How You Can “Avoid the Fall” This Year

“Avoid the Fall” This Year

The Center for Disease Control and Prevention (CDC) estimates that 1 in every 3 adults over the age of 65 years will suffer a fall in their lifetime.  Falls can lead to a variety of injuries including broken bones, surgery, hospitalization, and an overall decline in health.  After a fall, even one that does not cause an injury, many people are fearful of falling again.  This can lead to becoming less active and foster a general decline in overall health, wellness, and independence.

Identifying your risk for a fall, your fear of falling, and possible vulnerable activities are your most important first steps in preventing a fall. Have you felt unsteady or unsure of your balance?  Do you fear walking across your yard because the grass is a bit uneven?  Do you pause at curbs before stepping up…or just avoid them altogether by walking to the nearest “kneeling curb?”

I recently treated a client after a fall. This individual, in her mid 70’s, had been suffering with feeling unsteady for some time. She was unsure what could be done to help her and had chalked it up to “getting older” (sound familiar?). She struggled with being dizzy and feeling off balance, causing her to have difficulty walking. Before the fall, she had been feeling embarrassed.  She told me that “[she] was walking like [she] was intoxicated”.  At the time, she did not know that there were any ways to improve her balance.

Balancing to Prevent fALLING

“I felt embarrassed because it seemed like

I was walking like I was intoxicated.”

Unfortunately, her fall was only the start of a difficult year. The fall left her in extreme pain.  After some time putting up with the pain, she was found to have a broken hip! She had to be hospitalized for a hip replacement surgery.  The procedure was successful, but had consequences. Due to a prolonged time of inactivity the client suffered with being weak and, ironically, feeling even more unsteady

Having a fall can be serious business and have long term consequences. When you feel unsteady there are things you can do to improve your balance. If you are unsure if you are at risk for a fall, there are ways to test your body for balance.  I urge you to read ahead if you have ever worried about falling!

Identify Your Risk

Let’s review some screening tests to determine if you are at risk and identify where you may be vulnerable to fall. 

Behavior Screen

Do any of these statements apply to you?

If one or more of those statements/questions apply to you, it is time to do an at home balance screen. 

At Home Balance Screen

Below is a short balance screen that you can perform in the comfort of your own home.  No excuses that you “feel embarrassed” about looking “wobbly like you’ve been drinking.”  Check if you can perform the tasks below for the allotted time or repetitions. (Please be safe! Do this with someone else in the home or do the screen close to a chair/wall for support.)

Before you begin, watch this video for a brief overview to help you understand the tests.

  • Stand with feet together, arms folded across chest: 30 seconds
  • Stand with one foot slightly in front of the other foot (heel of forward foot should line up with the instep or arch of the opposite foot): 10 seconds. Test both sides
  • Stand on 1 leg: 10 seconds. Test both sides
  • 30 second Sit to Stand Test: Sit in a chair and cross your arms over your chest. When the timer starts, stand up and sit down as many times as you can in 30 seconds. You cannot use your arms for assistance. Passing score is completing 10 sit to stand movements in the allotted time. 

 

Knowing Your Results will HELP You

So, how did you do? Were you able to confidently complete the balance screen? If you struggled with any of the tasks, I encourage you to make some changes to help build confidence…and balance! The first step is to start completing simple balance tasks at home. I recommend that you complete this training DAILY! This will give your body the input it needs to make lasting change.

At Home Balance Training

Try out these tasks to start improving your balance today.

Watch this video for a brief overview to help you understand the exercises.

  • Side step at wall: 10 steps to each side, repeat for a total of 3x
    • Use 2 hands on the wall/counter, then 1, then none as each task gets easier
  • Forward heel to toe walk at wall: 10 steps forward, repeat for a total for 4x
    • Use 1 hand on the wall/counter, then none
  • Sit to stand with or without hand support
    • 5x without rest, repeat for a total of 3x

Did you struggle to complete the balance training tasks I included here? If you feel unsafe or unsteady practicing balance at home, it is time to take the next step (pun intended) and speak with an expert! 

I help people in your shoes everyday! I can help you identify areas that make you vulnerable to fall, and work with you to create a tailored program to strengthen your specific weaknesses. 

So before this Autumn passes you by, let me help you avoid the Fall.  Take charge of your balance for healthy aging and confidence!

 

Article by: Ali Zeno, DPT

Ali can be contacted at Lifestrength Physical Therapy at her e-mail or by calling 410-321-4901

 

Reference: CDC program STEADI