Multi-dimensional approach to fall prevention

Because there different factors that cause a person to fall, fall prevention researchers (yes, they exist and yes, I am one of them) recommend a multi-dimensional approach to fall prevention. Home environment, medication management and activity patterns have been identified as the fall risk factors that a person has a moderate ability to control. Although falls are accidents, a person can significantly reduce the risk of a fall through modification of these areas.

The 2nd Annual Community Fall Prevention event in Sacramento county will feature experts in all areas of fall risk reduction. Participants can attend educational lectures and/or be assessed in various areas of fall risk. Screenings will be offered in the following areas:

1. Vision
2. Blood Glucose
3. Foot clinic
4. Bone Density
5. Blood pressure
6. Hearing
7. Brown Bag (medications with pharmacist)
8. Senior Fitness/Balance Testing

Last year, the most popular attraction was the balance testing and we at the planning commission have predicted that the majority of people will want to be physically assessed for fall risk again this year. This year, I have a team of health and fitness professionals to assist me. I have recruited local physical therapists, fitness instructors and physical therapy students from my alma mater, CSUS, and Sac City College to assist with the Senior Fitness Tests and short-form Fullerton Advanced Balance (FAB) scale.

With the aging of the population, falls are quickly becoming a public health epidemic. As such, it takes a community to increase people about fall risk and how to reduce the risk of accidental falls. I am so excited that senior service providers in Sacramento are coming together to offer this free event to older adults in the area. It's all about collaboration and I am proud to have a multi-talented team to assist me. Thank you so much to my volunteer team!

Educate. Demonstrate. Facilitate.
The Fall Prevention Lady

Tai Chi: Moving for Better Balance Instructor Training Workshop

Recognizing the severity of falls, the California Department of Public Health is organizing a statewide Tai Chi program to reduce fall risk among older Californians. A major part of this program is the training of instructors at the local level. This weekend, January 22-23, 2011, the Northern California instructor training program will be held in Sacramento, CA.

I have been hired as an expert to instruct workshop participants how to perform three of the six fall risk assessments that are part of this program. The first thing I asked who my audience was and who the target population of this program was. Afterall, aging is a unique experience for each of us and there are extreme differences between frail 65 and thriving 85.

The instructor population of this training is current Tai Chi instructors, Physical Activity Coordinators and Instructors, Recreation Therapists and Physical Therapists and the target population for the Tai Chi: Moving for Better Balance program is older adults at risk of falling, due to decreased mobility, history of falls, decreased overall health, and balance deficits.

As more research is done on the role of exercise and fall prevention, the need for standardized assessment procedures and uniform definitions is undeniable. Researchers must be on the same page; measuring the same variables (per definition) in the same manner (per protocol or procedure).

Through standardized pre- and post-study assessments, my research study demonstrated that the FallProof™ at Home DVD series SIGNIFICANTLY increased balance confidence while SIGNIFICANTLY decreasing fall risk. In fact, seven study participants were no longer identified "at risk" of falls after the 12-week balance and mobility intervention.

I am excited about being part of this program and spreading the word about ASSESSMENTS.

The Fall Prevention Lady

Fall risk assessment results are in....

13 older adults were assessed for fall risk at the Sam Pannell Community Center (SPCC). Because this was a group of higher functioning elders who live independently within the local community, the appropriate fall risk assessment tool to use was the Fullerton Advanced Balance (FAB) scale. It takes approximately 15 minutes per person to implement and provides myself and the participant with valuable insight about the multiple dimensions involved in balance and mobility.

Having just completed an extensive literature review for my fall prevention exercise thesis, I am familiar with the demographics and percentages associated with older adults and falls. For instance, it is estimated that one in three adults over the age of 65 falls each year (CDC, 2008). If one third of adults fall each year, I am curious about the percentage that is AT RISK. Obviously, more people are at risk of falling than those who actually fall but it would be interesting to know those numbers. Perhaps future doctoral studies will gain some insight to those numbers? :)

Anyhow, according to the valid and reliable FAB fall risk assessment tool, 7 out of 13 adults over the age of 65 were identified at risk of falling at the SPCC FAB clinic. What was interesting was that 7 out of the 13 adults were over the age of 80 and all but one of those in the eighth decade of life were identified at an increased risk of falling. Although small in sample size, the results of the SPCC FAB clinic support research indicating that the risk of falling increases with age.

