Don't over-think it....

Imagine being faced with your greatest fear every time you took a step. For older adults who have fallen, they are terrified of falling again. Therefore each time a change of position is necessary, the older adult visualizes the worst condition possible; falling to the ground and breaking a hip or hitting her/his head. Paralysis by analysis....

This fear of falling cannot be "shrugged" off or simply forgotten. In fact, this fear becomes a serious condition when it begins to interfere with one's activities of daily living. At first, the older adult does not expose herself to situations that may increase the risk of an accidental fall. In the short-term, this is ok but in the long run, this limited activity does more harm than good because the less a person does, the weaker she becomes. The less a person does, the less confident she is in herself.

The result? A vulnerable older adult who is terrified of falling and thinks this is part of growing older. They believe that weakness is unavoidable and limited to no activity is the only answer. Suddenly they have a serious case of the "I can'ts"... I can't do this, I can't do that. The power of thought is undeniable and the person becomes what she fears...

The good news? DON'T OVER-THINK IT, YOU CAN DO IT. YOU CAN CHANGE!

I have been teaching fall prevention exercises to older adults all over Sacramento and it is a beautiful thing to see a participant shatter the "I can't" belief system. The most common "I can't" that people have overcome is getting out of the chair. After consistent strength and balance training, older adults gain skills necessary to get up from a chair without assistance.

A participant asked me how she was supposed to get up. I told her that she could do it, she's done it before, she knows what to do, she knows how to do it. Don't overthink it... and up she went. Once up, she smiled ear to ear and said you're right, I'm not going to overthink it; I can do it.

Praise God.

All-time record in lower body flexibility improvement....

I just finished teaching a 6-week balance and mobility training program in Elk Grove, CA and the improvements were REMARKABLE. In fact, one lady set an all-time record for improvement in lower body flexibility. On the first day of class, she was only able to come within 9 inches of her toes and on the last day of class, she was able to touch her toes for a 9 INCH gain in lower body flexibility! This 62 year-old lady also significantly increased lower body strength by being able to do four more chair stands in 30 seconds and shaved over half a second off her dynamic balance and agility score.

Everyone is so proud of her; including herself and her husband who was also in the class. This 64 year-old gentleman showed significant improvements as well; increasing percentile rank by 50 percent in both lower body flexibility and dynamic balance and agility while improving lower body flexibility percentile rank 25 percent. This young couple improved so much that they want to continue training to maintain the gains they have made. I recommend they Take 5 to Exercise each day for Maintenance~

Like most of my classes, this was a small group with ages ranging from 62 to 84 years of age. There were two couples; one in their sixties and one in the upper 70s/low 80s. It was interesting to see the healthy competition between the younger couple and the loving encouragement of the older couple as functional fitness levels significantly improved for everyone in the class. The older couple showed significant improvements as well; she improved percentile rank by nearly 50 in all aspects of fitness and he prevented a fall while on vacation by practicing the step strategy to regain his balance.

The other members of class did extraordinarily well, too. This is an active and able group; the exact demographic of the FallProof™ balance and mobility training program. And I now have a record improvement of 9 inches for lower body flexibility. Congratulations, Elk Grove members!

The "F" word

As the Fall Prevention Lady, I have a rule that we don't say the "F" word in my class. The "F" word I'm talking about is "Fall". As a balance and mobility specialist, I like to keep things on the positive so we try to 'avoid losing our balance" and practice 'regaining our balance' through progressively challenging, evidence-based training methods that work when you work them.

Unfortunately, I teach some balance training concepts in class that I don't feel confident having people do at home. Thus, Dr. Rose developed the three-level, progressively challenging FallProof™ at Home (FAH) DVD series to supplement the balance and mobility training done in community-based classes. I urge participants in my 4-week session to follow along with FAH, Level 1 at least 2 times a week in addition to attending class twice a week.

In addition to the FallProof™ at Home DVD, I suggest that participants Take 5 to Exercise each day. Take 5 to Exercise is a seated stretching and strengthening exercise series with 5 different routines. Each routine is different and focuses on a different fall prevention exercise component; flexibility, strength, posture, and maintenance exercises.

The Take 5 to Exercise routine looks like this:

Day 1: Take 5 for Flexibility
Day 2: Take 5 for Strength, using a resistance band
Day 3: Take 5 for Posture
Day 4: Take 5 for Strength, using resistance band and soup cans or light dumbbells
Day 5: Take 5 for Maintenance

Whatever you do, make exercise a regular part of your routine if you want to remain independent. And don't say the "F" word!

Visual training kind of day...

As the Fall Prevention Lady, I promote multi-sensory training in order to reduce the risk of an accidental fall. The sensory systems involved in balance are the visual, vestibular and somatosensory systems. Each system contributes vital input about the body, the environment and one's balance. Thus, training each of these systems is necessary to reduce the risk of a fall.

I am teaching the multisensory balance and mobility training program, FallProof™, in the communities of Sacramento. Today I have three classes, all at different levels in the program, and it so happens that each class program focuses on Visual training! For me, it's a visual training kind of day. I am so thankful to be improving the quality of life for class participants, especially those who practice the program at home.

Take 5 to Exercise to prevent a fall.

Private training client climbs stairs without assistance!

I have been doing in-home private training with a 79 year-old woman for 10 sessions and today she was able to walk up the stairs into her home without assistance. YAY! I am so excited about this milestone for Sue (name changed) because by regaining the ability to independently and confidently go up the stairs was the first step to her taking control of her life again.

As a fall prevention consultant in the Sacramento area, I was hired by Sue's brother and sister in-law after Sue fell going up these same stairs. Twice. Active and healthy, Sue's relatives knew something could be done to reduce the risk of another fall and contacted me. A thorough assessment not only enabled me to immediately form a therapeutic relationship with Sue but also to identify her limitations and strengths.

Sue was so de-conditioned from being stuck in the cycle of fear and sitting in her chair that she had to relearn how to move. We started with a consistent routine of the Basic 5 stretches and slowly added lower body strengthening exercises. Because Sue was terrified of falling again, we had to get Sue to believe in herself and the self-perceived benefits of exercise. This doesn't happen overnight however repetition of activities and repeated successful attempts fostered Sue's self confidence levels.

It was amazing to witness this transformation. Even though each visit got progressively more difficult, Sue made it look easier! She's a trooper. She's a fighter. She's a believer. After a temporary setback due to a blister on her diabetic ankle, Sue set realistic goals, put her head down and invested in her independence. I brought my resistance bands and I introduced her to my stepup. We broke out the soup cans. We laughed. We shared Starbucks. After 10 one-hour sessions, Sue walked up her stairs without the assistance of her helper.

Once reluctant to confirm the next appointment, Sue called me tonight to setup our next visit and to purchase 5 more sessions. She called me to thank me for teaching her how to walk up her stairs again. It was so beautiful to hear her say, "now I know where each foot goes and which foot gets the emphasis". Praise the Lord!

Sue decided to Take 5 to Exercise each day. When asked if she felt stronger, she said, "as much as I hate it, yes I do!". She loves her new strength and the glow in her face is beautiful. Invest in yourself. Invest in your independence. Get active and Take 5 to Exercise each day.