Book contents
- Falls in Older People
- Falls in Older People
- Copyright page
- Contents
- Preface
- Contributors
- Part I Epidemiology and Risk Factors for Falls
- 1 Epidemiology of Falls and Fall-Related Injuries
- 2 Postural Stability and Falls
- 3 Gait Characteristics and Falls
- 4 Sensory and Neuromuscular Risk Factors for Falls
- 5 Biomechanics of Balance and Falling
- 6 Foot Problems, Footwear, and Falls
- 7 Brain Function and Falls
- 8 Impaired Cognition and Falls
- 9 The Psychology of Fall Risk: Fear, Anxiety, Depression, and Balance Confidence
- 10 Medical Risk Factors for Falls
- 11 Medications as Risk Factors for Falls
- 12 Environmental Risk Factors for Falls
- 13 Fall Detection and Risk Assessment with New Technologies
- 14 Fall Risk Screening and Assessment
- 15 The Relative Importance of Fall Risk Factors: Analysis and Summary
- Part II Strategies for Prevention
- Part III Implications for Practice
- Index
- References
10 - Medical Risk Factors for Falls
from Part I - Epidemiology and Risk Factors for Falls
Published online by Cambridge University Press: 04 November 2021
- Falls in Older People
- Falls in Older People
- Copyright page
- Contents
- Preface
- Contributors
- Part I Epidemiology and Risk Factors for Falls
- 1 Epidemiology of Falls and Fall-Related Injuries
- 2 Postural Stability and Falls
- 3 Gait Characteristics and Falls
- 4 Sensory and Neuromuscular Risk Factors for Falls
- 5 Biomechanics of Balance and Falling
- 6 Foot Problems, Footwear, and Falls
- 7 Brain Function and Falls
- 8 Impaired Cognition and Falls
- 9 The Psychology of Fall Risk: Fear, Anxiety, Depression, and Balance Confidence
- 10 Medical Risk Factors for Falls
- 11 Medications as Risk Factors for Falls
- 12 Environmental Risk Factors for Falls
- 13 Fall Detection and Risk Assessment with New Technologies
- 14 Fall Risk Screening and Assessment
- 15 The Relative Importance of Fall Risk Factors: Analysis and Summary
- Part II Strategies for Prevention
- Part III Implications for Practice
- Index
- References
Summary
The early landmark trials which showed that multi-factorial interventions were effective in preventing falls included assessments of medical risk factors for falls which were then used to guide interventions. As discussed in Chapter 20, the identification of medical risk factors can inform which of a suite of possible multi-factorial interventions a patient should receive. The maintenance of the postural stability is a complex task involving many physiological systems (Chapters 2–5). Sensory input from visual and vestibular pathways, muscle spindles, and joint proprioceptors is channelled centrally to the brain where it is rapidly processed to produce appropriate and co-ordinated motor responses [1]. The key components of this process are represented in Figure 10.1, whilst Table 10.1 lists some of the diseases which can impact on these systems to increase an individual’s risk of falling.
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- Information
- Falls in Older PeopleRisk Factors, Strategies for Prevention and Implications for Practice, pp. 172 - 191Publisher: Cambridge University PressPrint publication year: 2021