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May 30

Modifying exercise programs Fitness professionals …

As you know, one size doesn't fit all when it comes to exercise, so if you have a client with, or at risk of, pelvic floor problems, it's important to tailor their exercise program to suit their needs.

As a fitness professionalyour challenge will be to consider:

Modifying an exercise program for a high risk clientwill ensuretheirpelvic floor is protected fromfurther damage.This is no different to an injury to any other one of their muscle groups.

For example,if your client has an injuredankle,it is essential to give that ankle time to heal,before returning to exercise or sport.This would be done by modifying theirexercise programtorebuildthe strength, flexibility and stability of theirankle, until the healing process is complete.

The same is the case for the pelvic floor, whichshould be protected from further damage, whilst allowing the client a suitable timeframe to get back in control.

TheContinence Foundation has developed a simple screening tool to help you identify clientswith, or at risk of, pelvic floor problems.

These can be used at your initialconsultation, to helpidentify what kind of exercise program would suit their pelvic floor fitness needs.

Exercises that increase intra-abdominal pressure have the potential to place more stress on the pelvic floor, and should be avoided or modified for clients with, or at risk of, pelvic floor problems.

Examples of these exercises include:

abdominal exercises (e.g. sit ups, curl ups, crunches, double leg lifts, exercises on machines)

Exercises that place downward force or pressure on the pelvic floor can also stress the pelvic floor. Examples of these exercises include:


As a general rule:

You may also want to see:

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Modifying exercise programs Fitness professionals ...

Apr 30

Occupational Therapy Home Exercise Programs | SportsRec

Occupational therapy home exercise programs can help individuals of all ages, ranging from children to seniors afflicted with medical conditions that include stroke and musculoskeletal abnormalities. Occupational therapy emphasizes the emotional, social and physiological effects of injury or illness. Done consistently, exercises can help individuals recuperate properly in preparation for returning to a functional lifestyle. Check with your doctor before starting any new exercise program.

Occupational therapy home exercise programs can increase your shoulder area range of motion, according to Use either a cane, broomstick or wand for this sitting or standing exercise. Bend your elbows to a 90-degree angle so your forearms are parallel to the floor. Place the item in your hands, holding it palms facing upward. Gently and slowly move the item to your right while feeling your shoulder joint rotate. Hold this position five seconds. Return to the center position. Relax 10 seconds. Slowly swing the item to your left. Hold this position five seconds. Return to the original position. Relax 10 seconds. During this maneuver, your unaffected arm does most of the work while your affected-side arm stays partially relaxed. Do this exercise five times to each side. Do not move your back during this exercise.

Walking needs to be included in an occupational therapy home exercise program to help individuals return to the functioning level available prior to injury, according to the American Heart Association. Walking aids in overall muscle strengthening and flexibility, and it can help to improve your capability of performing every day tasks such as lifting items and improving exercise tolerance. It can enhance blood lipid levels and cardiovascular fitness, improve oxygen intake and utilization while also increasing independence levels. If walking is too difficult, walking on a treadmill offers the advantage of using harnesses and rail supports. Walking for a minimum of 20 minutes on at least three days weekly is recommended.

Occupational therapy home exercise programs can increase your upper body flexibility through trunk rotations, according to Sit upright in a firm chair with your feet firmly planted on the floor. Lift your arms and cross them over your chest, palms lying flat on your upper chest. Rest your fingertips against your shoulder area. Slowly and gently rotate your upper body to the right as far as possible. Keep your head aligned with your shoulders, do not rotate your neck. Hold this stretch for 10 seconds. Feel the stretch along your abdominal, back and waist area. Slowly return to the original position. Relax 10 seconds. Repeat this exercise three times.

Occupational therapy home exercise programs can improve body balance while strengthening your leg muscles, according to Stand upright with your feet shoulder-width apart. Do a modified leg balancing exercise by lifting your right foot, placing your body weight onto your left foot. Keep your right knee slightly bent and maintain your balance. Gently and slowly move your right foot behind your body. Hold this position for as long as possible. Slowly return your leg to the original position. Relax 10 seconds. Repeat this exercise five times with both legs.

