By: Dr. Mariana Wingood, DPT PT GCS CEEAA · Test in Identifying Older People Who Fall: Systematic...

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Transcript of By: Dr. Mariana Wingood, DPT PT GCS CEEAA · Test in Identifying Older People Who Fall: Systematic...

By: Dr. Mariana Wingood, DPT PT GCS CEEAA

A fall is defined as any event that leads to an unplanned, unexpected contact with a supporting surface.

• A stumble event or loss of balance that would result in a fall if sufficient recovery mechanisms were not activated.

• At least two of the following compensatory mechanism should be activated to be determined as a near fall:

• unplanned movement of arms or/and leg

• unplanned change in stride length

• lowering of the center of mass

• unplanned change in stride velocity

• trunk tilt

http://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/prevention_of_falls_summary_of_recommendations

Webinar: http://www.cdc.gov/steadi/webinar.html

Age Men Women

60-64 17 15

65-69 16 15

70-74 15 14

75-79 14 13

80-84 13 12

85-89 11 11

90-94 9 9

Have a list of 3+ providers in the following Healthcare fields

40

www.med.unc.edu/aging/cgec/exercise-program

www.otagoexerciseusa.com

http://www.mainehealth.org/mob

http://www.fallscape.org/

http://www.synapticseminars.com/

http://www.pierce.ctc.edu/el/sail

https://www.ncoa.org/resources/program-summary-stepping-on/

http://taichiforhealthinstitute.org

http://taichiforhealthinstitute.org/instructors/mastertrainers/?region=&fn=Find&countryid=233&region=&fn=Find

http://www.ncoa.org/improvehealth/center-orhealthy-aging/tai-chimoving-forbetter.html

www.ncoa.org

www.stopfalls.org

www.geriatricspt.org

• Beattie, Lynn PT. 2014. Effective Fall-Prevention Demands a Community Approach. Journal of Geriatric Physical Therapy 37 (1): 31-34

• Schoene, et.al. 2013. Discriminative Ability and Predictive Validity of the Timed Up and Go Test in Identifying Older People Who Fall: Systematic Review and Meta-Analysis JAGS 61:202–208

• James C. Wall, PhD; Churan Bell, BS; Stewart Campbell; Jennifer Davis. 2000. The timed get-up-and-go test revisited : Measurement of the component tasks Journal of Rehabilitation Research and Development 37 (1)

• McCarthy, E. K., et al. 2004. "Repeated chair stands as a measure of lower limb strength in sexagenarian women." The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 59(11): 1207-1212.

• Mohammad R. Fotoohabadi, Elizabeth A. Tully and Mary P. Galea Kinematics of Rising From a Chair: Image-Based Analysis of the Sagittal Hip-Spine Movement Pattern in Elderly People Who Are Healthy Physical Therapy April 2010 vol. 90 no. 4 561-571 )

• Ola Eriksrud, Richard W Bohannon. 2003. Relationship of Knee Extension Force to Independence in Sit-to-Stand Performance in Patients Receiving Acute Rehabilitation. Physical Therapy 83 (6)

• Rikli, R. E. and Jones, C. J. Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The Gerontologist. 2013. 53(2): 255-267.