E xe rc ise fo r fa lls pre ve ntio n: An inve nto ry o f e xe rc - - PDF document

E xe rc ise fo r fa lls pre ve ntio n:

An inve nto ry o f e xe rc ise pro g ra ms

I MPACT , the Winnipe g Re g io na l He a lth Autho rity 2 No ve mb e r 2012

F a lls in o lde r a dults

I n o ne ye a r in Ca na da :

– One third pe o ple o ve r 65 ye a rs o f a g e will fa ll – Ha lf o f individua ls o ve r 80 ye a rs o f a g e will fa ll – Olde r a dults who fa ll o nc e a re mo re tha n

twic e a s like ly to fa ll a g a in

– Ove r o ne third o f Ca na dia ns a dmitte d to

ho spita l due to a fa ll will b e disc ha rg e d to a nursing ho me o r lo ng -te rm c a re fa c ility

(O'L

• ug hlin 1993; Sta le nho e f 2002; T

ine tti 2005; Sc o tt 2010)

F a lls in o lde r a dults

I n Winnipe g :

– Ab o ut 1650 o lde r a dults a re a dmitte d to

ho spita l due to a fa ll e a c h ye a r

– Appro xima te ly 90 se nio rs die fro m injurie s

a sso c ia te d with fa lling e a c h ye a r

– T

he a ve ra g e le ng th o f ho spita l sta y fo r a fa ll is 33 da ys -- 10 da ys lo ng e r tha n tha t fo r a dmissio ns due to o the r injurie s

(WRHA 2007 )

F a lls in o lde r a dults

F a lls a re re spo nsib le fo r:

– 95% o f a ll hip fra c ture s in o lde r a dults – 85% o f a ll ho spita liza tio ns fro m injury in

Ca na dia n se nio rs

– L

• ss o f mo bility a nd inde pe nde nc e

– De c re a se d c o nfide nc e , inc re a se d fe a r o f

fa lling a nd withdra wa l fro m a c tivitie s

– Ca re g ive r stre ss

(Sc o tt 2010; Ruthig 2007; Zijlstra 2007)

An inve nto ry o f e xe rc ise pro g ra ms

• Aim: T
• c re a te a n inve nto ry o f c o mmunity-b a se d

e xe rc ise pro g ra ms fo r o lde r a dults tha t me e t the c rite ria fo r fa lls pre ve ntio n

• T
• de ve lo p a re so urc e to he lp he a lthc a re

pro fe ssio na ls pre sc rib e e xe rc ise

• T
• de ve lo p a re so urc e to he lp o lde r a dults a nd the ir

fa milie s lo c a te e xe rc ise pro g ra ms in the ir c o mmunity

• T
• ide ntify g a ps in c o mmunity-b a se d e xe rc ise

re so urc e s a va ila b le fo r fra il o lde r a dults tha t me e t the c rite ria fo r fa lls pre ve ntio n

• Physic a l a c tivity g uide line s fo r fa lls pre ve ntio n

e xe rc ise pro g ra ms (She rring to n e t a l 2008; She rring to n e t a l 2011;

NSW F a lls Pre ve ntio n Pro g ra m 2012)

• T

he e xe rc ise pro g ra m c o nta ins we ig ht-b e a ring e xe rc ise s tha t c ha lle ng e stre ng th a nd/ o r b a la nc e

• 40% o f the pro g ra m is spe nt o n the se e xe rc ise s
• T

he pro g ra m is de sig ne d a nd supe rvise d b y a tra ine d instruc to r o r he a lthc a re pro fe ssio na l

F a lls pre ve ntio n c rite ria

• Co nta c te d pro g ra m o rg a nize r a nd/ o r instruc to r

fo r info rma tio n a b o ut o lde r a dult e xe rc ise pro g ra ms

• Aske d q ue stio ns a bo ut pro g ra m o n the pho ne
• r via e ma il
• Ob se rve d a n e xe rc ise c la ss

Me tho d

0% 4% 8% 12% 16% R i v e r E a s t S t . J a m e s F

• r

t G a r r y S t . V i t a l S e v e n O a k s D

• w

n t

• w

n R i v e r H e i g h t s S t . B

• n

i f a c e A s s i n i b

• i

n e S

• u

t h P

• i

n t D

• u

g l a s T r a n s c

• n

a I n k s t e r

Pro g ra ms b y c o mmunity a re a

(n=114)

