How to Improve Balance and Prevent Falls in Older Adults | Results Physiotherapy
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How to Improve Balance and Prevent Falls in Older Adults

As we age, our risk of falling increases significantly. Falls are the leading cause of injury and death in older adults, and they can result in fractures, head injuries, and other serious health issues. According to the Centers for Disease Control and Prevention (CDC), one in four adults over the age of 65 falls each year, resulting in millions of emergency room visits and hospitalizations. We’ve highlighted some effective ways to improve balance and prevent falls in older adults, including:

  • Getting regular exercise
  • Participating in balance training
  • Wearing proper footwear
  • Eating a balanced diet

In addition, physical therapy can be an effective treatment and preventive measure to help adults of all ages improve their balance, reduce the likelihood of falls, and recover from injuries or pain that might stem from a recent fall.

Getting Regular Exercise

Getting regular exercise, especially doing some form of strength training, can help reduce the risk of falling. Your workouts don’t have to be intense. Functional exercises that are designed to help build foundational strength can have a big impact on one’s ability to reduce the odds of having balance issues. Doing a few simple exercises every day can help increase leg strength, improve your range of motion, and decrease the likelihood of a fall. Before starting any exercise or stretching routine, you should always consult with a qualified healthcare professional or physical therapist. Some movements you can do to reduce the risk of falling include:

  • Sit-to-stand exercise
  • Leg raises
  • Walking

Sit-to-Stand Exercise

The sit-to-stand exercise is a simple movement you can do at your kitchen table that will help strengthen your quads, glutes, and core. To perform this exercise, follow these steps:

  • Sit on a sturdy chair that won’t slide or roll anywhere
  • Make sure that there is a sturdy surface that you can grab on to for support if needed
  • Shift your body weight forward, squeeze your glutes, and slowly rise to a stable, standing position
  • Once your legs are fully extended and you’re stable, pause for a few seconds, then carefully return to your original seated position
  • Repeat for ten repetitions

Leg Raises

Leg raises are another exercise you can perform while at home as you can do them anywhere there’s a chair and some available space to extend your legs out in front of you. Do this movement by following these steps:

  • Sit in a sturdy chair and make sure your feet are flat on the floor
  • Slowly extend one leg as straight as possible without locking your knees
  • Once fully extended, flex your calf muscle and point your toes towards the ceiling
  • After 1 second, slowly lower your leg to the starting position
  • Repeat this exercise for ten repetitions, then alternate legs

Walking

In addition to exercises that target specific muscle groups, simply taking a walk can help with overall strength and balance. Whether it’s in the house, a stroll around your neighborhood or joining an indoor walking group, getting daily exercise can not only help prevent falls, but positively contribute to overall health. Walking 30 minutes 2 times a week has been shown to help reduce the risk of falls and can even be broken down into 10-minute segments with the same benefits.

Participate in Balance Training

Balance begins to decline with age, but regular balance training can preserve or even improve balance, coordination, and stability. Whether at home, in an outpatient physical therapy clinic, gym, or a fitness class, these exercises can be done as part of a regular exercise program to improve balance and reduce the risk of falling for older adults.

One Foot Balancing

Balancing on one foot can be difficult, and can be adjusted for all levels of balance. Follow these steps and perform this exercise a few times per day:

  • Start with two feet on the ground in front of a countertop, table or wall that you can rely on to steady yourself as needed
  • Slowly shift your weight from both feet to one foot, and lift the other off the ground
  • If you need additional stability, place your hand on the wall in front of you or grab onto a stable surface
  • Hold this position for 10 seconds, then return to the starting position in the center until you regain your balance
  • Repeat for the opposite foot
  • Work your way up to 30 seconds without needing to grab onto anything for balance

Wear Proper Footwear

Proper footwear also plays a role in your ability to maintain your balance. As you age and the risk of falling increases, your choice of footwear is crucial. Having the right amount of tread on your shoes can help provide you with more traction and decrease your chances of slipping or falling. To determine if your tread is worn out, look for the following:

  • Cracking or wrinkling in the midsole layer of the shoe
  • Extreme wear on the balls of the foot ot edge of the heel
  • The shoe rocking or tipping on flat surfaces

So, when you replace your go-to walking shoes every 8 to 12 months, look for a non-slip option that has plenty of grip and ensure that you’re wearing proper footwear that supports your everyday activities.

