Preventing Falls with FYZICAL

Fall Risk Assessment FYZICAL

Fall Related Injuries

The Centers for Disease Control and Prevention developed an algorithm that suggests assessment and multi-factorial intervention for those who have had two or more falls or one fall-related injury. Multi-factorial interventions should include:

  • exercise, particularly balance, strength, and gait training
  • vitamin D supplementation with or without calcium
  • management of medications, especially psychoactive medications
  • home environment modification
  • management of postural hypotension, vision or tai chi. problems, foot problems, and footwear


  1. Approximately 60% of falls are the result of multiple factors.
  2. It is important for physicians to elicit a falls history because, in one study, only 36% of men and 50% of women who fell in the previous year talked to their physician about falls.
  3. A Cochrane review found that the number of fallers was reduced by 15% to 29% with group exercise containing multiple components, individual home-based exercise, or tai chi.


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