### Comprehensive Report on Tai Chi and Fall Prevention for Elderly Parents

#### Introduction
Falls are a significant health risk for older adults, often leading to serious injuries, loss of independence, and even death.

According to the Centers for Disease Control and Prevention (CDC), one in four seniors over the age of 65 will fall each year, with one in five of those falls causing serious injuries such as broken bones or head injuries.

Given these statistics, finding effective methods to improve balance and prevent falls is crucial.

Tai Chi, a traditional Chinese martial art, has been increasingly recommended for its potential benefits in enhancing balance and coordination among the elderly.

#### What is Tai Chi?

Tai Chi is a form of exercise that involves slow, controlled movements, deep breathing, and meditation.

It is often described as "meditation in motion" and is characterized by its gentle, flowing movements that are low-impact and suitable for people of all ages, including older adults.

The practice emphasizes the integration of mind

### Comprehensive Report on Tai Chi and Fall Prevention for Elderly Parents

#### Introduction
Falls are a significant health risk for older adults, often leading to serious injuries, loss of independence, and even death.

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Preventing falls in the elderly, strengthening muscles and joints
September is Fall Prevention Month.
Elderly people fall is very common and the impact is very large, causing severe fractures, stroke and even death, said Wu An An, a physical therapist at On House.
Tips to prevent falls, such as enhancing muscle joint flexibility, sitting down or getting up slowly, shoes suitable for non-slip.
Wu Anan said that falls are common among the elderly and have a great impact.
According to the data, each year 3 million elderly people fall emergency department, one fifth of them are seriously injured, need to be admitted to hospital or even surgery, if there is a fracture, head injury, it is difficult to restore the previous mobility, and even to receive long-term care or go to a nursing home for long-term care.
Many elderly people suffer from osteoporosis and fall resulting in fractures.
If the elderly take drugs to reduce blood pressure, the head will be injured, there will be cerebral hemorrhage, internal bleeding, serious stroke and even death.
Wu said that there are two reasons for elderly people to fall, either physical condition or environmental reasons.
If the elderly have osteoporosis, arthritis, bones and muscles are not solid, inconvenient to move; or walk with balance problems, dizziness due to side effects of taking drugs; or have vision problems; or because they have fallen, afraid of falling, but prone to falling.
"After the old man falls once, his family or doctor may blame him, 'Why are you so careless?'"
Injuries after a fall cause inconvenience to movement, loss of self-care, affect the mood of the elderly, and produce depression.
Because of the fear of falling, the elderly simply do not move, resulting in rapid decline in physical function and rapid muscle atrophy.
When it is necessary to walk, it is easy to fall. ”
In addition, environmental reasons can also lead to falls.
For example, there is not enough light in the home of the elderly, and there are no handrails in the toilets and stairs, and the staircase design is too curved and the stairs are too narrow.
Many wires are laid on the ground, the bathroom is very wet, and the shoes in the home or the auxiliary tools used are not suitable, which can also lead to falls.
Wu Anan said that there are many ways to prevent falls.
For example, strengthen muscle and joint flexibility to help balance.
Elderly people are also encouraged to check their eyes and ears regularly to understand the side effects of the drug.
Family can help explain.
Seniors need to make sure they get enough sleep.
Usually, waking up in the morning is not awake and prone to fall.
It is recommended that the elderly sit down or get up slowly to avoid dizziness.
"When walking, the elderly should be careful that the road is wet and the ground is uneven.
In addition, shoes should be non-slip.
There are many people like to wear slippers, but it is not necessarily suitable, it is best to find shoes that cover the front and back of the foot, so it is the safest.
The elderly should also pay attention to the situation at home, check the power lines on the ground, whether there are handrails in the bathroom, whether there is anything blocking the stairs, and whether the things they want to take can be reached at once, so as to avoid the possibility of falling down when they climb high and low. "
Wu said that if an elderly person falls and has an injury, he must notify the doctor.
“Sometimes, the elderly have fractures and don ’ t feel the pain immediately.
Or head injury bleeding, because of taking medicine and other reasons, they do not know.
It is important to inform the doctor about the fall and treat it as soon as possible.
It can also help doctors or therapists understand the cause of falls and prevent the next fall. ”
She reminded that the elderly can do exercise or balance ability at home.
Such as holding a stool or a fixed object, with the help of family members to exercise.
If an elderly person needs assistance tools, such as walking aids or crutches, do not use them on the grounds that they are independent.
When the elderly stand up firmly, get up slowly.
It ’ s all about staying active, participating in social activities, and getting in a better mood.
"Family members can encourage them to exercise."
Wu An-an said that the role of a physical therapist is to help the elderly to have a safety check every six months to ensure that their physical functions have not changed significantly.
And according to the interests of the elderly to develop sports, maintain independence.
When they fall, they go to the door to see if the situation has changed.
Timely education for the elderly to help them exercise, relieve arthritis, osteoporosis and low back pain.
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Content: Healthy aging comes with challenges. For a variety of reasons, as each year passes, the likelihood of falling increases.

According to Dr. Boris Goralnik, a geriatric specialist at UPMC in North Central Pa, a fall is defined as an unexpected event in which a person comes to rest on the ground, floor, or a lower level.

“Falls result in fall-related injuries, progression of gait impairments, loss of independence, depression,” Goralnik said. “It is a leading cause of injury-related morbidity and mortality among older adults.”

By preventing falls, providers try to prevent related injuries such as fractures, hematomas, and skin lacerations. From practice and literature, said Goralnik, the most important risk factor of falls is a previous history of falls.

According to Janine Fee, MS, MPT, a physical therapist who is certified in vestibular rehabilitation at Evangelical Community Hospital, physical balance, which is important to avoid falling, can be complicated.

“I like to use the analogy of a baseball field,’’ Fee said. “Every player on the field is important and if a player is not working, then your team — your balance — is going to be impacted.”

Fee said many systems have a direct impact on balance. Eyes, ears, sense of touch — especially with our feet, muscle strength, flexibility, and posture are a few. And, the brain can have a major impact on our ability to avoid falling.

Fee said any weakening of one or more of these areas will significantly increase the risk of falling.

According to the Centers for Disease Control website, one out of four seniors over the age of 65 will fall each year. One out of five of those falls will cause serious injuries such as broken bones or head injuries.

“This can then lead to serious consequences that may significantly impact a person’s overall quality of life,” said Fee. “Even if the fall didn’t cause harm, it is likely that the person now develops a fear of falling.”

Many factorsIn many cases, Goralnik said, falls and fall-related injuries lead to substantial deficiency in activities of daily living and the need for supportive care for older adults. He agreed with Fee that a fear of falling leads to things like not participating in activities that require balance, causing weaknesses and furthering the risk of repeated falls. Paying attention to the body and being more aware of areas contributing to balance is a big step in preventing falls.

Age alone should not be blamed as a factor regarding balance, said Fee.

“I strongly believe that if you stay active, you can minimize the effects that aging has on all of these players,” Fee said.

Diseases and underlying medical conditions like Parkinson’s disease, Multiple Sclerosis, neuropathy, strokes, vision problems, and pain can impact a person’s balance. Other factors such as medications, fear of falling, and environmental factors.

It is very important for older patients to discuss with their providers any changes in the gait, possible new onset gait unsteadiness, or if they start to experience new musculoskeletal pain, Goralnik advised.

“Some of the medications may increase the risk of falls,” said Goralnik. “It is very important for people to have a complete list of all current medications when they visit their medical providers.”

Having detailed information, he said, about existing and potential risk factors may help reduce the risk of future falls.

Fee added that testing can be completed to assess balance and what kind of treatment or therapy might be available to assist with balance. Fee said a fall risk assessment is a good first step to preventing falls.

“You can talk to your doctor or health care provider to refer you to a physical therapist to evaluate your risk for falling,” said Fee.

