How is falls prevention programme different in older adults?

Older adults may have several fall contributors at the same time, such as reduced leg strength, slower reactions, unsteady walking, dizziness, poor vision, foot problems or medicines that affect alertness. A physiotherapist can observe transfers, turning, stair use and walking on different surfaces, then set exercises at a safe starting level.

The programme may also include practice with a walking aid, footwear advice, better lighting and removal of loose rugs or clutter. Someone who has fallen recently may need confidence-building and supervised practice, while a person who is already active may need more challenging balance tasks.

Bring a list of falls, near-falls, dizziness episodes and medicines to the first appointment. Wear supportive shoes and describe the places where you feel least steady. Your plan may include repeated sit-to-stand practice, leg strengthening, stepping in different directions and safe turning. Use a stable support when instructed and keep pathways clear between sessions.

Do not change prescribed medicines or abandon a walking aid without professional advice. Family members or carers can help with home changes and supervision, but exercises should match the participant’s assessed ability. Read more about [Falls Prevention Programme](/treatments/physiotherapy-and-rehabilitation/falls-prevention-programme/).

Arrange medical review after a fall that causes head impact, severe pain, inability to bear weight, new confusion or a noticeable change in walking. Seek urgent help for fainting, chest symptoms, sudden weakness or speech trouble. Repeated falls, new dizziness or a recent medicine change also deserve prompt assessment because exercise alone may not address the cause.

Which factors are most likely contributing to my falls? Is my walking aid the right height and type? Could any medicine, vision issue or foot problem affect my balance? What exercises are safe to practise alone?