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Occupational Therapy Home Exercise Programs | SportsRec

Apr 26

Exercise Science Major | Lebanon Valley College

Promote Health and Wellness with a Bachelor's Degree in Exercise Science

Whether you want to work in strength conditioning, corporate or community wellness, or cardiac rehabilitation, LVC's exercise science major prepares you to work with clients who have a range of needs, diseases, and injuries. By the time you graduate, you'll be able to help your clients perform exercises and improve their overall well-being, all while designing interventions based on scientific research.

At LVC, we'll help you tailor your exercise science degree to your career interests. You can pursue the Professional/Graduate Track or the Health and Wellness Track.

Professional/Graduate Track:includes foundational sciences of biology, chemistry, and physics, along with fundamental and advanced exercise science coursework. Students in this track are on a trajectory toward possible graduate school admission in allied health fields, basic science, or more clinically oriented careers such as cardiac rehabilitation and exercise physiology.

Health and Wellness Track:designed for students who wish to pursue careers in health and fitness areas such as community based adult and child fitness, corporate wellness, performance optimization, and health promotion. This track focuses on foundational anatomy and physiology, chemistry and physics, and foundational and advanced exercise science coursework.

In both tracks you'll develop a background in scientific knowledge, create an outstanding portfolio of independent projects, and gain the hands-on experience you need to jump-start your career in exercise science.

Apply to our Bachelor's Degree in Exercise Science for first-year undergraduates, or transfer in as a non-traditional student.

Our dedicated faculty, state-of-the-art facilities, and project-based learning opportunities ensure that you'll be prepared for a world that needs you. Students in exercise science explore how human performance affects exercise and learn how to promote a healthy, balanced lifestyle to the publicall under the watchful eye of faculty members who are practicing clinicians.

Through presentations and our professional practicum, you'll learn the patient communication skills employers seek. We promote critical thinking, evidence-based research, and self-directed learning, so you can contribute to society through education and community service as a lifelong health careers professional.

You'll gain hands-on experience with athletes and clients, and get out in the community through our professional practicum.

Depending on your career interests, gain hands-on experience in a practicum setting with organizations like:

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Exercise Science Major | Lebanon Valley College

Mar 6

Exercise Programs | Parkinson’s NSW

PD Warrior Program

Matthew Gray is a Physiotherapist and trained instructor in the PD Warrior exercise program. PD Warrior is an exercise philosophy designedto help you slow your Parkinsons down. Bringing together the latest evidence withthe experience and success of training thousands of people, PD Warrior proves that exercise is medicine.

What makes PD Warrior so effective, is its proactive approach to exercise and improving your quality of life. It is important not to wait for symptoms to impact on your daily life before gettinginvolved. Investing now to slow your Parkinsons down will enable you to control your Parkinsons before it controls you.

Phone:02 6672 8495 or

Fiona Boyle. Registered Nurse and Registered Exercise Professional. I am passionate about improving the quality of life for people affected by Parkinsons Disease after having a personal connection with Parkinsons myself. I provide PD Warrior-like small group exercise classes and Personal Training in PD Warrior-like exercises. My focus is on providing a personalised exercise program with specific moves to improve functionality, mobility and overall fitness, thus having the ultimate goal of slowing the progression of the disease.

Phone: 0404917882

Roger Bowden is a certified Feldenkrais Practitioner servicing the Ballina and Byron Shires. The Feldenkrais Method is a universal method for improving human life through better movement, sensation, posture and breathing . These gentle thoughtful movements are an ideal form of exercise that have proven beneficial for people with Parkinsons Disease who are looking to improve their flexibility , mobility, posture , balance and step length, and ultimately the prevention of falls.

For further information on classes or individual home visits contact Roger on 0411022262 or email:

Kylie Sayers is a Lismore-based physiotherapist & qualified Punchin Parkos practitioner. Kylie travels to treat people privately in their own home. Her assessment includes balance, mobility, posture, sleep, continence & well-being. She writes, supervises & monitors home-based exercise programs. She encourages self-management by providing up-to-date resources and support to help you achieve your best possible quality of life. Since graduating in 1993 she has had a keen interest in PD, working in acute rehab, Day Therapy, aged-care consulting & facilitator of Stepping On, a govt. funded, community-based Falls Prevention Program.

Kylie can be contacted on:

(02) 66242054


Dancing for Parkinsons is an internationally acknowledged programme specifically designed for people living with PD. It incorporates specific movement , mobility, balance, rhythm and flexibility in an enjoyable and social environment. We welcome people at all levels of ability and mobility as well as partners, friends, family and caregivers.

