Falls

A fall can be life-changing. For older adults, even a simple trip or loss of balance can result in serious injuries, loss of independence, and a fear of movement that affects daily life. But falls are not just a normal part of aging—they are often preventable with the right intervention.

What Is a Fall?

A fall is defined as an unintentional event that results in a person coming to rest on the ground, floor, or another lower level. While some falls cause minor injuries, others can lead to fractures, head trauma, or long-term mobility issues. For older adults, falls are a leading cause of injury-related hospitalizations and a major contributor to disability.

How Common Are Falls in Older Adults?

Falls are more frequent than many realize. According to the CDC, one in four adults over 65 experiences a fall each year. Even more concerning, falls are the leading cause of fatal and nonfatal injuries in older adults. Many seniors who fall experience reduced mobility, increased dependence on caregivers, and a higher risk of falling again.
The Risks and Consequences of Falling
Falls are not just about the physical injury—they can have a significant impact on an individual’s overall well-being.

Risks include:

Serious Injuries:

Fractures (especially hip fractures), head injuries, and soft tissue damage are common.

Loss of Independence:

Fear of falling can lead to reduced activity, which weakens muscles and further increases fall risk.

Hospitalization and Long Recovery:

Falls often result in lengthy hospital stays and rehabilitation, limiting mobility and quality of life.

Emotional and Mental Impact:

Anxiety and depression can develop due to fear of future falls, leading to isolation and reduced confidence.

What Causes Falls in Older Adults?

Falls often result from a combination of factors, including:

Balance and Gait Problems:

Weakness in the legs, poor posture, or neurological conditions can make walking difficult.

Vestibular Disorders:

Inner ear problems can affect balance, leading to dizziness and unsteadiness.

Drop in Blood Pressure:

Orthostatic hypotension (a sudden drop in blood pressure when standing) can cause lightheadedness and falls.

Side Effects of Medications:

Some medications, especially sedatives or blood pressure medications, can cause dizziness and instability.
Vision Changes: Poor depth perception, cataracts, or other vision problems increase the risk of tripping over objects.

Environmental Hazards:

Loose rugs, poor lighting, or uneven surfaces at home can contribute to falls.

The Importance of an Annual Falls Screening

For adults over 65, fall risk assessments are covered by insurance every year—yet many seniors don’t take advantage of this crucial preventive care. A fall screening is quick, easy, and can help identify risks before they lead to a serious injury. By scheduling an annual falls screening, older adults can take a proactive approach to their health and safety.

How Physical Therapists Specialize in Fall Prevention

At Asara Physical Therapy and Balance Clinic, our physical therapists are highly trained in fall risk assessment, balance training, and rehabilitation. We use a detailed, multifactorial balance evaluation to determine the unique causes of instability for each patient. This evaluation looks at:

Strength and Endurance:

Assessing muscle weakness that may contribute to falls.

Balance and Coordination:

Identifying issues with postural stability.

Gait and Walking Pattern:

Evaluating movement efficiency and any irregularities.

Vestibular Function:

Checking for dizziness or inner ear problems that may be affecting balance.
Neurological and Sensory Input: Understanding how the brain, eyes, and body work together to maintain stability.
With this information, our team develops a personalized treatment plan designed to improve balance, strength, and mobility—helping patients regain confidence and reduce their risk of falling.