Aleena Irshad
Abstract fall is defined as a sudden and unintentional loss of balance, which usually results in landing on the floor. The increase in number of geriatric population will lead to increase in the problem of falls. Its causes can be multifactorial & results are often devastating. Studies have shown that loss of strength, balance, coordination, endurance, and environmental hazards have been strongly associated with falls.
Objectives: The purpose of this study was to determine the efficacy of the home-based rehabilitation including balance, resistance & endurance training and the environmental modification strategies to prevent the risk of falls in the geriatric population.
Aims: The main aim of management was to maximize independence in mobility and functions and prevent further falls.
Methodology: Single subject case study of an 82-years-old male with the chief complaint of falls and minor injuries due to it. Along with the loss of strength, balance & coordination. He was given a home-based rehabilitation for 2months, 5 times a week which included resistance training, balance training & endurance training on alternate days (walking, static cycling). Along with that home setting modifications were done through a home Safety Checklist. Alternations in function were assessed by the Timed Up & Go Test, Five Times Sit to Stand Test, Single Leg Stance Test and The Fall Efficacy Scale International (FES-I).
Result: A decline in the rate of falls in the individual. TUG, 5XSST showed a reduction in time taken, time taken for SLST increased, reduction in score of FES-I and environmental modifications found out to be quite effective.
Conclusion: Home-based rehab program together with home settings modification are an effective way to prevent falls in the elderly.
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