Cost per class is $10.00 per person.

Classes in Lennox Heads, Lismore and Alstonville.

For more information contact

Jodie on 0408 665 275 or

Yvette on 0400 405 160 or

Julie on 0402454654

For information on Dancing for Parkinsons in Kingscliff and Murwullimbah please call Virginia Woods on 0409 576 285

The Healthy Lifestyle PD class runs at the Southern Cross University Lismore Campus and includes a package of 16 sessions on an initial exercise assessment, 15 exercise session visits and a final evaluation for $50.

The sessions run between 2 4pm on Tuesdays.

They provide individual assessments identifying specific muscular and balance weaknesses and then put together an exercise programme that includes cardio, strength, balance and functional exercises.

For further information and bookings call the Uni on 02 66269131.

The Uni also offers an easy access 33m heated pool. For more info on the pool opening times and the Fitness Centre please call 02 66203 952.

Julie Simpson of Julie Simpson Art offers art classes using a range of mixed medias including acrylics, pastels, drawing, painting and collage. As well as a successful Artist Julie has worked extensively in the Aged Care sector as a Nurse and Aged Care Nurse Trainer. Small groups or private tuition lessons are available. Open up your life and join Julie in her fun and creative classes.

For more info call Julie on 0402 454 654 or

email Julie at

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Exercise Programs | Parkinson's NSW

Feb 10

Parkinson’s Foundation: Better Lives. Together.

Exercise is an important part of healthy living for everyone, however, for people with Parkinsons disease (PD) exercise is not only healthy, but a vital component to maintaining balance, mobility and daily living activities, along with a potential neuroprotective Something that protects neurons against damage, degeneration or apoptosis (programmed cell death).effect. The Parkinsons Foundation Quality Improvement Imitative studied exercise as part a Parkinson's Outcomes Project study.

Every Center of Excellence agrees that they believe exercise is important to good outcomes in PD, and data supports that.Exercising enhances the sense of wellbeing, even across different disease stages and severities.There is a growing consensus among researchers about the short and long-term benefits of exercise for people with PD.

Symptom Management

Research has shown that exercise can improve gait, balance,tremor Involuntary shaking of the hands, arms, legs, jaw or tongue. The typical Parkinsons tremor is pill-rolling it looks like holding a pill between thumb and forefinger and continuously rolling it around. Some people report an internal tremor, a shaking sensation inside the chest, abdomen or limbs that cannot be seen. Most Parkinsons tremor is resting tremor, which lessens during sleep and when the body part is actively in use., flexibility, grip strength and motor coordination.Exercise such as treadmill training and biking have all been shown to benefit, along with Tai Chi An ancient Chinese martial art and exercise characterized by gentle, flowing movement couple with breathing. Has been shown to improve symptoms of PD. andyoga. So far, studies have shown:

One study showed that people with PD who exercised regularly for 2.5 hours a week had a smaller decline in mobility and quality of life over two years. Research is ongoing to discover therapies that will change the course of the disease.

There is a strong consensus among physicians and physical therapists that improved mobility by exercising may improve thinking, memory and reduce risk of falls. By avoiding complications from falls you can prevent further injury. At this time, we know that people who exercise vigorously, for example running or cycling, have fewer changes in their brains caused by aging. Studies in animals suggest exercise also improves PD symptoms.

Neurologists within the Parkinsons Foundation Center of Excellence network recommend a regimented exercise program to their patients and also to people who are worried about getting PD due to family connection.

What happens in the brain to produce these visible benefits? Researchers at the University of Southern California looked at the brains of mice that had exercised under conditions parallel to a human treadmill and discovered that:

Scientists at University of Pittsburgh found that in animal models, exercise induces and increases the beneficial neurotrophic factors, particularly GDNF (glial-derived neurotrophic factor), which reduces the vulnerability of dopamine neurons Brain cells. to damage.

At the molecular level, at least two things happen to make dopamine use more efficient:

They also studied the D2 receptor in a subset of the human subjects who were within one year of diagnosis and not on any medications, using an imaging technique called positron emission tomography (PET). They found that exercise increased the expression of D2 receptors in humans.

Many programs target the rapid gains that can be achieved through a focus on improvements in functional capacity and mobility. These programs vary according to different aspects of physical training. Examples of exercise programs for people with PD include:

Working Out with a Partner

Right now!Everyone should exercise more, whether they have PD or not.