E xe rc ise pro g ra ms in Winnipe g

0% 4% 8% 12% 16% R i v e r E a s t S t . J a m e s F

• r

t G a r r y S t . V i t a l S e v e n O a k s D

• w

n t

• w

n R i v e r H e i g h t s S t . B

• n

i f a c e A s s i n i b

• i

n e S

• u

t h P

• i

n t D

• u

g l a s T r a n s c

• n

a I n k s t e r

Se nio rs (n=99,699) a nd pro g ra ms (n=114) b y c o mmunity a re a

Se nio rs Pro g ra ms

Po pula tio n o f Winnipe g RHA; June 1, 2011

E xe rc ise pro g ra ms in Winnipe g

E xe rc ise pro g ra m b y ta rg e t g ro up (n=114)

20 40 60 80 100 Ge ne ra l Spe c ific

# o f pro g ra ms

n=93 n=21

E xe rc ise pro g ra ms in Winnipe g

• Ge ne ra l po pula tio n (82%)
• Arthritis (13%)
• Stro ke (2%)
• Ne uro lo g ic a l c o nditio n (2%)
• Oste o po ro sis (1%)
• Ge ne ra l disa b ility (1%)

E xe rc ise pro g ra ms b y ta rg e t g ro up (n=114)

E xe rc ise pro g ra ms in Winnipe g

Ge ne ra l/ stre ng th tra ining (52%) Da nc e (22%) T a i Chi (18%) Yo g a (4%) F a lls pre ve ntio n (4%)

T ype s o f e xe rc ise pro g ra ms fo r the g e ne ra l po pula tio n (n=93)

E xe rc ise pro g ra ms in Winnipe g

Pro g ra m instruc to r : pa rtic ipa nt ra tio fo r e xe rc ise pro g ra ms (n=93)

20 40 60 80 120 <=12:1 13-20:1 >20:1 100

# o f pro g ra ms

n=34 n=49 n=9

E xe rc ise pro g ra ms in Winnipe g

Rive r E a st

• St. Ja me s

F

• rt Ga rry
• St. Vita l

Se ve n Oa ks Do wnto wn Rive r He ig hts

• St. Bo nifa c e

Assinib o ine So uth Po int Do ug la s T ra nsc o na I nkste r

Co st o f pro g ra ms

$0 $2 $4 $6 $8 $10 $12 $14 Co st

E xe rc ise pro g ra ms in Winnipe g

Rive r E a st

• St. Ja me s

F

• rt Ga rry
• St. Vita l

Se ve n Oa ks Do wnto wn Rive r He ig hts

• St. Bo nifa c e

Assinib o ine So uth Po int Do ug la s T ra nsc o na I nkste r

Co st o f pro g ra ms

$0 $2 $4 $6 $8 $10 $12 $14 Co st

E xe rc ise pro g ra ms in Winnipe g

* Old e r a dults in fo c us

g ro ups indic a te d tha t $3 wa s a n a ffo rda b le pric e pe r c la ss

*

E xe rc ise pro g ra ms tha t spe c ific a lly a im to impro ve b a la nc e a nd pre ve nt fa lls

1:20 $4.50 MF C c e rtifie d

• St. Bonifac e

(Arc hwo o d 55+)

1:25 $8.50 MF C c e rtifie d

Rive r E a st

(Go o d Ne ig hbo urs Ac tive L iving Ce ntre )

1:4 $13 Physio the ra pist F

• rt Ga rry

(Re fit)

1:15 $7 Physio the ra pist Assina boine South

(Cha rle swo o d Se nio r Ce ntre )

Ra tio Cost Instr uc tor

E xe rc ise pro g ra ms in Winnipe g

• T

he inve stig a tio n o f Winnipe g e xe rc ise pro g ra ms sug g e st the re is a ne e d fo r:

– Pro g ra ms tha t spe c ific a lly aim to pre ve nt fa lls – E

xe rc ise pro g ra ms with a lo w instruc to r : pa rtic ipa nt ra tio

– F

a lls pre ve ntio n e xe rc ise pro g ra ms with a lo w instruc to r : pa rtic ipa nt ra tio

E xe rc ise pro g ra ms in Winnipe g

I f yo u ha ve a ny q ue stio ns c o nta c t:

I MPACT Winnipe g Re g io na l He a lth Autho rity injuryinfo @ whra .mb .c a (204) 940-8300