So what can one do to reduce the risk of falling? REMAIN ACTIVE. Get into a consistent exercise program that focuses on strength and endurance training, balance and flexibility training. Of course, I recommend the FallProof™ program but if you do like exercise at home and want to start slowly, the Take 5 to Exercise™ fall prevention DVD series is a great place to start. Engaging in a walking program in addition to participating in the Take 5 to Exericse™ DVDs is a fabulous way to reduce the risk of falls, no matter what age.

Loving research and evidence-based programs,
The Fall Prevention Lady

Fall Prevention Week

The third week of September is officially "Fall Prevention Week" and as the Fall Prevention Lady, I am excited to see communities become pro-active in the prevention of falls among an aging population, at least for one week!
In Northern California, the Area 4 Agency on Aging and Kaiser Permanente are hosting a free fall prevention community event, "To Fall or Not to Fall". Saturday, September 25th, from 9am-2pm, there will be workshops, assessments and vendors that specialize in reducing the risk of a fall. Because there are multiple causes for falls, there are multiple ways to reduce one's risk of such a tragedy.

I am excited! If you live in the Sacramento region, come out for this FREE community event. Register now....(916) 486-1876.

Get out, get assessed, get informed, be proactive in the management of your well-being.
The Fall Prevention Lady

Fall Prevention community outreach

I am excited about today's fall prevention workshop at the Hart Senior Center in mid-town Sacramento, CA because it offers me an excellent opportunity to educate older adults about fall risk factors and show them ways to reduce personal risk of falling through physical activity. Today's workshop is the first of the Area 4 Agency on Aging-funded grant program; same workshop as the Kaiser program, different funder who supports educating the community about fall prevention.

Last week I hosted the Fullerton Advanced Balance (FAB) scale clinic at the same location and it's no surprise that several of the people I assessed will be in attendance today. I am so excited that these people get it...they want to reduce the risk of falling by learning how to safely challenge their balance and mobility. Congratulations Sacramento seniors for taking responsibility for your safety and independence!

The good news is that Sacramento residents still have a chance to get assessed and be part of this fall prevention exercise research study! The last 2 FAB clinics will be held at the following locations. Give this a try! There is no obligation to be in the study and I guarantee this assessment will be a real eye opener about your balance skills.

Tuesday, August 3: Oak Park Community Center: 11:30-3:30 pm
3425 Martin Luther King Jr Blvd, Sac 95817
Tuesday, August 10: Natomas Community Center: 1:30-5 pm
2921 Truxel Road Sac 95833

Reaching out to my community,
The Fall Prevention Lady

FAB clinic at Shiloh Baptist Church in South Sacramento

I was referred to Debra Johnson through Jackie, program assistant @ 50+ Wellness program to do some fall prevention screening in order to increase awareness of the importance of prevention. Debra agreed to let me conduct the Fullerton Advanced Balance (FAB) scale testing on her class. On two separate days, I assessed 18 of Debra's class of older African American God-loving participants!!!
For the most part, these ladies and two gentlemen did great on the Fullerton Advanced Balance scale and overall, are not at an increased risk of falling. However, four of the 18 community dwelling older adults FAB score indicated those individuals to be at an increased fall risk.
In a 15-minute FAB score group summary, I stressed the importance of consistent lower body strengthen exercises, daily range of motion and flexibility movements, and balance training; particularly center of gravity training.

Poor dynamic center of gravity control was a recurring theme from this group's test score interpretations and this is not uncommon. Most older adults are not aware of "core" training and have no idea what their center of gravity is or where it is located! This type of multi-sensory training is a vital component of the FallProof™ balance and mobility training program.

