Read more reliable Information from
U.S. National Library of Medicine
 
 
Facebook
 

 
Tai Chi Qigong for Health >> Tai Chi Qigong for Falls Prevention

New Guidelines for Preventing Falls in the Elderly: Start Tai Chi
 
January 15, 2011 -
In the first update of their guidelines on preventing falls in older persons since 2001, the American Geriatrics Society and the British Geriatric Society now recommend that all interventions for preventing falls should include an exercise component and that a number of new assessments should be used, including; feet and footwear, fear of falling, and ability to carry out daily living activities. The guidelines, a summary of which are published today in the Journal of the American Geriatrics Society, also state that fall screening and prevention should be a part of all healthcare practices for older adults.
 
The guidelines were compiled by a panel comprising members from the previous panels and new members with substantial knowledge, experience, and publications in fall prevention and care of older patients, and are based on a systematic review of the randomized controlled trials of fall prevention interventions.
 
"Falls are one of the most common health problems experienced by older adults and are a common cause of losing functional independence," said Dr. Mary Tinetti of Yale University School of Medicine, USA, and one of the panel chairs. "Given their frequency and consequences, falls are as serious a health problem for older persons as heart attacks and strokes."
 
The guidelines now state that doctors and other health professionals should determine whether their older patients are at risk of falling by asking if they have fallen recently or if they are unsteady walking. If so, health providers should look for the presence of known problems such as muscle weakness, poor balance or blood pressure that drops too much on standing. If they have these problems, then older adults should receive the interventions described in the guidelines, but if there is no evidence of gait problems or recurrent falls, they do not require a risk assessment.
 
The new recommendations for interventions focus on:
 
Multi-factorial interventions which include exercise for balance, gait and strength training, such as Tai Chi or physical therapy
 
Environmental adaptation to reduce fall risk factors in the home and in daily activities
 
Cataract surgery where needed, but they recommend against vision intervention as an individual approach
 
Medication reduction, regardless of the number of medications prescribed (in 2001 this was only recommended for those on at least four) with particular attention to medications that affect the brain such as sleeping medications and antidepressants
 
Focus on raising low blood pressure and managing heart rate and rhythm abnormalities.
 
"We found that the most effective trials for preventing falls in older people looked at multiple interventions rather than just one; previous studies have indicated that it is more effective to focus on one intervention, but because we looked at not only what recommendations were given, but also which carried out, we're confident that multifactorial interventions is the best course of action," said Tinetti.
 
"There is emerging evidence that the rate of serious fall injuries, such as hip fractures, is decreasing modestly in areas in which fall prevention is integrated into clinical practice. By making fall prevention part of the clinical care of older adults this trend can continue."

 

 


 
 

Tai Chi and Qigong Basic
Superme Chi Living

 

Copyright ©2010 ATCQA | Desingned by Dinfo Network