1. www.shropscommunityhealth.nhs.uk Improve Physical Function Role of Postural Stability Exercise Ian McLagan - Physiotherapist Whole System Approach to Falls Prevention Workshop 2nd Sept 2014

2. www.shropscommunityhealth.nhs.uk Ageing affects all of us Sedentary behavior accelerates the loss of performance – can be as much as 1-2% per annum from age 30

3. www.shropscommunityhealth.nhs.uk Function for life Wash hair comfortably? 20% women and 14% men >50 do not have sufficient shoulder flexibility

4. www.shropscommunityhealth.nhs.uk Function for life Confident of getting out of a chair without using arms 25% women and 7% men aged 70-74 do not have sufficient leg power

5. www.shropscommunityhealth.nhs.uk Physical Functional Ability Strength Power Flexibility Endurance Balance Mobility Transfer skills

6. www.shropscommunityhealth.nhs.uk How much is enough? Older adults should aim to be active daily Over a week should add up to 150 minutes of moderate intensity activity in bouts of 10 minutes or more

7. www.shropscommunityhealth.nhs.uk Plus Undertake physical activity to improve muscle strength on at least two days a week

8. www.shropscommunityhealth.nhs.uk Plus Those at risk of Falls should incorporate physical activity to improve balance on at least two days a week

9. www.shropscommunityhealth.nhs.uk Plus All older adults should minimise the amount of time spent being sedentary for extended periods

10. www.shropscommunityhealth.nhs.uk Postural Stability Exercise Programme Warm Up Circulation booster Mobilisers Stretches Strength Balance Cool Down

11. www.shropscommunityhealth.nhs.uk FITT Frequency Intensity Time Type

12. www.shropscommunityhealth.nhs.uk Progressive Specific adaptation to imposed demand

13. www.shropscommunityhealth.nhs.uk In over 75s three months of strength training rejuvenates up to 20 years worth of lost strength

14. www.shropscommunityhealth.nhs.uk Postural Stability i.e. balance Ability to maintain the body in equilibrium - either static (at rest) or dynamic (moving)

15. www.shropscommunityhealth.nhs.uk Where do we get the information from in order to balance Eyes Muscles and joints in body (proprioception) Inner ears (vestibular system)

16. www.shropscommunityhealth.nhs.uk Balance/Equilibrium The process of maintaining the centre of gravity over base of support whilst static or moving

17. www.shropscommunityhealth.nhs.uk Strategies Ankle Strategy Hip Strategy Stepping Strategy

18. www.shropscommunityhealth.nhs.uk Programmes held in Shrewsbury Oswestry Whitchurch Market Drayton Bridgnorth Church Stretton Ludlow

19. www.shropscommunityhealth.nhs.uk Exercise Programmes 100 programmes 10,000 attendances

20. www.shropscommunityhealth.nhs.uk Before Programme After Programme 0 10 20 30 40 50 60 High Medium Low Tinetti Gait and Balance Risk of Falls

21. www.shropscommunityhealth.nhs.uk Man does not cease to play because he grows old. Man grows old because he ceases to play. (George Bernard Shaw) If I’d known I was going to live this long I would have taken better care of myself. (Dubey Blake)

22. www.shropscommunityhealth.nhs.uk Exercise Reduces the loss of functional capability to ½% per annum