Neurologic/Geriatric>>Prevention of Falls in the Elderly - 1/5/2007
· Leading cause of injury-related visits to the ER in persons over the age of 65 years old.
· In 1996, more than 250,000 older Americans suffered fracture hips at a cost of $10 billion.
· Older age (especially > 75 years)
· Use of an assistive device
· Chronic Neuromuscular Conditions such as Parkinsons disease, Stroke, etc.
· Medications (Especially the use of four or more prescription drugs)
· Previous Fall History
· Reduced Vision
· Environmental Hazards
· Deconditioned state/Generaliz
Common Causes of Falls:
· Gait disturbance, balance disorders, weakness, pain related to arthritis
· Medications or alcohol
· Acute illness
· Postural Hyoptension
· Visual disorder
· Accident, environmental hazard
· Central Nervous System disorder
· *Physical Therapy:
1. Studies show that strength and balance training for the Elderly lowers risk for falling.
2. Home Safety Assessment
3. Gait Training
· Review of Medications
Kevin Lockette, President of Ohana Pacific Rehab Services
Kevin has been practicing as a physical therapist in the physical rehabilitation field since 1989. Kevin was a recent (2000) president of HAPTA (Hawaii Chapter of the American Physical Therapy Association) and the primary author of a medical text on rehabilitation,
*Physical Therapy for balance, gait and fall risks is a covered service for Medicare and most Major Medical Plans