New thinking and methods

As attention expands on different fall prevention fronts there are increasing efforts to look at our assumptions and strategies to avoid an injurious fall. Here are two recent articles that may be of interest.

Afraid of Falling? For Older Adults, the Dutch Have a Cure   (NY Times)

Check out your local physical therapy or rehabilitation department most teach fall safety and fall recovery as part of their plan of care for those a fall risk. Both evidence based programs: Stepping On and Matter of Balance include a discussion re: fall safety and fall recovery.

Association Between Calcium or Vitamin D Supplementation and Fracture Incidence in Community-Dwelling Older Adults A Systematic Review and Meta-analysis (JAMA)

As with all recommendations the individual’s circumstances and health status need to be factored in. Here is a concluding statement from the summary. The authors caution it is possible that patients living in residential care facilities may still benefit from calcium or vitamin D supplementation, as residents are more at risk for osteoporosis because of multiple lifestyle factors. Thus, “the benefits of calcium and vitamin D supplementation may differ between people living in the community and people living in residential institutions.”

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