The 80-year-old man was by all measures relatively fit, maintaining a three-mile-a-day treadmill regimen. So no one was more surprised than he when he began falling, finally breaking his hip.
It puzzled Melissa Banta, doctor of physical therapy, too, when she began treating the aging athlete. "I discovered that the ankle opposite his repaired hip had poor strength," something that can be addressed with an ankle brace, says Banta, who works at Sheltering Arms Physical Rehabilitation Hospital in Richmond, Virginia.
Leading cause of elder injury in the U.S.
Falls are the leading cause of injuries to older people in the United States, and the resulting broken bones often set off a downward spiral in health. But despite their frequent occurrence, falls are not an inevitable outcome of aging.
A fall can be a dramatic turning point for an older person. According to the Centers for Disease Control (CDC), up to 25% of people who lived independently before their hip fracture have to stay in a nursing home for at least one year. About 50% of the elderly who sustain a fall-related injury will be discharged to a nursing home rather than return home.
What you can do
Making sure the living environment is safe is only half the battle when it comes to fall prevention. Ensuring an older person is in the best possible physical condition goes a long way toward making sure falls never happen.
First things first: Get all physical systems checked. According to the American Academy of Orthopaedic Surgeons, there are lots of medical problems that lead to falls, including:
A doctor should review all medicines — use of more than four is often associated with increased risk of falling, and out-of-date drugs, wrong dosages or side effects can all cause problems. Other potential causes include the need for oxygen, or having vertigo.
Treatment can prevent many of these from turning into a fall. For example, with vertigo, "we can often treat that with physical therapy, doing maneuvers to reposition the inner ear," Banta says.
Good health also means maintaining a diet with adequate dietary calcium and vitamin D and avoiding smoking or excessive alcohol.
Next, encourage your parent to exercise regularly. The CDC's National Center for Injury Prevention and Control recommends engaging regularly (e.g., every other day for about 15 minutes each time) in exercise designed to increase muscle and bone strength, and to improve balance and flexibility. Many people enjoy low-impact activities such as walking and swimming.
Lastly, it's important to remember that how you move matters. Consider discussing the following fall-prevention techniques with your parent:
Most falls do not result in serious injury, the CDC says. "However, there is often a psychological impact. Approximately 25% of community-dwelling people 75 or over unnecessarily restrict their activities because of fear of falling." Preventing a parent from becoming one of these statistics means taking action before that first misstep.