In PD, a special kind ofneuron (brain cell) that produces the chemical transmitter dopamine gets damaged and lost.However, there is a lag between the time when neuron loss begins and when PD movement symptoms start to show. By the time most people are diagnosed, as much as 40 to 60 percent of their dopamine neurons are already gone. The reason people with PD dont experience symptoms until they reach this point is that the brain can compensate for the loss of dopamine neurons by adapting. In fact, the brain reshapes itself throughout life in response to experience. Scientists call this ability to change and compensate "experience-dependentneuroplasticity The brains ability to reorganize itself by forming new connections. This allows the brain to compensate for injury and disease and to respond to new situations and changes in the environment.."

Exercise Tips

To find exercise classes in your area call the Parkinsons Foundation Helpline at 1-800-4PD-INFO (473-4636).

Page reviewed by Dr. Bhavana Patel, Movement Disorders Fellow at the University of Florida, a Parkinsons Foundation Center of Excellence.

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Parkinson's Foundation: Better Lives. Together.

Feb 1

Group Exercise – Adults – Meadowlands YMCA

Group exercise classes are free forfull facility memberships, unless otherwise noted. Teen members (1315) may take fitness classes if accompanied by an adult.ZUMBA

When participants see a Zumba class in action, they cant wait to give it a try. Zumba classes feature exotic rhythms set to high-energy Latin and international beats. Before participants know it, theyre getting fit and their energy levels are soaring! Theres no other fitness class like a Zumba Fitness-Party. Its easy to do, effective and totally exhilarating, often building a deep-rooted community among returning students.

Zumba Gold takes the Zumba formula and modifies the moves and pacing to suit the needs of the active older participant, as well as those just starting their journey to a fit and healthy lifestyle. What stays the same are all the elements the Zumba Fitness-Party is known for. Its a dance-fitness class that feels friendly, and most of all, fun.

LesMills BODYPUMPis a high-energy aerobics and strength training class that shapes, tones, and strengthens your entire body!Have a blast and get fit fast with this breakthroughin fitness training that focuseson high repetition movements with low weight loads. Get the results you are looking forFAST!

In this program, we will strengthen and tone your body, prevent the development of osteoporosis, increase your metabolism and help you to lose body fat and inches. At the end of our program our certified group exercise instructor will assess each individual's progress

Vinyasa yoga applies movement synchronized to the breath. Yoga poses run together and flow like a dance. The class focuses on body alignment, proper breathing and form. Expect to move, not just stretch. We will do sun salutations, and other moving asanas (poses).

The focus of this class is to encourage centering and receptiveness that lays the groundwork for openness both physically and mentally. We provide a safe, supportive environment to explore the basics of practicing yoga while building strength and skill. All levels are welcome.

Kickboxing provides a total body workout that targets core strength and balance for all ages and abilities.Participants work with a partner, practicing kicks, punches, and self-defense strategies designed to increase cardiovascular endurance, muscular strength, range or motion, and agility. The total effect of the class is development of body and mind while having fun!

The ballet bar workout is a blend of ballet, fitness and Pilates, inspired movements done at a calorie burning pace. This dynamic workout not only burns fat but will also tone and elongate your muscles, lift your booty, slim your thighs and sculpt your upper body.

Mat Pilates is an innovative and safe system of mind-body exercise using a floor mat. It teaches body awareness, good posture and easy, graceful movement. It also improves flexibility and agility.

Who says you have to jump, grunt, strain, and punish your body to get amazing results from your workout? Not with PiYoPiYo combines the muscle-sculpting, core-firming benefits of Pilates with the strength and flexibility advantages of yoga.

Tai Chi is a meditation in motion that relieves stress, encourages relaxation, and improves balance.Experience this ancient Chinese martial art that is rich in health benefits for body, mind and spirit.

Download Group Ex Schedule

Download Cycle Schedule

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Group Exercise - Adults - Meadowlands YMCA

Jan 29

Exercise : National Multiple Sclerosis Society


In addition to being essential to general health and well-being, exercise is helpful in managing many MS symptoms. A study published by researchers at the University of Utah in 1996 was the first to demonstrate the benefits of exercise for people with MS. Those patients who participated in an aerobic exercise program benefited from:

Additional studies have confirmed the benefits of exercise, including improvement in cognitive function and mood enhancement.

