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Falls and a fear of falling can diminish patient's ability to live and lead a full
and independent life. Even though 1 in every 4 older adults falls each
year, but we must understand that falling is not a part of normal aging.
Patients have the power to
reduce their risk of falls and our senior physiotherapist can help you do so by:
- Assessing your risk for falling
- Designing an individualized plan for your fall-prevention needs
- Helping you make your home as safe as possible
- Educating you about the medical risk factors associated with falls
- Providing you with appropriate exercises and balance training
- Working with other health care professionals to address any underlying medical conditions that could increase your fall risk
- Providing you with recommendations on appropriate community programs
What Are Falls?
A fall is defined as any event that leads to an
unplanned, unexpected contact with a supporting surface, such as the
floor or a piece of furniture, that is not the result of a push or shove or the result of a medical event, such as a heart attack or fainting.
A near fall, on the other hand, refers to a stumble or loss of balance that would result in a fall if you were unable to catch yourself.
There are lots of factors that can increase your risk for falls, including:
- History of a previous fall
- Being female
- Having a sedentary lifestyle
- Being in overall poor health
- Recent hospitalization
- Advanced age (older patients at higher risk)
- Difficulty with walking or keeping your balance
- Leg weakness
- Becoming fatigued easily
- Limited flexibility
- Problems with your vision or skin (touch) sensation
- Getting dizzy when you stand up from sitting or lying down (orthostatic hypotension)
- Medical conditions such as heart disease, diabetes, stroke, Parkinson disease, or Alzheimer disease
- Trouble with your memory and thinking
- Joint pain or arthritis
- Taking too many medications or taking certain types of medications
- Depression and/or anxiety
- Home hazards such as throw rugs, poor lighting, or a lack of handrails on stairs
- Inappropriate footwear
- Inappropriate use of a walker or a cane
The more risk factors, the greater risk of falling.
How Is falls or falls risk Diagnosed?
Unlike with other medical conditions, there is no single test that can
predict a fall.
All adults that is aged 65 years and older should be screened by
their doctors care provider on a yearly basis to help determine their
risk for falling.
On top of that, if you are worried about falling, have
had a loss of balance, or have had a fall, you should see one of our senior physiotherapists.
how our senior physiotherapists can help you
Our senior physiotherapist can conduct a brief check ("screening") of your
fall risk. If the screening shows that you are at risk, we
will perform a thorough evaluation, including:
- Review of your medical history
- Review of your medications
- Simple vision test
- Home safety assessment
- Simple test of your thinking abilities
- Check of your heart rate and blood pressure measurements at rest and while you change positions (from sitting/lying to standing)
- Foot and footwear assessment
- Balance, strength, and walking ability assessment
Based on the evaluation results, we will design a
plan that is tailored to your needs. Your physiotherapy treatment plan may include:
Balance training has been shown to
be an important and effective part of falls prevention. We will design exercises that challenge your ability to keep your
balance as well as recover from a loss of balance, including exercises
such as single-leg standing, or holding your balance while performing an
action like reciting the alphabet.
Walking and moving
A prescribed exercise program
should include a walking program. However, starting a walking program
with poor balance can actually increase your risk for falling. Talk to
your doctor or our senior physiotherapist before you initiate a walking
program to make sure that it is the right choice for you.
While working with us, you may be asked to perform activities, such as:
- Dance steps
- Walking in circles
- "Figure 8" exercises to strengthen the core abdominal muscles that help stabilize your body
- Working through an obstacle course
Doing more than one thing at the same time—safely
adults who have difficulty walking and talking at the same time are at a
higher risk of falling. To help increase your safety during daily
activities, we can design a "dual-task" training
This kind of training will challenge you to maintain walking
speed, while you perform another task, such as counting backward,
engaging in a conversation, or carrying a bag of groceries.
Strengthening is a key element of
fall prevention and is very effective in preventing falls, especially
when combined with balance exercises.
design an individualized strengthening program that focuses on specific
muscle groups to help improve your standing balance, your balance while
walking, and your ability to recover from a loss of balance.
Aerobic exercise is physical
exercise of relatively low intensity and long duration; it can help
improve almost every aspect of your health, especially your endurance.
We can work with you to plan a safe aerobic
program, such as a walking or an aquatic program, to address your
specific needs. The program may start with as little as 10-minute
sessions and progress to 30-minute sessions, as your endurance improves.
Pain management plays a crucial
role in older adults’ risk for falling and quality of life. Certain
exercises, such as strengthening and aerobic exercises, are appropriate
interventions to relieve pain in addition to decreasing fall risk.
Treatments need to be modified appropriately, depending on each
individual’s source of pain. Physiotherapy has been shown to help
individuals reduce or eliminate their need for pain medication,
We will take the
time to explain how you can best manage your own risks for falling. We also may talk to you about the best activities to help
maintain your quality of life, and offer educational resources.
It is important for you to talk
with us about the fear you have of falling. We will work with you to build your confidence and help you get
back to the activities that you may be avoiding because you are afraid
of falling. Your individual assessment can also identify the activities
that you actually should avoid to stay safe.
We can provide personal recommendations based on your condition and goals to help you:
- Increase the safety of your home environment by making changes, such as removing throw rugs or clutter
- Adjust how you complete your daily tasks to reduce your fall risk
- Choose appropriate footwear
- Learn about proper nutrition, improving your sleep schedule, and other general information that can help reduce your fall risk
- Meet with other health care providers when appropriate
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture,
core stability, balance, control, strength, flexibility, and breathing. It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
do Tell Your Family, Friends And Colleagues About Us =)
We appreciate you as our valued clients and want you to know that the #1 way we grow as a clinic/brand is through word of mouth referrals from valued patients like yourself.
We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.