She said a physical therapist will measure/evaluate strength, flexibility, analyzation of posture and feet, how you walk and perform specific balance measures to determine your areas of weakness. The therapist may also ask about fall history and possible home hazards like uneven pavement, rugs, steps, clutter or pets.

“Then a physical therapist can design a specialized treatment program to help you reduce your risk of falls,” Fee said. “Other recommendations to improve overall balance is getting involved in a local gym where you can perform strength and balance exercises like Tai Chi or yoga.”

Temporary conditionsIn addition to medical conditions such as strokes, brain injuries, etc., other temporary conditions also have effects on an individual’s balance.

Fee, a physical therapist who specializes in inner ear disorders, said the most common inner ear problem is a condition known as Benign Paroxysmal Positional Vertigo (BPPV). Classic symptoms include brief episodes of spinning or imbalance that occur when lying down, rolling over in bed, or looking up.

“BPPV can significantly increase a person’s risk for falling especially if they have other balance risk factors. This problem is easily identified by the physical therapist that is trained in detecting inner ear problems,” she added.

Fee said a physical therapist with specialized training can provide the most appropriate intervention to reduce or resolve these symptoms in as little as one to three sessions.

Fee said physical therapists can often identify risk factors and provide specific recommendations to improve balance.

“Physical therapists are like coaches, but you have to do the work. In order for your balance to improve, you have to challenge the team!”

Goralnik added, that in many cases, falls and fall-related injuries lead to substantial deficiency with activities of daily living and the need for supportive care for older adults.

The economic burdens from falls are substantial and likely to increase with the growth of the older population, according to Goralnik.

Fall-related health care costs include hospital bills, fees for professional service, and costs of prescription medications, home health services, long-term care facilities, and durable medical equipment.

“Always inform your doctor about recent falls and fall-related injuries,” concluded Gorainik.

It is very important for seniors to discuss any changes of the gait, possible new onset gait unsteadiness, or if they started to experience new musculoskeletal pain with their doctor.

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Journal Article

Citation

Sebastião E, Siqueira V, Bakare J, Bohn L, Gallo LH. J. Appl. Gerontol. 2024; ePub(ePub): ePub.

Copyright

(Copyright © 2024, SAGE Publishing)

DOI

10.1177/07334648241230403

PMID

38323893

Abstract

This study examined the prevalence and the impact of fear of falling (FOF) on physical activity (PA), sedentary behavior (PA), and physical function in older adults living in a continuing care retirement community (CCRC). Ninety-three older adults were included and self-reported assessed on PA and SB. Further, participants' physical function was assessed using a collection of measures of valid objective tests. Independent t test was used to compare the dependent variables between FOF groups, and analysis of covariance (ANCOVA) was used to control for assistive device usage. FOF was prevalent in 47.3% of the sample and PA and SB did not differ between FOF groups (p >.05). ANCOVA revealed that performance on several physical function tests remained significantly better (p <.05) for the no FOF group compared to the yes group. Our findings demonstrated similar levels of PA and SB between FOF groups, but worse physical function for older adults reporting FOF.

Language: en

Keywords

elderly; falls; institutionalized elderly; risk factors; sedentary time

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Content: Silver hair health _ How to deal with the elderly in the face of degenerative disability? Expert Tutor 4 Training
Author: Heho Health
Published: Updated:
Your body is old, not by ID card, but by vitality!
Active energy means that you are free to do what you want without physical limitations or physical disturbances, such as being able to walk, climb stairs, take things, dress, climb mountains, etc.
If the activity is good, anything can be done alone, indicating that the body is young, on the contrary, life can not take care of itself, low activity, is old!
With age, many elderly people are at risk of degeneration and disability of physical function, which affects not only their daily lives, but also their mental health and social activities.
Therefore, exercise training for the elderly is an indispensable health care measure that can help them to enhance muscle strength, muscle endurance, joint mobility, balance and coordination, thereby improving quality of life and delaying the effects of aging.
Sports Training for the Elderly (see below)
+ 23
However, exercise training for the elderly is not an easy task, and suitable plans and methods need to be developed according to the physical condition, exercise experience and goals of the individual. The training principles and techniques adopted by the elderly vary greatly from age to age.
Coach Will pointed out that the exercise training for the elderly can be divided into two categories according to the purpose: one is to improve bone density and balance, prevent falls and fractures; the second is to enhance cardiopulmonary capacity, prevent and improve metabolic fitness and chronic diseases.
This type of exercise training is designed to address the common physical problems of the elderly.
Anti-fall, anti-bone loosening, anti-muscle less muscle training
Mainly muscle training and movement control, Coach Will explained that bone density changes with age, hormones, diet, exercise and other factors.
If bone density is insufficient, it can lead to bone loosening, increasing the risk of fracture after a fall.
An important factor affecting bone density is body load, that is, the weight or pressure the body is subjected to.
If the body is not loaded enough, it will reduce the stimulation to the bones, which will prevent the bones from being renewed and strengthened.
Muscle strength training can boost bone density by increasing muscle mass and strength and increasing body load.
Balance refers to the ability of the body to maintain stability in different postures and movements.
Balance is affected by vision, hearing, vestibular system, muscles and joints.
If the balance is not good, it is easy to lose the center of gravity and fall.
An important factor affecting balance is muscle strength.
Coach Will, for example, some elderly people actually have a good sense of balance, they know that they are going to fall, and they know how to restore balance, but they do not have enough muscle strength and control to pull themselves back, so they have not been able to prevent the fall from happening at the moment of losing balance.
Therefore, the use of muscle training to help the elderly to enhance balance and body control is also the key to preventing falls.
Related articles ： Muscular dysphoria ｜ Muscle loss or growth of the risk of disability in addition to calcium supplementation should do 3 groups of exercise prevention
+ 5
Three high looking for the door?
Cardiopulmonary endurance training promotes metabolic fitness
Controlling the three highs mainly depends on cardiopulmonary endurance training. Coach Will said that cardiopulmonary ability can affect metabolism, blood circulation and so on.
If the ability is not good, it is prone to poor metabolism, fatigue, easy asthma and other symptoms, and reduced daily activities will also increase the chance of chronic diseases.
Cardiopulmonary endurance training can improve cardiopulmonary function and metabolic fitness to prevent chronic diseases by increasing the intensity and time of exercise.
Elderly training principle: be able to cope with daily needs
When training the elderly, the main goal is to enable them to cope with the daily needs of daily life, such as shopping, walking, and traveling abroad.
These activities not only increase the physical activity of the elderly, but also increase their social interaction and psychological satisfaction.
Therefore, we will design suitable sports according to the needs and preferences of the elderly.
Sports coaches will also take care to control the amount of training, so that the elderly do not exercise too much or become too tired.
If the amount of training is too large, it may cause physical injury or counter-effect.
Trainers will adjust the intensity, frequency and duration of training based on the physical response and recovery of the elderly. They will also use testing tools or questionnaires to assess the physical function and health risks of the elderly.
Coach Will recommends that exercise training for the elderly should be done in the form of a small number of meals, that is, do some moderate exercise every day, instead of doing a lot at a time or only a few times a week.
This can make it easier for the elderly to digest and adapt to the load of exercise, and also allow their bodies to maintain a certain level of activity.
Related articles ： Muscular dysphoria ｜ 1 leg-looping method to know if there is no muscular dysphoria 2 nutrition to eat more mushrooms do not rely on exercise alone
+ 2
Adjust training orientation according to age group
1.
50 ~ 60 years old
The elderly in this stage usually have certain work or family responsibilities, and there are also some high level of leisure activities, such as mountaineering, golf, tennis, etc.
They are trained to reduce the risk of these activities, such as joint wear, muscle strain, and so on.
At the same time, they also have a forward-looking concept, that is, to lay the foundation for the future of aging to prepare.
Therefore, they will pay more attention to movement control, muscle strength and muscle endurance training, and will also prefer sports performance or specific training.
2.
70 ~ 80 years old
The elderly at this stage usually have retired or reduced their workload. There are also some chronic diseases or sub-health conditions, such as three highs and joint discomfort.
Their training orientation is to delay disability and maintain self-care in daily life.
Therefore, they will pay more attention to balance, coordination and flexibility training, and will also prefer functional and leisure training.
3.
Over 90 years old
The elderly at this stage usually already have some degree of disability or cognitive impairment and need help or care from others.
Their training orientation is to maintain a quality of life and reduce physical and psychological discomfort.
Therefore, they will pay more attention to social interaction, emotional management, and cognitive stimulation training, and will also be more relaxed and fun training.
Remind everyone that exercise training for the elderly should be based on the physical condition and goals of the individual to make plans, not blindly follow others or mess with themselves.
It is recommended that the elderly before starting sports training, first find a professional coach and doctor to do an assessment to understand their physical strengths and weaknesses, and then according to the recommendations of the coach or doctor, choose the appropriate sports items, intensity, frequency and time, so as to ensure that the exercise training of the elderly is both safe and effective.
Sports training for the elderly is not only beneficial to the body, but also beneficial to the mind. Sports can make the elderly feel happy, confident and fulfilled. It also allows them to make more friends, increase social activities and enrich life.
Related article ： Muscular dysmenorrhea ｜ Severe can be fatal! Follow the fitness instructor with elastic belt 5 movements to enhance the muscle strength of the upper limb
+ 10
You can do this at home.
1.
Upper Limb: Standing Single Arm Rowing
Equipment: Dumbbell, Chair
Starting position: Hip and trunk movements are stable.
Support weight on one foot, support on one side of the upper extremity, relax the dorsal muscles on the training side, and stabilize the arms downward.
End position: Wide back muscle contraction, upper arm external rotation close to the body, elbow joint flexion to the back parallel.
Training muscle group: broad back muscle, core anti-rotation strength.
Instructor's words: It is necessary to pay attention to whether the lumbar spine is unstable during the dorsal muscle exertion, resulting in lumbar anterior flexion.
Pay attention to the rhythm of the scapula movement when exerting force (shoulder blade retraction > upper arm spin > back muscle retraction)
2.
Lower Limb: Seated Stand - Breastbelt (Hip Circle) Support
Equipment: elastic belt (hip ring), chair
Starting position: The torso and knee position is 90 degrees bent, the hip joint is extended and rotated outward.
End Position: Hip continues to spin, hips leave the chair, torso keeps core stable.
Training Muscles: Exercise Core and Hip Force Control.
Instructor's words: should pay attention to whether the knee is clamped, whether the lumbar spine is bent forward, whether the pelvis is tilted forward (should be avoided).
Use of the hip ring can increase the feeling of hip strength and reduce the knee clip.
Avoid the discomfort of patients with degenerative arthritis caused by internal clamping.
Related articles: Hip health _ Ass sagging increases the risk of low back pain? 3 Exercises to strengthen the hip muscles
+ 4
You can do this at the gym.
1.
Upper limb: cable standing posture rowing
Equipment: Multifunctional Training Rack
Starting position: the trunk is stable and centered, the shoulder blade is outstretched, and the forearm and upper arm are relaxed.
End position: the core remains firm, the pressure is retracted after the shoulder blade, and the elbow joint buckles to complete the force.
Training Muscles: Wide Back Muscle, Trapezoid Muscle, Diamond Muscle
Instructor 's words: shoulder blade strength needs to be paid attention to, after the pressure, do not lift the neck to replace the strength.
2.
Lower Limbs: Heavy Front Crouching
Equipment: kettle bell
Starting position: feet with shoulder width, core strength is stable, weight is placed on the front of the chest
End position: The hips are rearward, the core is stable, and back to the starting position.
Training Muscles: Glute Major, Quadriceps
Coach 's words: When squatting, the knee should avoid the inner buckle, the core is stable, to avoid excessive pelvis leaning.
Extended reading:
Wounds will wear artificial skin will be fast, okay?
Orthopedic surgeon: 4 conditions are met to re-use to avoid infection
【 This article is reproduced with permission from Heho Health. 】
"The content of this article reflects the views of the original author and does not represent the position of Hong Kong 01."