Inactivity in people with or without MS can result in numerous risk factors associated with coronary heart disease. In addition, it can lead to weakness of muscles, decreased bone density with an increased risk of fracture, and shallow, inefficient breathing.

An exercise program needs to fit the capabilities and limitations of the individual. It may need to be adjusted as changes occur in MS symptoms. A physical therapist experienced with MS can be helpful in designing, supervising and revising an exercise program. Any person with MS who is initiating a new exercise program should also consult with a physician before starting.

Periods of exercise should be carefully timed to avoid the hotter periods of the day and prevent excessive fatigue. With some guidelines, an exercise program can help maintain good health.

Exercise doesn't have to be a rigorous cardiovascular workout to provide benefits. Physical activity in general is beneficial and can include a variety of things most people can do in the comfort of their home or community. Physical activity includes but is not limited to:

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Exercise : National Multiple Sclerosis Society

Jan 23

Fitness Certification Programs Online for Professionals | ACE

As an ACE Certified Professional, I am guided by the American Council on Exercise's principles of professional conduct whether I am working with clients, the public or other health and fitness professionals. I promise to:

Provide safe and effective instruction.

Provide equal and fair treatment to all clients.

Stay up-to-date on the latest health and fitness research and understand its practical application.

Maintain current CPR and AED certificates and knowledge of first-aid services.

Comply with all applicable business, employment and intellectual property laws.

Uphold and enhance public appreciation and trust for the health and fitness industry.

Maintain the confidentiality of all client information.

Refer clients to more qualified health or medical professionals when appropriate.

Establish and maintain clear professional boundaries.

The professional practices and disciplinary procedures of the American Council on Exercise (ACE) are intended to assist and inform certificants, candidates for certification and the public of the ACE Application and Certification Standards relative to professional conduct and disciplinary procedures. ACE may revoke or otherwise take action with regard to the application or certification of an individual in the case of:

Ineligibility for certification.

Irregularity in connection with any certification examination.

Unauthorized possession, use, access, or distribution of certification examinations, score reports, trademarks, logos, written materials, answer sheets, certificates, certificant or applicant files, or other confidential or proprietary ACE documents or materials (registered or otherwise).

Material misrepresentation or fraud in any statement to ACE or to the public, including but not limited to statements made to assist the applicant, certificant, or another to apply for, obtain, or retain certification.

Any physical, mental, or emotional condition of either temporary or permanent nature, including, but not limited to, substance abuse, which impairs or has the potential to impair competent and objective professional performance.

Negligent and/or intentional misconduct in professional work, including, but not limited to, physical or emotional abuse, disregard for safety, or the unauthorized release of confidential information.

The timely conviction, plea of guilty, or plea of nolo contendere in connection with a felony or misdemeanor, which is directly related to public health and/or fitness instruction or education, which impairs competent and objective professional performance. These include, but are not limited to, rape, sexual abuse of a client, actual or threatened use of a weapon of violence, the prohibited sale, distribution, or possession with intent to distribute, of a controlled substance.

Failure to meet the requirements for certification or recertification.

ACE has developed a three-tiered disciplinary process of review, hearing and appeals to ensure fair and unbiased examination of alleged violation(s) of the Application and Certification Standards in order to (1) determine the merit of allegations; and (2) impose appropriate sanctions as necessary to protect the public and the integrity of the certification process.

Note: As an ACE Certification candidate and/or certified professional, you are deemed to be familiar with and comply with these Professional Practices and Disciplinary Procedures. Please contact ACE to request a complete copy of ACE Professional Practices and Disciplinary Procedures.

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Fitness Certification Programs Online for Professionals | ACE

Jan 23

What is balance training? | Types Of Exercise Programs …

Traditional balance training was always tested and addressed in a static environment. An example is the individual was asked to stand on one foot, and see how long they could hold it. The results then one indicate their level of balance. Over the years though, experts began looking at balance through a different lense. Identifying balance as the ability an individual can move away from their body's base of support through various movements patterns, and return efficiently to the starting position. Balance training can be incorporated by utilizing authentic drivers (arms, legs, head, eyes) or balance tools. As always balance training needs to be individualized to the person/task/goal. A general progressive balance training program might look like this:

Balance Leg Reaches: Standing on one foot (ensuring safe environment) reach opposite leg away from starting position to various angles of motion returning to balance start position each repetition.

