina and muscle strength. Exercise helps control joint swelling and pain associated with arthritis. Other benefits from physical activity include, improving your ability to do the everyday activities you want to do, reducing blood pressure with some people with hypertension, manage and improve chronic conditions such as diabetes, heart disease and osteoporosis, and helps reduce the symptoms of depression and may even improve mood and overall well-being.
Tai Chi improves both balance and mobility. Tai chi works to benefit balance, flexibility, mental agility, and reduces falls. Tai Chi practice includes slow, low-impact and controlled movements and body positions. The movements improve the parts of your body needed for increased balance, strength, and flexibility, and the practice teaches you awareness (NCOA). As an older adult, regular physical activity is one of the most important things you can do for your health (CDC).
Upcoming Matter of Balance classes in the Merrimack Valley
9/13/17 at the Nevins Manor in Methuen from 2:00 to 4:00 pm.
10/11/17 at the Andover Council on Aging in Andover from 2:30 to 4:30 pm.
10/16/17 at Amesbury Council on Aging in Amesbury from 2:00 to 4:00 pm.