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Content: Health
2024-03-05 07: 30: 20
Falling Risks in Patients with Myosclerosis 3 Action Prevention ｜ SICK
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The elderly are prone to fall on the road, which may be due to insufficient muscle mass, that is, sarcopenia.
According to Ranus, the manager of St James ’ Settlement Wing Ka Nok Health Centre, elderly people with myasthenia suffer from poor walking, balance, coordination and overall physical fitness, or their quality of life is reduced.
If you want to improve sarcopenia, in addition to supplementing protein in your diet, you can also do a few actions at home to prevent it.
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Content: Functional and physical therapy division and collaboration in the rehabilitation of Parkinson ’ s disease
Health Care Network
Wu is 82 years old. She was diagnosed with atypical Parkinson ’ s disease five years ago. Her daily life or work needs to rely on a walking aid to walk. significantly improved.
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Grandpa Liu is 75 years old and has been suffering from Parkinson ’ s disease for 10 years. He was able to walk without assistive devices. He suddenly became severely degraded and fell all the time. Even with the help of a single crutch, he still fell many times.
Fall prevention and recovery, the sooner you start, the better.
The incidence of Parkinson ’ s disease falls is 50%. Although early rehabilitation can reduce the incidence of falls, most people still like Grandma Wu and Grandpa Liu, wait until the fall will go to the rehabilitation department, but in fact, the sooner the rehabilitation is carried out, the better.
Regarding fall prevention, Dr. Yang Yunlin and Dr. Cheng Zhiyan, who work in the same clinic, said that occupational therapy and physical therapy can provide promotion strategies to improve both typical and atypical Barkinsonian disease, and they can choose health insurance or pay for it according to their conditions and needs.
But what is the difference between functional and physical therapy in recovery from Parkinson ’ s disease?
Figure 2: In response to Pai Yo ’ s stiffness, the occupational therapist focuses on daily practice, while the physiotherapist focuses on the improvement of ability.
Functional Therapy Exercises Focusing on Daily Life
Occupational therapists will choose appropriate aids and adjust the environment according to the ability of the case to successfully complete a task, set stage goals, and plan step-by-step training strategies to help patients recover the most daily activities, such as waking up, standing or turning in a small space, going to the bathroom, lighting and darkness in the space, and walking space.
Dr. Yang said that people with Parkinson ’ s disease often fall because they are distracted by not focusing or doing two things at the same time. Therefore, functional therapy will disassemble the original automated movements into simpler steps, allowing patients to reconnect, practice and remember them, giving “inner prompts ” to reconstruct the automated path, or designing action-awareness dual task training.
Take Grandma Wu as an example, the promotion strategies he offers are:
1. Focus on movement and steps
2. Practice stride and turn techniques
3. Practice life tasks such as taking things while walking
4. Turn around and squat down to check things
Physiotherapy is the promotion of eyesight.
Physiotherapy will assess the overall state of the patient ’ s posture, muscle strength, balance, mobility, ability to shift, and continuous movement performance, and then prevent and improve the patient ’ s movement through exercise, equipment, hand therapy, functional training and technical aids, and improve the injury by correcting posture or reducing pain.
LSVT BIG ® (Lee Silvermann Voice Treatment - BIG therapy) is a movement training therapy designed specifically for Parkinson ’ s disease that emphasizes the principle of “big movement ” to increase the quality of movement.
Therefore, when Zheng therapists guide the case to balance, joint activity, muscle strength, and gait training, they will always ask the case to remind themselves that the action strategy should be large, the center of gravity should be shifted, and the center of gravity should be in place when standing up, so that the risk of falling can be reduced.
Grandpa Liu also thought of seeking physical therapy because of a fall. The strategies of Dr. Cheng ’ s physiotherapist are:
1. Movement Enlargement Training
2. Core stability training
3. Dynamic Balance Training
4. Gait training
Whether it is functional or physical therapy, people with Parkinson ’ s disease can significantly improve their walking ability in one to three months as long as they have professional guidance and practice, and gradually reduce the incidence of falls.
The step-by-step walking training strategy is short for stride skills, flat ground walking, big turns, and road walking. Each practice time is 2-4 times a week, one hour each time, plus 15-20 minutes of daily self-training at home.
Fig. 3: Occupational therapists use assistive devices in combination with training for Pau ’ s hand stiffness. Physiotherapists assess the main cause of the overall condition before planning a training program.
Hand stiffness and physical treatment of Parkinson ’ s disease
For example, in patients with Parkinson ’ s disease, when their hands are weak, trembling or stiff, they will use meal aids combined with training to improve their ability to eat autonomously, for example, by increasing the handle of a spoon so that they can hold it better, so that their fingers can be less laborious.
Physiotherapy will focus more on the patient ’ s respiratory, nervous, skeletal, muscular endurance and other physical conditions to assess why it is impossible to eat autonomously.
Is it possible that the problem is due to insufficient support for the shoulder blades, or is it because his muscles are too stiff to get to his mouth?
Or is the movement too small to scoop for a long time? The tremor is too severe, affecting the smoothness of the movement.
Once the problem has been identified, the physiotherapist will plan the training according to the individual situation.
Dr. Cheng added that although Dr. Yang and I are usually responsible for different cases, because we work together, we can often communicate with each other quickly on the situation of the case, learn from each other's professional perspectives, and propose strategies to promote the integration of functions and physical therapy, which is also one of the advantages of self-funded rehabilitation.
It's best to do a rehabilitation assessment for people with Parkinson's disease with or without drugs.
In particular, Yang Qineng therapists pointed out that the patients with Parkinson ’ s disease have a large difference in drug effectiveness. The ideal state of rehabilitation is that they can also do training or evaluation when there is no drug effect. If the patient ’ s condition assessment can also have drug effect and no drug effect, it can provide more complete information, and the therapist can provide more assistance.
If it is really difficult to go out in a drug-free state, the family can at least help to photograph the patient ’ s difficult movements at home.
Exercise is better than one.
Exercise has been shown to improve mobility and walking balance in patients with Parkinson ’ s disease.
Which exercise is most effective for people with Parkinson ’ s disease?
The two therapists said that diversity is better than a single, and patients are encouraged to do a variety of sports. It is best to include muscle strength, balance, coordination, softness, aerobic and double work situations for training to promote balance, muscle endurance, movement control, cognition and other different functions. Tai Chi, walking, dancing, and cycling are all good ways.
Source: Ruijin Anti-Aging Care Research and Education Foundation
(Interview / Arranged by Yang Yunlin, Cheng Zhiyan, Physiotherapist / Kuo Tsz Ming)
Source: Healthnews.com https: / / www.healthnews.com.tw / readnews.php? id = 56236
Please like this article and share it with your friends! More health information: https: / / www.healthnews.com.tw
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Content: Writer Erica Jong may have had a “Fear of Flying,” but for folks aged 65 and older, a fear of falling makes a lot more sense. According to the Centers for Disease Control and Prevention, there are about 36 million reports every year about older adults taking a fall. And more than 300,000 older folks (75% are women) are hospitalized for a hip fracture annually — 95% are the result of a fall. In 2020, 36,000 seniors died from falls. Even my 101-year-old mother-in-law did — while holding an elevator door, it suddenly moved, she fell backward and never recovered.