Balance Arm Reaches:Standing on one foot (ensuring safe environment) reach arms away from your hips to various heights and angles of motion returning to balance start position each repetition. The individual could reach arms from hips to knees, hips to shoulders, shoulder to overhead for examples.

Lunges: Perform lunges at various angles of motion (forward/backwards - laterals - right&left rotations) and return to start position after each rep. Challenges can include how far away you can lunge, adding arm reaches with lunges, starting from a 1 leg balance position-lunging-and returning to balance position.

Hopping: Perform hopping patterns similiar to lunging patterns, The individual can hop 1 foot to the other foot or same foot to same foot, returning to start position each time.

* It is important to work within your thresholds with the above movements. Meaning you move as far away, fast or slow, how high by your ability to control the motion and return safely to the starting position each rep. Once you can control your own body, the individual can progress to adding equipment to the balance program.

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What is balance training? | Types Of Exercise Programs ...

Jan 23

Evidence-Based Falls Prevention Programs | NCOA

Learn about Evidence-Based Falls Prevention Programs

Explore the evidence-based programs on this page that are proven to help older adults reduce their risk of falling. Visit this webpage to find a program near you!

View the Falls Prevention Programs: Saving Lives, Saving Money infographic for information on the impact of falls among older adults and the benefits and return on investment of evidence-based falls prevention programs.

A Matter of Balance is an 8-week structured group intervention that emphasizes practical strategies to reduce fear of falling and increase activity levels. Participants learn to view falls and fear of falling as controllable, set realistic goals to increase activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.

Bingocize is a 10-week program that combines a bingo-like game with exercise and health education. The unique addition of bingo addresses many of the barriers to older adults participation because the game is fun, familiar, and done in a group setting. The program has been shown to increase older adults functional fitness, health knowledge, and social engagement in a variety of settings. The overall goals of the program are to help older adults improve and/or maintain mobility and independence, learn and use health information focused on falls reduction and other health-related behaviors, and socially engage with other older adults. A mobile app version is also available.

CAPABLE (Community Aging in Place Advancing Better Living for Elders)is a five-month structured program delivered at home to community dwelling older adults to decrease fall risk, improve safe mobility, and improve ability to safely accomplish daily functional tasks. CAPABLE is delivered by an occupational therapist, who makes six visits to each participant; a nurse, who makes four visits; and a handyman, who contributes up to a full days workproviding home repairs, installing assistive devices, and making home modifications. Participants work with the therapist and nurse to identify three achievable goals per discipline, examine the barriers to achieving those goals, and make action plans, supported by changes to the home and medication environment, to achieve those goals.

EnhanceFitness is low-cost, evidence-based group falls prevention and physical activity program developed specifically for older adults. The exercises have been packaged into a formal regimen focusing on four key areas important to the health and fitness of mature participants: low impact cardiovascular; dynamic/static balance work, strength training and stretching. Classes meet three times a week, an hour each session, providing social stimulation as well as physical benefits.

FallsTalk is an individual program for anyone who has experienced a fall or regular loss of balance; regardless of walking ability, medical condition, mobility or fitness level. The program begins with a personal FallsTalk Interview in-home or community space to discuss their unique situation. The intervention consists of initial and follow-up interviews with a trained facilitator, daily personal reflection (2-3 min.), 3 brief weekly and then monthly check-in calls. Clinical trials and community results provide evidence that FallsTalk significantly reduces falls compared to untreated fallers.

FallScape is a customized program for anyone who has experienced a fall or regular loss of balance; regardless of walking ability, medical condition, mobility, cognitive or fitness level. FallScape consists of one or two training sessions with a set of brief (less than 1 min.) multimedia vignettes that are selected specifically to help an individual prevent falls in their own unique situation. FallScape is offered in-home or community space in conjunction with FallsTalk. Research shows that Participants achieve maximum benefit with the addition of this multimedia training.

Fit & Strong! is an evidence-based physical activity/behavior change intervention that has been successfully implemented in multiple community-based settings. Participants are older adults who have lower extremity joint pain and stiffness related to osteoarthritis. Fit & Strong! blends a multiple component exercise program with group problem solving/education using a curriculum designed to facilitate arthritis symptom management, confidence in ability to exercise safely with arthritis, and commitment to lifestyle change. Before the end of the 8-week Fit & Strong! program, participants meet with the instructor to develop individualized exercise plans that foster ongoing maintenance of a balanced physical activity routine

Healthy Steps for Older Adults (HSOA) is an evidence-based falls prevention program for adults ages 50 and over. The program is designed to raise participants fall prevention knowledge and awareness, introduce steps they can take to reduce falls and improve their health and well-being, and provide referrals and resources. Two 2-hour workshops are offered to interested individuals in the community at facilities such as senior community centers and health care organizations.HSOAwas developed by the Fall Prevention Initiative of the Pennsylvania Department of Aging.

