Do Occupational Therapists and Physiotherapists Teach Elderly People How to Rise after a Fall?

Abstract

Falling is a major problem for the elderly population and much research has been done to investigate the risk factors for and means of preventing falls. However, very little research has been carried out looking at if and how therapists teach elderly people how to rise after a fall. This postal survey was undertaken to investigate whether therapists do anything to try to prevent falls, assess elderly people for suitability and teach them how to rise after a fall. The results showed that almost all the respondents (127 of 137) identified falling as a problem that they had to deal with in their patients over 65 years. The main focus of occupational therapists was to prevent falls by making environmental changes (for example, removing hazards) whereas physiotherapists were involved in physical changes (for example, balance training). Over half the respondents had considered teaching people how to rise after a fall. A range of different methods was used, which broadly fell into physical and verbal instructions or referral to other health care professionals. The sources of knowledge for teaching how to rise after a fall came mainly from previous clinical experience. Falls are an acknowledged problem in the elderly population and among these hospital and community based therapists about half had considered teaching or had taught elderly people how to rise after a fall.