BALANCE! You CAN Reduce Your Fall Risk

Transcription

1 Ready Steady BALANCE! You CAN Reduce Your Fall Risk

2 Falls in Adults: 65 years and older Every 11 seconds someone is seen in the emergency department due to a fall Every 19 minutes some dies due to a fall 20% of all falls lead to serious injury such as fracture or brain injury Over 800,000 people are hospitalized each year due to falls

3 DHMC Trauma Registry Admissions , 65 years and older 2016 Fall MOI 79% ~ 480 individuals/year Chris O Connell, Trauma Program Manager, 2017

4 Somatosensory- Sensation from feet Vestibular- Inner Ear Vision Components of Balance Central Nervous System- Brain Central Nervous System- Brain Motor Output- Muscles and Joints

5 Risk Factors for Falls * INTRINSIC EXTRINSIC 65+ Year Old (30% fall) Environmental Hazards-Indoor and Outdoor Previous Fall Muscle Weakness Dizziness 4 or more medications/psychoactive medications Alcohol use Poorly fitting shoes Poor Vision Chronic Medical Conditions Fear of Falling * Highlighted = Items we can change/improve Gait and Balance Problems

6 Ask your medical provider about medications and vitamin D Supplementation Have vision checked regularly consider single focal lenses Properly fitting shoes Assistive devices as needed Multifactorial Intervention: 30% Reduced Risk Home safety pick up clutter use hand rails good lighting at night grab bars in bathroom See medical provider if dizzy-might be inner earask for PT referral Dizziness is NEVER normal EXERCISE is the MOST Important Intervention

7 Fear of falling can lead to: Decreased activity Decreased strength Increased falls A Matter of Balance Award winning proven program Manage concerns about falls Increase activity levels Eight 2-hour sessions set goals for increasing activity make changes to reduce fall risks at home exercise to increase strength and balance

8 Tai Ji Quan: Moving For Better Balance Research based program Twice weekly 1-hour sessions, 24 weeks Balance and strength training Reduces falls by: 55% in individuals 65 and older 67% in people with Parkinson s Disease Benefits Increase strength Improve balance Improved function

9 Exercise For Improving Balance MUST Be challenging and progressive feel like your muscles are tired Include Balance and Strengthening Exercises 50 Total Hours needed to reduce fall risk (2x/week x 6 months) Goal: Make it a regular part of your life

10 Resources STEADI Materials: What You Can Do to Prevent Falls NH Falls Task Force: Home Safety Assessment Evidence Based Programs

11 Thank You! Developed by the Dartmouth Centers for Health and Aging Contact: , update 2018

12 Balance Day Approach Brief Falls Talk Power point and notes page available Program Demo- Exercises Balance Screening Modified STEADI All materials in DCHA Toolkit 1:1 counseling after screening

13 Balance Day Program Demo Plan for ~ 15 minutes Safety-chairs in front- ideally face participants Make it fun! MOB: Selected Exercise- sit and stand Sample sequence (TJQMBB): Weight shift exercise Part Wild Horse Mane Form Breathing to close i.e. Ball bigger/smaller

14 THANK YOU! Questions and Discussion