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 o 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 o 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 o 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 o 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 o 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 o 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 F a lls pre ve ntio n c rite ria • 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

Me tho d • 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 o r via e ma il • Ob se rve d a n e xe rc ise c la ss E xe rc ise pro g ra ms in Winnipe g Pro g ra ms b y c o mmunity 16% a re a (n=114) 12% 8% 4% 0% t s y l s n s h s r e a s a k t e r t a e r w h n a t c t m i a u l E s a V a g o o g k O o G i f u r a t S c i n . n e n s e J t I n H o t S n v r w e D . o e i t r B n a R S o F v o e i t r T D . o n e v t S S i i b R i o n P i s s A

E xe rc ise pro g ra ms in Winnipe g Se nio rs (n=99,699) a nd 16% pro g ra ms (n=114) b y c o mmunity a re a 12% Se nio rs 8% Pro g ra ms 4% 0% t s y l s n s h s r e a s a k t e r t a e r w h n a t c t a u l E m i s a V a g o o g k O o G i f u r a t S c i n . n e e J t n s I n H o t S n v r w e D o . e i t r B n a R S o v o F e i t r T D . o n e v t S S i i b R i o n P i s s A 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) 100 n=93 80 # o f pro g ra ms 60 40 n=21 20 0 Ge ne ra l Spe c ific

E xe rc ise pro g ra ms in Winnipe g E xe rc ise pro g ra ms b y ta rg e t g ro up (n=114) • 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 in Winnipe g 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) F a lls pre ve ntio n (4%) Yo g a (4%) T a i Chi (18%) Ge ne ra l/ stre ng th tra ining (52%) Da nc e (22%)

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) 120 100 # o f pro g ra ms 80 60 n=49 n=34 40 20 n=9 0 >20:1 13-20:1 <=12:1 E xe rc ise pro g ra ms in Winnipe g Assinib o ine So uth Do wnto wn F o rt Ga rry Co st o f I nkste r pro g ra ms Po int Do ug la s Rive r E a st Rive r He ig hts St. Bo nifa c e St. Ja me s St. Vita l Se ve n Oa ks T ra nsc o na $0 $2 $4 $6 $8 $10 $12 $14 Co st

E xe rc ise pro g ra ms in Winnipe g * Assinib o ine So uth Do wnto wn F o rt Ga rry Co st o f I nkste r pro g ra ms Po int Do ug la s Rive r E a st Rive r He ig hts St. Bo nifa c e St. Ja me s * Old e r a dults in fo c us St. Vita l g ro ups indic a te d tha t $3 wa s a n a ffo rda b le pric e Se ve n Oa ks pe r c la ss T ra nsc o na $0 $2 $4 $6 $8 $10 $12 $14 Co st E xe rc ise pro g ra ms in Winnipe g 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 Instr uc tor Cost Ra tio Physio the ra pist $7 1:15 Assina boine South (Cha rle swo o d Se nio r Ce ntre ) Physio the ra pist $13 1:4 F ort Ga rry (Re fit) MF C c e rtifie d $8.50 1:25 Rive r E a st (Go o d Ne ig hbo urs Ac tive L iving Ce ntre ) MF C c e rtifie d $4.50 1:20 St. Bonifac e (Arc hwo o d 55+)

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 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