Flashcards in Falls Deck (19):
What side effect can statins cause that may influence risk of falls?
Rhabdomyolysis > proximal myopathy
What is osteomalacia?
Vitamin D deficiency in adults
What is the level of alkaline phosphatase in osteomalacia?
What is dynamic balance?
Balance when ambulant
Why is falling backwards, rather than on outstretched hands more likely in the elderly?
Quick reflex to break fall by extending hands not present in many elderly
What is sick sinus syndrome?
Degenerative disease of SA node due to fibrosis
How do cholinesterase inhibitors work?
Increase acetylcholine in synapse
What is the major side effect of cholinesterase inhibitors?
How can falls be classified?
Due to major external factors
With impairment/loss of consciousness
Hot falls = acutely unwell but present with fall as non-specific marker of ill health
Cold falls = frail older people with multiple contributing factors
What are the intrinsic risk factors for falls?
Gait and balance impairment
What are the extrinsic risk factors for falls?
What are some precipitating causes of falls?
Trips and slips
Acute medical illness
What sensory systems are needed for balance control?
What are some dynamic balance assessments?
Movements during gait
What are some static balance assessments?
Step stance/single limb stance
Clinical test of sensory integration of balance (CTSIB)
What are some balance tests conducted by doctors?
Timed up and go
Sternal push/shoulder tug
What does the timed up and go test involve?
Walk 3 m
Turn and walk back to chair
Measure time it takes
What are some exercises that help reduce the risk of falls?
Gait, balance, and functional training
Tai chi, qi gong, dance
General physical activity