A fall injury is an injury that occurs when falling from a height. It is observed in case of an accidental fall, deliberate jump from a window or from a balcony of a multi-storey building, mountaineering, industrial accidents. It is characterized by multiple injuries, a combination of TBI, injuries of internal organs and the musculoskeletal system, and the frequent development of traumatic shock.
The role of physical therapists in reducing the risk of falls and preventing falls is supported by numerous studies.
At Momentum Spine & Sport Physiotherapy we look forward to assisting in prevention and recovery from injuries that can occur in everyday life. We commonly see patients that have injured themselves walking, hiking, gardening, or lifting things at home.
Physiotherapist services for falls
More than 3 million older people are treated in emergency departments for fall injuries every year.
Falls account for 95% of hip injuries. In addition to injury, falling can lead to unwanted consequences, including loss of independence.
You can prevent falls by exercising with a physical therapist.
How can a physiotherapist help?
First, our physiotherapists will perform a fall risk assessment. If necessary, the therapist will conduct a thorough assessment.
Based on the results of the assessment, your physical therapist will develop a plan that is tailored to your needs. Your fall injury treatment plan may include:
Balance training is an important part of preventing falls. Your physical therapist will design exercises to help you maintain balance and also recover from loss of balance, including exercises such as standing on one leg or maintaining balance while doing other activities.
An established balance training exercise program should include a walking program. However, if you start a walking program with poor balance, your risk of falling may actually increase.
Proprioception and Balance training
Simply put, proprioception, or kinesthesia, is the ability to know where your joint or limb is in space without looking at it. Proprioception is how we sense the position and movement of our body including our ability to balance.
A large part of stroke rehabilitation will be focused on proprioception and balance. Because one side of the body is affected during a stroke, proprioception and balance are usually severely compromised. Depending on where the stroke occurs in the brain (some areas are more involved in balance) and also depending on the severity of the stroke some patients will have trouble even sitting without losing their balance after a stroke. Others will be ok when sitting but are unable to stand or walk without losing their balance. Your *physiotherapist* will work closely with you to gain the ability to sit, stand and walk, depending on your level of impairment.
Orthotics and gait training
Gait training exercises are a physical therapy used to help individuals increase balance, and mobility. Gait training is a type of physical therapy.
Your physical therapists may recommend gait training if you’ve had an illness or injury that affects your ability to get around. For gait training, body support systems can be used in conjunction with muscle building and endurance exercises to develop or retrain muscle memory.
orthotic gait training
Returning to walking is the ultimate goal for most clients who have had a stroke. Fortunately, many can and will achieve this goal. In order to regain the ability to walk, the lower limb on your affected side will require enough strength, range of motion and control (proprioception) to support your body. In addition, you will require adequate standing and moving (dynamic) balance to achieve the skill of walking. Many patients who have had strokes but are able to walk will require a cane or walker which assists with their balance when on their feet. Your *physiotherapist* will assess your skills and determine if and when working on the skill of walking is appropriate. Your therapist may use a form of biofeedback that helps you see or hear stimuli (rhythmic auditory stimuli) in conjunction with your movement in order to help you improve your walking pattern and cadence.
It is important for individuals to maintain as much independence as possible so your *physiotherapist* will strive towards the goal of ambulation (walking) whenever possible. In cases where ambulation is not feasible then your *physiotherapist* will assist in teaching you how to mobilize in a wheelchair on your own.