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Research round falls

Ability to get up from the floor is a significant predictor of serious fall-related injury.

Sturz-Risiko-Check questionaire useful and valid to predict risk of falling and functional decline in increasingly frail elderly still living independently.

To strengthen the integration of the GP as a trustworthy person would seem to be more successful to motivate senior citizens to participate in health promoting and preventative programmes in the future. This could succeed in a cooperation with geriatric centres to establish community centres for generally healthy senior citizens.

Difficulty in getting up was consistently associated with age, reported mobility, and severe cognitive impairment. Cognition was the only characteristic that predicted lying on the floor for a long time. This is strongly associated with serious injuries, admission to hospital, and subsequent moves into long term care. Call alarms were widely available but were not used in most cases of falls that led to lying on the floor for a long time. People need training in strategies to get up from the floor. Work is needed on access and activation issues for design of call alarms and information for their effective use.

The test "get up from lying on the floor" is a marker of failing health and function in the elderly and a significant predictor of serious fall injuries.

Teaching elderly patients how to get up from the floor can be accomplished in an inpatient internal medicine department and appears to be effective in the short term. Although further studies involving more patients followed for a longer period are required to confirm and assess the actual benefits, this training is safe and can be recommended.

Teaching elderly patients living alone how to get up from the floor is often successful and will probably reduce the risk of being unable to get up for an extended period of time. Several studies examined the efficacy of multifaceted intervention programmes on reducing falls in nursing homes with varied results. Components of these intervention programmes include: environmental assessment, assistive device evaluation and modification, medication changes, gait assessment and training, staff education, exercise programmes, hip protector use, and blood pressure evaluation. Current literature supports the use of environmental assessment and intervention in reducing falls in nursing homes.

Neck proprioceptors help to regulate balance but may be impaired by arthritic changes and whiplash injuries.A systematic review of 12 studies was done by Aveiro University in Portugal. Silva AG, Cruz AL in Physiotherapy Theory and practice. 2012.