So what are the most effective ways for older adults to prevent falls? A review of available studies, published in JAMA Network, found that reducing dangers at home by cleaning up cluttered areas, improving lighting and putting railing on stairs, can cut the risk of falling by 26% overall, and by 38% for folks who are at the greatest risk for falls or who have fallen before.

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Health pioneer Michael Roizen, M.D., is chief wellness officer emeritus at the Cleveland Clinic and author of four No. 1 New York Times bestsellers. His next book is “The Great Age Reboot: Cracking the Longevity Code for a Younger Tomorrow.” Do you have a topic Dr. Mike should cover in a future column? If so, please email questions@GreatAgeReboot.com.

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Content: SAFETYLIT WEEKLY UPDATE

We compile citations and summaries of about 400 new articles every week.
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Journal Article

Citation

Olokunlade T, Benden ME, Han G, Sherman LD, Smith ML. J. Appl. Gerontol. 2024; ePub(ePub): ePub.

Copyright

(Copyright © 2024, SAGE Publishing)

DOI

10.1177/07334648241251735

PMID

38741336

Abstract

We examined factors associated with incident (one) and recurrent (2+) falls among 7207 non-Hispanic White (NHW) (89.7%), non-Hispanic Black (NHB) (5.0%), and Hispanic (5.3%) men ages ≥60 years with ≥1 chronic conditions, enrolled in an evidence-based fall program. Multinomial and binary regression analyses were used to assess factors associated with incident and recurrent falls. Relative to zero falls, NHB and Hispanic men were less likely to report incident (OR = 0.55, p <.001 and OR = 0.70, p =.015, respectively) and recurrent (OR = 0.41, p <.001 and OR = 0.58, p <.001, respectively) falls. Men who reported fear of falling and restricting activities were more likely to report incident (OR = 1.16, p <.001 and OR = 1.32, p <.001, respectively) recurrent and (OR = 1.46, p <.001 and OR = 1.71, p <.001, respectively) falls. Men with more comorbidities were more likely to report recurrent falls (OR = 1.10, p <.001). Compared to those who experienced one fall, men who reported fear of falling (OR = 1.28, p <.001) and restricting activities (OR = 1.31, p <.001) were more likely to report recurrent falls.

FINDINGS highlight the importance of multi-component interventions to prevent falls.

Language: en

Keywords

chronic disease; comorbidity; falls; men; multimorbidity; older adults

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According to the Centers for Disease Control and Prevention (CDC), one in four seniors over the age of 65 will fall each year, with one in five of those falls causing serious injuries such as broken bones or head injuries.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Given these statistics, finding effective methods to improve balance and prevent falls is crucial.

Title:

