The risk of falling and having fall-related problems increases with age. To help reduce this risk, UAB Medicine’s Physical Medicine and Rehabilitation (PM&R) Falls Clinic was created to help patients age 50 or older who are experiencing falls or balance problems.
Patients who have fallen within the last six months are eligible for the UAB Falls Clinic. During clinic visits, the clinic’s specialists will perform a physical examination and conduct a fall-focused medical history review, which helps them identify risk factors and recommend changes to improve the quality of life for patients.
Karion Gray-Waites, DNP, a PM&R provider in the UAB Falls Clinic, says some falls can be prevented by taking the appropriate steps to minimize risks. By taking care of one’s overall health, individuals may decrease their chance of falling. Gray-Waites recommends staying physically active and working with a professional to develop an exercise program. Exercising strengthens muscles while helping keep the body flexible and improve balance.
While there are multiple reasons for falls, some common causes may include:
• Slow reflexes, poor vision, and hearing
• Certain conditions such as diabetes and heart disease
• Problems with sensation and motor or mobility function to the lower extremities, such as the legs and feet, can affect balance
• Medications that cause dizziness and/or drowsiness
• Cognitive impairment
• Age-related decreased muscle mass
• Problems with balance and mobility
• Safety hazards in the home such as small pets, loose floor coverings, cluttered walkways or spaces, and darkened rooms
Some of the services provided by the Falls Clinic include evaluation for mobility assistance devices such as canes, walkers, braces or other equipment; recommendations to assist in better management of medical conditions that may affect balance or contribute to falls, such as bowel/bladder incontinence, osteoporosis, and mental health conditions; and medication review/changes, including over-the-counter drugs and dietary supplements.
The Falls Clinic may provide recommendations for modifications to the home, such as handrails, shower/tub seating or a ramp, and provide referrals for therapy and exercise programs to help improve mobility. In addition, if patients need other services such as physical therapy, vision, hearing or foot care, the clinic will provide referrals to the appropriate medical specialist. The staff provides education to family and caregivers to help prevent falls in the future.
The Falls Clinic is located on the first floor of UAB Spain Rehabilitation Center. Patients can ask their doctor for a referral to the clinic or call 205-934-4694 to learn more.
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