Healthy Steps in Motion (HSIM) is an exercise program designed for people of all fitness levels. The program is a one-hour session twice a week for eight weeks, and is taught by certified instructors; it starts witha warm-up, followed by strength & balance exercises and ends with a cool down-stretch. There are three levels so participants can continue HSIM as long as they like.HSIM strives to reduce the risk of falling by building body strength, increasing flexibility, and improving balance.HSIM can be offered at senior centers, older adult living centers, recreation centers, hospitals, YMCAs/YWCAs, and more.

The Otago Exercise Program (OEP) is a series of 17 strength and balance exercises delivered by a Physical Therapist or a Physical Therapy Assistant in the home, outpatient or community setting that reduces falls between 35 and 40% for frail older adults. This evidence-based program calls for Physical Therapists to assess and progress older adults through an 8 week clinical phase and then the older adult is transitioned to a self-management phase for 4 10 months. During this time, the older adult is supported by monthly phone calls and check ins at months 6 and 12 if needed. There are opportunities for Physical Therapists to collaborate with community providers to support dissemination and implementation of the OEP.

Stay Active and Independent for Life (SAIL) is a strength, balance and fitness program for adults 65 and older. Performing exercises that improve strength, balance and fitness are the single most important activity that adults can do to stay active and reduce their chance of falling. The entire curriculum of activities in the SAIL program can help improve strength and balance, if done regularly. SAIL is offered 3 times a week in a one hour class. SAIL exercises can be done standing or sitting. The primary target audienceis community-dwelling older adults (65+) and people with a history of falls. The SAIL program is able to accommodate people with a mild level of mobility difficulty (e.g. people who are occasional cane users).

About 30% of older people who fall lose their self-confidence and start to go out less often. Inactivity leads to social isolation and loss of muscle strength and balance, increasing the risk of falling. Stepping On aims to break that cycle, engaging people in a range of relevant falls prevention strategies.

Many studies have shown Tai Chi to be one of the most effective exercises for preventing falls. Tai Chi for Arthritis helps people with arthritis to improve all muscular strength, flexibility, balance, stamina, and more.

Tai Ji Quan: Moving for Better Balance is an evidence-based falls prevention program delivered in two one-hour sessions each week for 24 weeks. Each session consists of warm-up exercises; core practices, which include a mix of practice of forms, variations of forms, and mini-therapeutic movements; and brief cool-down exercises.

Moving For Better Balance is a 12-week instructor-led group program designed to improve strength, mobility, flexibility, and balance for enhanced overall physical health and better functioning in daily activities. Participation in the program may also result in better mental health, reduced stress, improved memory and cognition, and increased self-esteem. The program, based on the principles of Tai Chi, teaches eight movements modified especially for falls prevention.The program is targeted toward individuals 65 years or older who are physically mobile with impaired stability and/or mobility, or individuals 45 years or older with a condition that may impact stability and/or mobility.A YMCA membership is not required to participate in the program.

For more details on these programs, download theSelect Evidence-Based Falls Prevention Programs.

NCOAs National Falls Prevention Resource Center has established a review process for program developers and others to apply for possible inclusion on the approved list of programs for future falls prevention discretionary funding opportunities through the Administration for Community Living. Programs approved through the process will alsosatisfy thecriteria forOlder Americans Act Title III-D support. Please visit the Evidence-Based Falls Prevention Programs Review Council webpage for more information and instructions to apply.

A barrier to delivery of falls risk assessments in clinical settings is lack of a dedicated Current Procedural Terminology (CPT) code for this service. However, providers are able to counsel their patients regarding falls risk and bill payers using existing Evaluation and Management (E/M) CPT codes. This CPT Code Flyer provides detail on which CPT codes to use for falls assessment and intervention. Information about falls-related quality indicators as a means to incentivize providers to conduct falls prevention activities is also included on the resource.

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Evidence-Based Falls Prevention Programs | NCOA

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