Content: Home Safety for the Elderly ｜ 6 Tips to Prevent Falling at Home
Author: Hello Doctor
Published: Updated:
Everyone has the experience of falling, but for the elderly, falling can not be regarded as a small matter, and sometimes may lead to serious fractures! With age, the elderly ’ s body is more unable to maintain balance flexibly, the probability of falling is more common, and because of the lack of bone density, it is easy to cause fractures.
In order to prevent the elderly in the family from falling, you can try the following six methods to reduce the probability of accidents.
Posted by: Chang Ya-hui Medical Review: Taiwan Registered Medical Doctor Jen-han Lai / Dr. Hello
6 Tips for Preventing Falling in Your Home!
+ 14
1.
Focus on physical health
First of all, pay attention to the elderly in your family or your own health condition, and have regular health checks (such as vision and hearing).
Keep an eye out for balanced and adequate daily nutrition, drink plenty of water, and develop exercise habits to strengthen your bones.
Because bone density will decrease with age, you can usually get the sun, absorb vitamin D, or eat calcium tablets to supplement calcium.
2.
Make your home safer.
Take a good look at whether your home is safe enough, pay attention to the daylight and lighting during the day and at night, and can you see the range of moving lines and the stacking area of your belongings.
It is recommended to place a light near the bed and remove furniture that may cause people to stumble, such as slippery carpets.
Commonly used items, it is best to put on a height that is convenient to use, such as tiptoe, and remember to keep the bathroom dry at all times. You can install anti-skid or mobile aids in the bathroom to make it safe and convenient for the elderly to use the bathroom.
If you have a hairy child at home, it is best not to let them move freely at night when the light is not good.
Related article: Elderly fall _ Beware of getting lighter without reason, 5 points to assess whether muscle strength is too weak
3.
Slow it down.
If the elderly feel dizzy, do not stand up immediately, and try to slow down each movement.
It is recommended that after waking up, you can sit up slowly first, after about 10 seconds, then get up and get out of bed, get up and walk for 10 seconds.
4.
Wear the right shoes.
It is best for the elderly to have a pair of well-worn sports shoes, or flat shoes, to avoid overly loose or heeled shoes.
Usually made of rubber soles, with anti-skid effect.
Related article ： Home Accident ｜ How many black spots at home elderly people are prone to fall simple test to know the risk of falling
5.
Training balance.
Helps increase muscle strength and maintain balance, in fact, it is very simple, just do it a few times a day: when standing, gently put one foot off the ground, practice standing on one foot, just start training, you can stand next to the wall or chair, you can support when needed, so as not to accidentally fall.
6.
Understand the medications you are taking
Some drugs can affect balance or vision, so it is recommended to ask your doctor what side effects are there when you visit the doctor.
If you feel dizzy or want to sleep after taking certain medications, it is also recommended to consult your doctor as soon as possible.
Related articles: Elderly health _ Old age falls can be big or small! 10 tips to prevent falls at home from happening
+ 8
Walk _ Wu Fung Health Mong Kok to Tsim Sha Tsui! Walk Remember 9 o 'clock to avoid falling fasciitis
Knee Support 3 Ways Exercises to Strengthen Thighs Muscles Exercise Diet Omega 3 High Fiber Foods
Extended reading:
Start training early: strengthen bones and prevent osteoporosis
The elderly refuse to take care of the service! 6 ways to communicate effectively
【 This article is authorized by "Hello Doctor" reprint ， Original ： Training balance! 6 ways to prevent falls in the elderly

Title:

Content: Vestibular physiotherapy helps prevent dizziness and falls in the elderly
Subscriber
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Vestibular rehabilitation can help reduce dizziness associated with head movement and position changes, increase balance between standing and walking, and improve gaze stability during exercise by improving head-to-eye coordination.
Dizziness is one of the factors that cause falls, and it is also the main cause of accidental death in the elderly over the age of 65.
According to reports, more than 30% of the elderly over the age of 65 have dizziness symptoms, and the probability of dizziness in the elderly over the age of 85 is nearly 50%.
There are many different causes of dizziness, the most common of which are related to peripheral vestibular disorder.
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Content: SAFETYLIT WEEKLY UPDATE

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Journal Article

Citation

Pérez-Rodríguez M, Gutiérrez-Suárez A, Arias JR, Andreu-Caravaca L, Pérez-Tejero J. Phys. Ther. 2022; ePub(ePub): ePub.

Copyright

(Copyright © 2022, American Physical Therapy Association)

DOI

10.1093/ptj/pzac153

PMID

36336977

Abstract

OBJECTIVE: The aims of this systematic review and meta-analyses were to evaluate the effects of exercise on the functional capacity and quality of life (QoL) of people with acquired brain injury (ABI) and to analyze the influence of training variables.

METHODS: Five electronic databases (MEDLINE, Cochrane Library, CINAHL, SportDiscus, and Web of Science) were searched until October 2021 for clinical trials or experimental studies examining the effects of exercise on the functional capacity and QoL in adults with ABI and comparing exercise interventions to nonexercise (usual care).

RESULTS: Thirty eight studies were evaluated. A total sample of 2219 people with ABI (exercise, n = 1572; control, n = 647) were included in the quantitative analysis. A greater improvement was observed in walking endurance (z score = 2.84), gait speed (z score = 2.01), and QoL physical subscale (z score = 3.42) and QoL mental subscale (z score = 3.00) was observed in the experimental group than in the control group. In addition, an improvement was also observed in the experimental group in the "Timed "Up and Go" Test scores and balance, without differences with respect to the control group. Significant interactions were also observed between the rehabilitation phases, type, frequency, and volume of training, and overall effects.

CONCLUSION: The results suggest that exercise improves functional capacity and QoL regardless of model training, highlighting the effectiveness of long-term exercise that includes short sessions, with components such as strength, balance, and aerobic exercise.

Language: en

Keywords

Balance; Quality of Life; Stroke; Physical Endurance; Traumatic Brain Injuries

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Print

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What have studies shown about Tai Chi's health benefit?

It can effectively improve the movement symptoms of Parkinson's disease that may cause falls of elderly patients.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Tai Chi, a traditional Chinese martial art, has been increasingly recommended for its potential benefits in enhancing balance and coordination among the elderly.

How does Tai Chi enhance balance and body coordination?

It incorporates a lot of weight shifting and deliberate walking into its routines.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What study was included in trials combining excercise with a cognitive compoent?

Cognitively enhanced tai chi in older adults at risk for dementia.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

How does Tai Chi enhance balance and body coordination?

It incorporates a lot of weight shifting and deliberate walking into its routines.

How does Tai Chi help people with Parkinson's disease?

It can effectively improve the movement symptoms that may cause falls of elderly patients.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

What study was included in trials combining excercise with a cognitive compoent?

Cognitively enhanced tai chi in older adults at risk for dementia.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

#### What is Tai Chi?

Title:

Content: Facebook Twitter

Walking, jogging, yoga: Effective treatments in the battle with depression

Study says exercise is a powerful tool against depression and should be a routine part of any treatment plan

SHARE Walking, jogging, yoga: Effective treatments in the battle with depression

Folks who battle depression might want to add at least one of several exercises that have proven effective against depression to their treatment plan.

A study published in the journal The BMJ finds that dancing, walking, jogging, yoga, strength training and tai chi — alone or as part of treatment that includes psychotherapy and medication — are effective in reducing depression.

The effect of the exercise on depression was proportional to the intensity of the activity, according to the researchers, who hailed from Australia, Denmark, Finland and Spain. They reviewed 218 different studies with a total of 14,170 participants to reach their conclusions.

“Exercise is an effective treatment for depression, with walking or jogging, yoga and strength training more effective than other exercises, particularly when intense. Yoga and strength training were well tolerated compared with other treatments. Exercise appeared equally effective for people with and without comorbidities and with different baseline levels of depression,” they wrote.

In an email to CNN, the lead author, Michael Noetel, a senior lecturer in the School of Psychology at the University of Queensland in Australia, wrote: “Depression affects somewhere between 10% and 25% of people. It hurts well-being more than debt, divorce or diabetes.”

He said that while the studies they examined had some risk for bias, the benefits exercise offers, paired with studies suggesting it helps depression, “make for a strong treatment option,” per CNN.

Research has long suggested that exercise contributes to well-being and better mental health.

According to the World Health Organization, roughly 300 million people globally have depression. But while doctors often recommend exercise as part of treatment, it’s sometimes hard to get people who are depressed motivated to exercise.

Results of the studies suggest that’s a problem worth overcoming.

Per U.S. News & World Report, “Researchers reported large reductions in depression for dance and moderate reductions for walking or jogging, yoga, strength training, mixed aerobic exercises and tai chi or qigong.”

The article added that, “While walking or jogging helped both men and women, women benefited more from strength training and men from yoga or qigong, the study found. Yoga was more effective in older people, while strength training worked best among the young.”

In a news release from the University of Queensland, Noetel said that “strength training was found to be an especially effective exercise for younger women, whereas older men received the most benefit from yoga.”

He added that when people were “given a clear and structured program” of physical activity, they did better.

To allow the body to flow with gravity instead of resisting it.

Tai Chi is a form of exercise that involves slow, controlled movements, deep breathing, and meditation.

What does Ruth Taylor-Piliae of University of Arizona's College of Nursin say about Tai Chi?