It was not the intention for me to educate or demonstrate any type of fall prevention exercises so I didn't have the opportunity to educate this wonderful group of people about this fall related concept. Perhaps class instructor Debra Johnson will ask me back to work with her ( I do offer a train the trainer program) or to lead one or two classes.

If not, I thoroughly enjoyed working with my sisters and brothers from Shiloh Bapist Church and look forward to FAB testing older adults throughout the Sacramento region and teaching fall prevention exercises.... increasing awareness about how important it is to Take 5 to Exercise every day to reduce the risk of a fall.

Praise the Lord,
The Fall Prevention Lady

Fall Prevention Clinic of America?

Talk about specialized niche: I am a fall prevention exercise instructor. I'm not sure how I chose this path but I have been studying the importance of preventative screening and early detection since my undergraduate studies at West Chester University. On the west coast, I am studying exercises that are designed to reduce the risk of a fall. I think I'm a little ahead of my time with my specialty so you can imagine my surprise when I read about the Fall Prevention Clinic of America! Yes, in the Heartland (Illinois), there are clinics that specialize in the early detection of vestibular and balance disorders!

Dr. Debra Rose's FallProof program, one of the top 7 fall prevention programs in the country, stresses the early detection and thorough assessment of older adults who have fallen or are concerned about falling. In fact, the Fullerton Advanced Balance (FAB) scale is a 10-item test designed to identify system weakness and impairment. I have been implementing the FAB within the Sacramento region and although I'm not a doctor, I am trained to recognize a systemic impairment. While testing, I have identified at least a dozen older adults who may have vestibular disorder and have referred them appropriately.

In this month's Aging Well newsletter, Flagging Falls By Jennifer Mellace Aging Well Vol. 2 No. 5 P. 10, talks about the body systems involved in balance, including the vestibular system, and the importance of preventative screening and early detection. There are 4-5 fitness tests that a properly trained professional can conduct in order to identify impairment. Things deteriorate as we age and the "use it or lose it" theory applies to just about every body system, especially our balance skills.

The good news is that consistent activity can deter further degeneration and even improve symptoms and conditions. Falls are accidents and although they are associated with growing older, they are not a normal part of the aging process: the risk can be reduced. The number one way to reduce your risk of a fall is to stay active. Remember to Take 5 to Exercise each day!

Fall risk screenings....

I am going out into my community to set up 4-hour screenings where I will be testing older adults for balance and mobility system impairments that, if left unchecked, can increase the risk of an accidental fall. My community project is about increasing awareness through early detection and preventative education. This type of outreach is what communities need to implement before falls reach epidemic proportions among the older population.

I plan on using the Fullerton Advanced Balance (FAB) scale to test community-dwelling older adults who are interested in testing their balance skills. This type of test is perfect for older adults who do not consider themselves vulnerable to a fall and it's also perfect for anyone who have fallen and is concerned about falling again. The FAB includes 10-fitness tests that are designed to assess the body systems involved in balance and mobility; the visual, vestibular, somatosensory, and musculoskeletal. This type of fitness testing is recommended for the "young-old".

When appropriate, I will recommend using the Berg Balance scale which is a good assessment tool for the more frail individual. Due to the sedentary nature of our society, I will not be surprised by the number of older adults who are only capable of the 14-fitness tests on the Berg. Both of these assessment tools are research and evidence-based methods of indicating those who are either moderate or high risk of falling.

I will be using these functional assessment tools in increase public awareness of the vulnerability everyone has when it comes to losing his or her balance. Some of the tests are challenging and can be quite humbling when doing them. I hope to educate Sacramento residents about how to reduce the risk of an accidental fall by remaining physically active. It is important to Take 5 to Exercise each day and challenge the body's balance systems regularly and safely.

If you're not assessing, you're guessing. So find out what your strengths are, be aware of your weaknesses and take responsibility for your well being by following a regular exercise routine, either seated or standing. And smile, your body will adapt and improve!

If interested, contact me.... livinfit@gmail.com