Exercise for falls prevention:
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1 Exercise for falls prevention: An inventory of exercise programs IMPACT, the Winnipeg Regional Health Authority 2 November 2012 Falls in older adults In one year in Canada: One third people over 65 years of age will fall Half of individuals over 80 years of age will fall Older adults who fall once are more than twice as likely to fall again Over one third of Canadians admitted to hospital due to a fall will be discharged to a nursing home or long-term care facility (O'Loughlin 1993; Stalenhoef 2002; Tinetti 2005; Scott 2010)
2 Falls in older adults In Winnipeg: About 1650 older adults are admitted to hospital due to a fall each year Approximately 90 seniors die from injuries associated with falling each year The average length of hospital stay for a fall is 33 days days longer than that for admissions due to other injuries (WRHA 2007 ) Falls in older adults Falls are responsible for: 95% of all hip fractures in older adults 85% of all hospitalizations from injury in Canadian seniors Loss of mobility and independence Decreased confidence, increased fear of falling and withdrawal from activities Caregiver stress (Scott 2010; Ruthig 2007; Zijlstra 2007)
3 An inventory of exercise programs Aim: To create an inventory of community-based exercise programs for older adults that meet the criteria for falls prevention To develop a resource to help healthcare professionals prescribe exercise To develop a resource to help older adults and their families locate exercise programs in their community To identify gaps in community-based exercise resources available for frail older adults that meet the criteria for falls prevention Falls prevention criteria Physical activity guidelines for falls prevention exercise programs (Sherrington et al 2008; Sherrington et al 2011; NSW Falls Prevention Program 2012) The exercise program contains weight-bearing exercises that challenge strength and/or balance 40% of the program is spent on these exercises The program is designed and supervised by a trained instructor or healthcare professional
4 Method Contacted program organizer and/or instructor for information about older adult exercise programs Asked questions about program on the phone or via Observed an exercise class 16% Programs by community area (n=114) 12% 8% 4% 0% St. James St. Vital Seven Oaks Downtown River Heights Assiniboine South Point Douglas Transcona Inkster
5 16% 12% Seniors (n=99,699) and programs (n=114) by community area 8% Seniors Programs 4% 0% St. James St. Vital Seven Oaks Downtown River Heights Assiniboine South Point Douglas Transcona Inkster Population of Winnipeg RHA; June 1, n=93 Exercise program by target group (n=114) 80 # of programs n=21 0 General Specific
6 Exercise programs by target group (n=114) General population (82%) Arthritis (13%) Stroke (2%) Neurological condition (2%) Osteoporosis (1%) General disability (1%) Types of exercise programs for the general population (n=93) Yoga (4%) Falls prevention (4%) Tai Chi (18%) General/strength training (52%) Dance (22%)
7 120 Program instructor : participant ratio for exercise programs (n=93) 100 # of programs n=34 n=49 20 n=9 0 >20: :1 <=12:1 Assiniboine South Downtown Inkster Point Douglas River Heights St. James St. Vital Seven Oaks Transcona $0 $2 $4 $6 $8 $10 $12 $14 Cost Cost of programs
8 Assiniboine South Downtown Inkster Point Douglas River Heights St. James St. Vital Seven Oaks Transcona * $0 $2 $4 $6 $8 $10 $12 $14 Cost Cost of programs * Older adults in focus groups indicated that $3 was an affordable price per class Exercise programs that specifically aim to improve balance and prevent falls Instructor Cost Ratio Assinaboine South (Charleswood Senior Centre ) Physiotherapist $7 1:15 (Refit) Physiotherapist $13 1:4 (Good Neighbours Active Living Centre) MFC certified $8.50 1:25 (Archwood 55+) MFC certified $4.50 1:20
9 The investigation of Winnipeg exercise programs suggest there is a need for: Programs that specifically aim to prevent falls Exercise programs with a low instructor : participant ratio Falls prevention exercise programs with a low instructor : participant ratio If you have any questions contact: IMPACT Winnipeg Regional Health Authority injuryinfo@whra.mb.ca (204)
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