Falls are serious health risks for older adults and one of the most common. About 1 in 3
people aged 65 and over will fall at least once each year, and these falls often lead to injury,
hospital intervention and a loss of confidence. In some cases it can lead to long-term care
needs. For this reason, it is readily researched and considered in health care settings.
Fortunately, a growing body of evidence shows that many falls can be prevented with simple,
practical actions.
Why Do Falls Happen?
As we age, the risk of falling increases due to changes in balance, muscle strength, vision,
increased medication use and others. Long term health conditions such as arthritis, heart
disease, and neurological disorders can make everyday movements like standing up,
turning, or walking more challenging. Being aware of these risks is the first step in preventing
falls.
Exercise — The Foundation of Fall Prevention
Clinical studies show that targeted physical activity – particularly when it includes; balance,
strength, and functional movement training, can significantly reduce falls and fall-related
injuries. In community-dwelling older adults, exercise has been shown to reduce fall rates by
about 23% overall. Also, exercise programs with a combination of balance training and
strength work when completed 3+ hours per week, can reduce falls by up to 42%.
Balance exercises can be simple examples include heel-to-toe walking or standing on one
leg. They are effective as they train the body to react to slips and stumbles. Strength training
for the legs and core helps keep the body stable during everyday activities. Regular
physiotherapy therapy or group exercise classes can also build confidence, which is an
important part of reducing fear-related inactivity.
Safety In The Home
Environmental hazards are another major contributor to falls, especially at home. It is
necessary to consider improving lighting, installing grab rails in bathrooms, removing loose
rugs and ensuring clear pathways, in order to create a safe environment and prevent falls.
Evidence shows that home hazard reduction, especially for people at higher risk (such as
those with frailty or who have fallen before), can significantly lower the number of falls.
Occupational therapists can be very helpful in identifying and addressing fall risks in the
home environment. They can recommend specific modifications tailored to an individual’s
mobility and requirements.
Medication and Vision Checks
Certain medications and the amount of medication one takes, can increase dizziness or
balance problems. Reviewing these medications with a GP or medical professional can
reduce falls risk. Furthermore, regular vision checks and timely interventions (e.g. cataract
surgery) are important, as good vision is key for navigating steps and obstacles safely.
Comprehensive Risk Assessment
A comprehensive falls risk assessment will consist of all of the components mentioned
above as well as an individual’s medical history and care needs. Some healthcare
professionals use assessment tools to ensure all factors are considered and evaluated. This
multifactorial approach is recommended research as it has been found to reduce the overall
number of falls in older adults.
Conclusion
Preventing falls isn’t about avoiding activity, it’s about strengthening the body, reducing
hazards and tailoring support to individual needs. We can help many older adults stay more
confident, independent, and safe in their everyday lives by implementing evidence-based
exercise, home modifications and regular health checks.
At Ebrook Osteopathy and Sports clinic, we support falls prevention through personalised
1:1 appointments in clinic, group exercise classes and community-based programmes
designed to keep you moving safely. Whether you’re looking to reduce your risk of falling,
recover after a fall, or simply build confidence in your movement, our team is here to help.