She tells NPR that Tai Chi's gentle, slow movements and controlled breathing tend to activate what's known as the parasympathetic nervous system, which relaxes the body during times of stress.

It is often described as "meditation in motion" and is characterized by its gentle, flowing movements that are low-impact and suitable for people of all ages, including older adults.

What are some of the benefits of practicing Tai Chi regularly?

What did studies show about Tai Chi's health benefit?

It improves the balance of older people.

What does Ruth Taylor-Piliae of University of Arizona's College of Nursin say about Tai Chi?

She tells NPR that Tai Chi's gentle, slow movements and controlled breathing tend to activate what's known as the parasympathetic nervous system, which relaxes the body during times of stress.

What study was included in trials combining excercise with a cognitive compoent?

Cognitively enhanced tai chi in older adults at risk for dementia.

The practice emphasizes the integration of mind


# Tai Chi and Fall Prevention: A Comprehensive Report for Caregivers

## Executive Summary

Falls represent a significant health risk for older adults, often leading to serious injuries, loss of independence, and even death.

Based on the evidence presented, Tai Chi is indeed a proven and effective method for fall prevention that is worth considering for your aging parents.

## The Fall Risk Among Older Adults

According to Taiwan's National Health Interview Survey cited in the documents, 1 in every 6 adults over 65 has experienced a fall, with 1 in 12 requiring medical treatment.

Falls are particularly concerning because:

- **High Injury Rate**: Falls are the leading cause of injury-related death among older adults
- **Loss of Independence**: Hip fractures from falls often result in long-term disability or the need for institutional care
- **Indoor Prevalence**: Unlike younger individuals who fall more outdoors, 52% of elderly falls occur indoors, with bedrooms and living rooms being the

# Tai Chi and Fall Prevention: A Comprehensive Report for Caregivers

## Executive Summary

Falls represent a significant health risk for older adults, often leading to serious injuries, loss of independence, and even death.

Title:

Content: Fall prevention class 4 / old people home pay attention!
Three of the most dangerous experts to improve.
Kam Ting-jia / Special Report
Over the past 6 years, the Fall Prevention Workshop in Keelung City ’ s Warm District has been working to help improve the home environment of the elderly and reduce the risk of falling.
According to the 2017 National Health Interview Survey of the Ministry of Health and Welfare, 8.4% of elderly people over the age of 65 have suffered “fall / fall / fall ” injuries in the past year, and have received treatment from Chinese and Western medical professionals.
In addition, more than 60% of the people injured by falling in the past year were outdoors, but the place where the elderly over the age of 65 often fell was indoors, indicating the importance of indoor fall prevention for the elderly.
This is an advertisement, please continue reading.
In this regard, Yu Shuhan, a physiotherapist at National Taiwan University Hospital, stressed that "falling is preventable, as long as from small places, these risk factors are gradually prevented, we are likely to make the elderly have a safer life."
She said that the three most common places in the home are the bathroom, living room and bedroom, and pointed out common problems and suggestions for improvement in each of the three areas.
You Shu-han said that bathrooms and toilets are prone to falls, mainly due to water stains caused by slippage, and then because toilets are usually lower than ordinary chairs, so when the elderly go to the toilet, they may suddenly not have the strength to stand up, and at this time, if they have to stand up, they may fall or fall.
In order to improve the environment of the bathroom, Yu Shuhan recommends that handrails can be added to the bathroom, whether it is next to the toilet or sink, or even inside and outside the bathtub and shower room, so that the elderly can have something to help when walking in the bathroom.
In addition, the ground is equipped with anti-skid tiles, anti-skid stickers, anti-skid pads, etc., so that the elderly can maintain stability when walking, or in the shower room and next to the sink, put a anti-skid chair, so that the elderly can sit down and rest, so that they will not stand for too long and accidentally fall.
Chiang Shu-fen, a member of the anti-fall class, says that when they examine the environment of the elderly, they pay special attention to the safety of the bathroom and observe that bathtubs are usually ineffective or even a barrier for the elderly.
As for the living room part, you Shu Han stressed that the living room is the place where the most miscellaneous objects are stacked. Elderly people may fall because of the loss of center of gravity in order to bypass the problem of miscellaneous objects or furniture, or because the sofa is usually low and soft, and often fall back when standing up.
In addition, Yu Shu-han also pointed out that in families with three generations, it is possible that when the children do not pack their belongings and put them back in their place, the elders will kick or be tripped because of poor vision and attention.
"If you live with a different lifestyle, especially the younger generation, if you have a child, a car will fall on the ground, or if you want to blow a fan in the summer, and the socket is under the corner of the wall, it is easy to stumble." Wang Shui-chih, founder of the Fall Prevention Workshop, points out that miscellaneous objects and family members of different ages are at high risk of falling. The place.
How to improve the living room environment?
In addition to repeatedly emphasizing that miscellaneous objects should not affect the walking line, so that the aisle remains wide and bright, but also especially remind the elderly to sit on the sofa, try to sit on the side with the armrest, or ask the family to prepare a suitable and stable chair to reduce the risk of falling when the elderly stand up from the sofa.
Finally, the bedroom, Yu Shuhan said that she often heard falling situations include waking up wanting to get out of bed but soft feet, or getting up in the middle of the night to move, maybe going to the toilet, etc., but because there is no habit of turning on the lights, so stepping on the ground obstacles and falling.
In this regard, in addition to the suggestion to install a fixed handrail at the bedside, but also emphasize that the light of the bedroom should be paid attention to, if the elderly do not get up in the middle of the night lights, the family can actively install small night lights, or even contactless lighting, so that the elderly get used to it.
You Shuhan pointed out that because the elderly often have "postural low blood pressure", so it is recommended that whether it is sitting up from the bed, or standing up when sitting, "these processes we all want to stay in this action, stop for a while and then carry out the next action", such as sitting up to stand up, stay for 30 seconds to a minute, not dizzy, or eyes clearly see after walking. It's safer.
In addition, Yu Shu-han also reminded that she has encountered elderly people in outdoor activities are accustomed to holding crutches or assistive tools, but once they enter the home, they think they do not need, as long as the furniture is good, but sometimes the furniture may be lighter or have a pulley, or the location is relatively far away, causing the elderly to help the furniture but more unstable and fall. inside to be used.
“You may not feel the need, but when you suddenly can ’ t maintain stability today, it ’ s a very useful tool. ”
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Title:

Content: According to the National Health Administration, 1 in 6 elderly people over the age of 65 have fallen. Common places include home bedrooms, living rooms, outdoor streets and roadsides, and parks and sports venues.
Emergency medicine doctors remind that during the Spring Festival, if you take elders out, be sure to pay attention to environmental safety and prepare suitable aids; if you accidentally fall, do not immediately lift up the elders, so as not to aggravate the fracture situation.
According to the National Health Administration's 106-year National Health Interview Survey, 1 in 6 elderly people have experienced a fall, and 1 in 12 people have been hospitalized because of a fall.
Chung Yuan-fang, director of the Department of Chronic Disease Prevention and Control of the National Health Administration, pointed out that dim lighting, miscellaneous objects or wires on the ground, and uneven ground (such as carpets) are prone to fall, and once they cause fractures, they may lead to bed.
Chien Ting-kuo, director of the department of emergency medicine at Mackay Hospital, points out that it is common for elderly people to fall and injure their heads, limbs and chest, which are especially prone to trauma or fracture.
According to Jane Ding-kwok, elderly people are prone to fall due to many factors, such as balance problems caused by aging, insufficient muscle strength in the lower limbs, degeneration of joints, decreased vision and hearing, three advanced chronic diseases, respiratory or urinary tract infections, or acute diseases.
According to the National Health Administration, 52% of falls and injuries in the elderly occur indoors, with the largest number occurring in the bedroom and living room, and the other 48% occurring outdoors, ranking in the top two by street or roadside, park or sports ground.
Guo Jianzhong, an emergency medicine doctor at Corning Hospital, pointed out that some elderly people are worried about falling and do not want to accidentally come out, and even think that "if they do not stand up, they will not fall".
As the Chinese New Year holiday approaches, many families will take their elders out for a walk. The National Health Administration (NHIA) reminds them to pay attention to the safety of the surrounding environment and adequate lighting, wear appropriate clothing and shoes, carry appropriate aids (crutches or walkers), pay attention to physical health conditions, and check the safety of medicines.
Kuo Chien-chung reminds that many elderly people who are worried that they will not be able to keep up with their physical strength and are unwilling to travel with their children can make good use of aids.
# fall # seniors # seniors # happening # assistive

