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Senior Sense: Don't Be Caught Off Balance
  Mary McCallum, COASEV June 2006

Tessa spends time these days standing on one leg while waiting on line at the grocery store. And walking carefully across her living room heel-to-toe as she stares at a spot on the wall. Though she may appear to be off kilter, Tessa is working to improve her coordination and balance as a pre-emptive way to minimize her risk of falling.

Balance declines with age. Statistics show that accidents are the sixth leading cause of death to Americans over 75, with falls the most common accident among elders. Lack of strength and balance contribute to falls that result in broken bones or soft tissue damage. Yet it is possible for seniors as old as 90 to greatly reduce their tendency to fall through exercise and balance training.

Tessa is especially vigilant about preventing falls because of a near accident when she slipped on a scatter rug. Although she considers herself generally healthy at 72, she suffers from slight visual impairment and arthritis. She takes medication for high blood pressure and is concerned that side effects from drug changes could also contribute to a decline in balance. She does not plan to be among the 300,000 U.S. hospital admissions for broken hips each year.

Tessa was alerted to the high incidence of falls and best prevention techniques while attending a special program by her area Council on Aging at her senior center. She learned that regular exercise is one of the most important ways that people over 50 can reduce their risk of falling. Exercise not only improves strength and increases a feeling of well-being---it is a key factor in maintaining balance.

The speaker listed a variety of options: simple balance exercises done at home that need no more equipment than a chair, yoga, and Tai Chi (graceful meditative movement that enhances body awareness). Studies indicate that people who do regular balance exercises, yoga or Tai Chi have a greatly reduced fear of falling and actual incidence of falls.

Tessa also learned about common risks that contribute to seniors falling at home: scatter rugs, extension cords, low lighting, and absence of bathroom grab bars. She switched to non-skid rugs, upgraded the wattage in her lamps, and made sure all extension cords in her home run only along room perimeters.

Home assessment programs exist that help senior identify hazards and plan modifications that make their homes safer. In Vermont the Safe Steps Program screens qualifying seniors for balance problems and assesses their homes for safety. Because the program is free to elders over 65, Tessa contacted them for the assessment that led to the changes she made for a safer living environment.

Here are three simple "anytime, anywhere" exercises that Tessa uses to stay in balance.

  • Single Leg Stand: Stand on one foot for several seconds, alternating feet. Do it near a chair in case you need to touch it for balance. Build up to more seconds over time.
  • Walk Heel-To-Toe: Position heel of one foot directly in front of toes of opposite foot, walk across the room. Alternate front foot with each step, and use arms for balance if necessary.
  • Chair Stand: Practice standing up and sitting down without using your hands.

If you are experiencing balance problems, have excessive fear of falling, or have fallen, talk to your doctor. Side effects from medications, impaired vision or mobility, ear infections or medical conditions may be involved (such as stroke, Parkinson's, arthritis). Strengthening exercises, home safety improvements, and balance training can help keep you safe and confident.

RESOURCES

  • The Council on Aging's Senior Help-Line (800-642-5119) can tell you about walking programs and Strong Living and Bone Builders exercise programs in your area. They also offer affordable hand weights.
  • Safe Steps Home Assessment Program (800-858-1696)

 

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