Eat a Balanced Diet

It may not seem like there is a relationship between your diet and your fall risk, but almost every aspect of your health can be tied back to what you eat. Eating a well-balanced diet can help you ensure that you’re giving your body the nutrients it needs to operate at full-capacity and you have the ability to recover as well.

Eat the Right Amount of Protein

Proteins help build and repair body tissues, including muscles. Eating a bit of protein with each meal can help keep your muscles strong as you age and reduce the impact a fall would have on your body. Some protein-dense foods include:

  • Lean meats
  • Cottage cheese or Greek yogurt
  • Tofu
  • Beans, lentils, and other legumes

Consume More Vitamin D

Vitamin D can help keep your bones and muscles strong. Oftentimes, older adults will need a Vitamin D supplement to ensure they are getting enough for their daily needs. Some good sources of Vitamin D include:

  • Fatty fish, such as salmon and tuna
  • Egg yolks
  • Orange juice

Get Enough Calcium

Calcium works in conjunction with Vitamin D to help strengthen your bones and muscles. While there are calcium supplements, calcium that comes directly from a food source is better for your body and the digestion process. Unlike protein, women need more calcium than men — but, everyone should aim for 1,000 to 1,200 mg per day. Some calcium-rich foods include:

  • Dairy products
  • Leafy greens
  • Grains, such as cereals and oatmeals

How Physical Therapy Can Help to Improve Balance and Reduce Falls in Older Adults

Physical therapy is an effective treatment option for individuals who are experiencing balance issues that may lead to falls. Your physical therapist will work with you to first evaluate and perform tests that are designed to identify the underlying issue that might be contributing to your increased risk of falling and will check several areas including coordination, movement, visual tracking, balance, and strength. Once the underlying cause or contributing factors are identified, your physical therapist will work with you to address those areas which will include a variety of treatment techniques designed to your ability to remain balanced while on your feet. Physical therapy is an effective treatment option to help you reduce your fall risk, improve mobility, reduce the fear of falling, improve strength, improve posture, increase your confidence performing everyday activities, improve activity levels, and improve your balance over time.

Reduce Fall Risk with Physical Therapy

At Results Physiotherapy, we believe that people shouldn’t have to live in pain. Our physical therapists create a personalized treatment plan for each patient and are 100% committed to helping them reach their health goals. Request an appointment today at a nearby PT clinic to see how physical therapy can help you reduce your fall risk or help you recover from a recent fall.

  1. Exercise to Prevent Falls, https://aging.ohio.gov/care-and-living/health-and-safety/fall-prevention/exercise-to-prevent-falls-1.
  2. “Fall Prevention for Older Adults Starts with Safer Shoes.” FOXRehab, 17 June 2022, https://www.foxrehab.org/safe-footwear-older-adult-fall-risk/.
  3. Nutrition & Fall Prevention – Veterans Affairs. https://www.nutrition.va.gov/docs/UpdatedPatientEd/NutritionFallRiskPrevention.pdf.
  4. Stutzman, Lora. “Fall Prevention: Balance and Strength Exercises for Older Adults.” Fall Prevention: Balance and Strength Exercises for Older Adults | Johns Hopkins Medicine, 8 Aug. 2021, https://www.hopkinsmedicine.org/health/wellness-and-prevention/fall-prevention-exercises
  5. “Falls and Fractures in Older Adults: Causes and Prevention.” National Institute on Aging, U.S. Department of Health and Human Services, www.nia.nih.gov/health/falls-and-fractures-older-adults-causes-and-prevention#:~:text=The%20risk%20of%20falling%20%E2%80%94%20and,take%20to%20prevent%20a%20fall. Accessed 5 Nov. 2023.
  6. “Keep on Your Feet-Preventing Older Adult Falls.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 24 Mar. 2023, www.cdc.gov/injury/features/older-adult-falls/index.html.
  7. “Balance Begins to Decline as Early as Age 50.” UCLA Health, www.uclahealth.org/news/balance-begins-to-decline-as-early-as-age-50#:~:text=Researchers%20have%20found%20that%20balance,time%20decreased%20to%2045%20seconds. Accessed 5 Nov. 2023.

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