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The elderly can not fall to the National Health Agency to take 5 steps to reduce the risk
2024 / 3 / 15 12: 39
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(Central News Agency reporter Chen Jiling, Taipei 15) Taiwan is expected to officially enter the ultra-senior society next year.
The survey found that every 6 elderly people in the past 1 year has fallen, the elderly fall may be accompanied by disability, the National Health Administration of the Ministry of Health and Welfare today put forward anti-fall 5 steps, of which the devil felt shoes incarnate anti-fall sharp device.
According to the statistics of the Ministry of the Interior, as of January 113, Taiwan's elderly population over 65 years of age has exceeded 4.31 million people, accounting for 18.4% of the total population, and has reached the aging society.
The National Development Council estimates that Taiwan will enter a super-elderly society next year (the elderly population accounts for more than 20%).
The National Health Administration today reminded through a press release that falling prevention for the elderly will become an important issue, and elderly people who fall seriously may cause long-term bedridden or even death; elderly people who have fallen may also increase their family care and financial burden.
The National Health Interview Survey in 106 years found that about one in six people over the age of 65 had fallen in the past year.
The National Health Administration said that with age, the elderly cause physical, mental or mobility decline, in fact, people usually master five steps, can reduce the incidence of falls.
First of all, you can start from wearing the hands, the first step is "suitable to wear", it is recommended that the elderly should wear fit clothes, trousers are not too long, choose non-slip, have sufficient fixed, such as the choice of shoes without shoelaces, with buttons, devil's felt, etc., these small changes can greatly reduce the risk of elderly falling.
The change of the home environment is also very important, the second step is to "build a safe home", the public should pay special attention to the environmental lighting, the floor to stay dry, while to avoid uneven ground, the aisle piled debris, these may cause the potential crisis of falling must be adjusted.
The third and fourth steps are "adequate nutrition" and "regular exercise", usually pay attention to the intake of sufficient calories and protein, if necessary, consult a dietitian; in addition, regular exercise, exercise muscle strength, improve the elderly 's daily independent activity function, improve self-defense when falling.
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If the above steps are implemented, do not forget the fifth step, "drug safety", consult with doctors and pharmacists and other professionals to help evaluate the drug, avoid drug interactions, decreased attention, dizziness and muscle weakness, etc., to increase the risk of falls.
In addition, the county and city health department is promoting the "six forces for the elderly" to assess the elderly "cognitive, mobility, nutrition, vision, hearing and depression" functional indicators, and early detection of signs of functional decline in the elderly.
If the elderly have any one of the abnormal assessment results, they will arrange intervention services or further refer the elderly to suitable medical institutions to prevent and delay functional decline.
(Editor: Guan Zhongwei) 1130315
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Content: Ms. He Ruiying, the 84-year-old mother of the mayor of Taipei City, fell at her home recently.
The report pointed out that Ke Wenzhi's mother may have hit her head when she fell, causing cerebral hemorrhage, bone fracture and other conditions. She was admitted to the intensive care unit for observation and treatment after being rushed to the doctor. Fortunately, she has been discharged smoothly.
Clinical data show that elderly people over the age of 65, on average, one in six people has fallen in the past year, and the prevalence of falls in women is 1.5-2 times that of men.
There are a number of specific recommendations from experts on how to prevent the risk of falls.
Chang Chih-po, chief physician of the Department of Family Medicine at Mackay Memorial Hospital, points out that the serious damage caused by falls to the elderly should not be underestimated, especially hip fractures and head injuries.
Dr. Zhang Zhibo analyzed that the causes of falls among elderly people are diverse, but they can be roughly divided into:
1.
Internal causes: including poor balance due to aging, gait instability, lower limb muscle weakness, postural hypotension, cognitive dysfunction, poor vision or hearing, etc.
2.
External causes: including alcohol consumption, heavy use of drugs, or taking drugs that may increase the risk of falls, such as long-acting sedatives, muscle relaxants, cardiovascular drugs, and certain psychiatric drugs.
3.
Environmental factors: slippery or uneven ground, insufficient light, debris or electrical wiring, too high, too low or lack of safety devices such as handrails.
● Fall prevention secret: home environment "flat, bright, support" daily clothes fit better than loose
According to the National Health Administration of the Ministry of Health and Welfare, home is the most common place for elderly people to fall, so it is important to pay attention to the environment at home:
1. If there are carpets and pads, smooth out the wrinkles, avoid rolling edges, and place a non-slip pad under the carpet.
2. All electrical cables and furniture are kept away from the aisle and neatly stored; all floors should not be scattered with messy things or objects.
All parts of the room should keep the light or light bright, and it is best to leave a small night light at night.
4. Do a good anti-skid treatment in the bathroom, the ground is always dry, and water stains are removed as soon as possible.
5. The height of the bedroom bed should not be too high, so that when sitting on the edge of the bed, the feet can be placed flat on the ground for the appropriate height.
6. Sofa, seat, bed, toilet, bathtub and other furniture that needs to "stand up" from it, add armrests.
7. Wear shoes that cover the whole foot and non-slip soles.
8. Large clothes and too long trousers easy to trip themselves, it is best to choose a fit but not tight, flexible clothing.
9.
After taking the medicine before going to bed, you should go to bed as soon as possible to avoid walking instability after the effect of the medicine.
10. Maintain muscle strength, muscle and joint mobility, and maintain moderate exercise habits.
The National Health Administration recommends that the following exercise programs be suitable for all elderly people:
# Today 's Healthiest # Coventry Mother # Fall # Fall Prevention # Myopathy

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Content: Old people fall _ New Year 's good luck to prevent tripping, familiar with the route, wear shoes to protect the health of the elderly
Author: United News Network
Published: Updated:
When traveling and visiting relatives and friends during the Lunar New Year, pay more attention to the "elderly fall prevention".
The National Health Administration of Taiwan reminds that falling is a dangerous act that causes accidents and injuries to the elderly. When family members arrange an outing, they can familiarize themselves with the terrain of the travel route, weather changes and movement lines in advance, and pay attention to the physical condition of the elderly to avoid wearing inappropriate clothing or shoes, posture low blood pressure, etc., to prevent the risk of falling.
Top 5 Tips for Elderly Travel in the New Year (Click to understand)
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According to statistics of the Ministry of Health and Welfare in 109 years, falls are the second cause of death in accidents for elderly people over the age of 65.
According to the results of the National Health Administration ’ s 106-year health survey, about 1 in 6 elderly people over the age of 65 have experienced a fall, and 1 in 12 elderly people have been hospitalized for a fall.
52% of the common falls in the elderly occurred indoors, with the largest number occurring in the bedroom and living room; 48% occurred outdoors, mostly in the street or roadside, park or sports ground.
Chien Ding-kuo, director of the Department of Emergency Medicine at Mackay Hospital, said that the common injury areas for elderly people due to falls, including head lacerations, chest contusions, and wrist and hip fractures, are recommended to arrange a spot for the elderly to rest when traveling.
If the elder falls, do not immediately help him up to avoid causing secondary damage.
Related article: Elderly health _ Old people fall can be big or small! 10 ways to avoid home accidents
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Guo Jianzhong, an emergency physician at Corning Hospital, said that mobility can affect the quality of life in old age, and should generally strengthen muscles and body balance to improve self-defense when falling.
When traveling, you can use a walking stick or climbing stick to avoid water accumulation, steep slopes, weeds and gravel, to avoid the risk of falling, so that the elderly can rest assured, in order to improve the willingness to go out and walk.
The National Health Administration has compiled five lists of elderly people who have traveled to the country to check for information.
1.
Pay attention to the surrounding environment
Adequate lighting should be provided, toilets fitted with handrails should be used, and care should be taken of slippery floors, uneven brick walkways and uneven slopes to avoid going through miscellaneous stacks.
Related article: Elderly health _ Old people fall can be big or small! 10 ways to avoid home accidents
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2.
Wear appropriate clothing and shoes
Clothes and trouser skirts are not long, choose shoes with fixed shoelaces, covered uppers and non-slip soles to avoid wearing slippers.
3.
Bring the right accessories and accessories
Choose suitable walking aids such as crutches or walking aids. Do not be too heavy to avoid inconvenient movement. If you are nearsighted or old, wear glasses with the correct degree.
4.
Pay attention to physical health
Daily life can be done at home muscle strength and balance training exercise, diet and nutrition should be balanced.
5.
Check the safety of medication
If you use a sedative drug or a variety of drugs, you can ask your doctor to help evaluate the safety of the drug to avoid drug interactions that increase the risk of falls.
Recommended reading: Stretching to prevent falls (as shown below)
Watching TV at home can also train muscle strength and prevent falls.
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[This article is reproduced with permission from United News Network.]

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Content: Ben Arous: Roundtable on Geriatrics
On the occasion of the celebration of the International Day of Older Persons, the Association for the Continuous Training of Public Health Physicians in Ben Arous organizes a round table containing scientific interventions on geriatrics and methods of health care for the elderly on Wednesday in Tunis.
According to Dr. Fathi Al-Latif, President of the Society, the intervention program includes several topics related to osteoporosis in the elderly, strengthening the mechanisms of prevention and management in cases of falls in this group, as well as providing scientific studies on the effects and complications of the maintenance of certain medicines on the health of the elderly, long-term aches and vaccination against incoming colds.
An important part of the meeting will also be devoted to the presentation of the work of the Assembly and the various activities it has carried out during the past period, its evaluation and the presentation of its visions and work programs for the coming period.
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You mustn't fall.
Falling is a big taboo for the elderly, many elderly people fall, will cause fractures, if not recover, it is very serious, and may lead to death.
I began to realize that it was many years ago that the female owner of the Washington Post fell and died, and I began to pay attention to the connection between this fall and death, and it was terrible to think of it.
A fall when young is mostly no big deal, most will recover; but the old people can ’ t afford to fall.
I remember that I had two falls that were unexpected, one was that I went to the wedding with my family, and when I was about to walk, I fell down and slept on the sidewalk, a little blue sky, a big surprise.
Maybe at that time we were very happy, talking with our family while walking, forgetting to pay attention to the walk, which almost led to terrible consequences.
Another fall was during my usual morning walk, the route I took was familiar, but this time I had a dog eating shit: the man fell forward, his glasses were thrown on the ground, and his front teeth fell a little.
I checked the ground, there were no protruding cracks at all, and I walked very carefully with the ground uneven, actually fell, until now it is still a mystery.
I am old, I walk and shake, I have problems with balance, so I often have to remember to use crutches, and my strength is getting weaker and weaker.
Recently to put a large watermelon in the refrigerator, unfortunately fell to sit on the ground, once again escaped, no injuries.
One warning at a time, I said to myself: only sitting in a chair can avoid the possibility of falling.
Therefore, I must not go to change the light bulbs on the ceiling plate, or stand on a ladder to make the curtains, or go to the yard to trim the branches.
The bones of the elderly are really easy to break, unlike the bones of children, which have toughness.
I see kids fall all day while they practice walking, and they don ’ t have that problem at all.
I need to be self-aware.
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Take medicine, fall prevention, sleep. Elderly people pay attention to these 3 things to protect their health.
Talking about the body of the elderly, everyone will think of some long-term diseases, such as diabetes, high blood pressure, heart disease, etc., and how to prevent these diseases.
However, there are three things that elderly people need to pay attention to in their daily life, because it is important for their physical health.
These three things are: how to take medicine, how to prevent falls, and how to ensure the quality of sleep.
On Lok ’ s healthcare practitioner, Michelle Lam, has been serving the elderly for more than 30 years and draws on her extensive experience to explain these three considerations to her readers.
First of all, how to take medicine is very important.
Lin Mei-hsiang stressed, such as blood pressure medication, eat the right, the right amount of the right, should be stared at.
And for the elderly, the body index after taking the medicine should also be seen every day.
For example, the index of blood pressure, whether to adjust the drug after changing, or whether the amount of thyroid drugs is right after eating for a period of time, depends.
As well as diabetes drugs, you should always check your blood sugar after eating, not even if you eat it.
"Many elderly people will ask why they have to draw blood all day," Lin explained, because kidney function, anemia and other indicators, are often stared at after taking drugs.
In addition, we also have a licensed professional nurse (LVN) to help with the elderly ’ s medicine boxes, so that the amount is correct and the medication is taken on time at the right time (morning, afternoon and evening).
There will also be home care reminders to take medication.
In addition, the elderly should also pay attention to prevent falling.
For example, if the balance in life is not good, or if you do not stand firmly on the bus, you may fall.
Ms. Lam said that many elderly people have osteoporosis problems, and will fracture after falling, not only to do surgery, but also to have a long period of physical therapy.
If you hurt other bones such as the spine, you may also need to take pain pills, which can have side effects.
It is said that falling is a "warning" for the elderly, so be extra careful.
The third is the quality of sleep.
Many elderly people often have to run to the toilet in the middle of the night because of prostate problems or diabetes problems, sometimes half an hour to go once, which greatly affects sleep.
Lin said that you can help by taking medicine, but there will be side effects, and it is recommended that the elderly do not drink water after 6 p.m.
In addition, many times because of nervousness, unhappiness will also lead to frequent urination.
Elderly people who want to join the Wellcome Comprehensive Care for the Elderly (PACE) program can come and consult.
Eligible seniors over the age of 55 who live in San Francisco, Fremont, Newark, Union City, and Santa Clara counties can apply to enroll.
For inquiries, please call 866-526-9622 or visit onlok.org / pace.
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Based on the evidence presented, Tai Chi is indeed a proven and effective method for fall prevention that is worth considering for your aging parents.

How doesTai Chi help prevent falls for older people?

It improves the balance of older people.

What are some of the benefits of practicing Tai Chi regularly?

What benefits does Tai Chi haves for healthy aging?

It helps to improve factors linked to a longer life like balance, mobility, and stability.

What did studies show about Tai Chi's health benefit?

It limits the danger of falls among the elderly.

It improves the balance of older people.

What do orthopedic specialists say about the benefits of learning Tai Chi?

Excercises like the horse stance in Tai Chi that can help prevent falls.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

## The Fall Risk Among Older Adults

According to Taiwan's National Health Interview Survey cited in the documents, 1 in every 6 adults over 65 has experienced a fall, with 1 in 12 requiring medical treatment.

Falls are particularly concerning because:

- **High Injury Rate**: Falls are the leading cause of injury-related death among older adults
- **Loss of Independence**: Hip fractures from falls often result in long-term disability or the need for institutional care
- **Indoor Prevalence**: Unlike younger individuals who fall more outdoors, 52% of elderly falls occur indoors, with bedrooms and living rooms being the

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.

Why did the Chinese Center for Disease Control and Prevention advised elderly people to practice Tai Chi?

Because it can prevent falls that may result in fracture.