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Effects of home exercises and group training on functional abilities in home-dwelling older persons with mobility and balance problems.

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A randomized study. Aging Clin Exp Res. Effective exercise for the prevention of falls: a systematic review and meta-analysis.

Schenkman M, Riegger-Krugh C. Physical intervention for elderly patients with gait disorders. Exercise for improving balance in older people. Gait in older adults: a review of the literature with an emphasis toward achieving favorable clinical outcomes, part II. This content is owned by the AAFP.

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Contact afpserv aafp. Want to use this article elsewhere? Get Permissions. Read the Issue. Sign Up Now. Jul 1, Issue. Gait and Balance Disorders in Older Adults. C 6 , 8 , 12 — 14 Older adults should be asked at least annually about falls. C 4 , 27 — 30 Older adults should be asked about or examined for difficulties with gait and balance at least once.

C 4 , 27 — 30 Older adults who report a fall should be asked about difficulties with gait and balance, and should be observed for any gait or balance dysfunctions. C 4 , 27 — 30 Exercise and physical therapy can help improve gait and balance disorders in older adults.

A Critical Loss of Balance

Table 1. Evaluation of Older Persons with Gait and Balance Disorders History Acute and chronic medical problems Complete review of systems Falls history previous falls, injuries from falls, circumstances of fall, and associated symptoms Nature of difficulty with walking e.

Table 2. Table 3.

Nonfunctional ambulation Patient cannot ambulate, ambulates in parallel bars only, or requires supervision or physical assistance from more than one person to ambulate safely outside of parallel bars. Ambulator—dependent for physical assistance, level II Patient requires manual contact of no more than one person during ambulation on level surfaces to prevent falling.

Ambulator—dependent for physical assistance, level I Patient requires manual contact of no more than one person during ambulation on level surfaces to prevent falling. Ambulator—dependent for supervision Patient can physically ambulate on level surfaces without manual contact of another person, but for safety requires standby guarding of no more than one person because of poor judgment, questionable cardiac status, or the need for verbal cuing to complete the task.

Ambulator—independent on level surfaces only Patient can ambulate independently on level surfaces but requires supervision or physical assistance to negotiate stairs, inclines, or nonlevel surfaces. Ambulator—independent Patient can ambulate independently on nonlevel and level surfaces, stairs, and inclines, without supervision or physical assistance from another person. Table 4.

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Table 5. Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Purchase Access: See My Options close. Best Value! To see the full article, log in or purchase access. Author disclosure: Nothing to disclose. Are you sure? More in Pubmed Citation Related Articles. Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Navigate this Article. Older adults should be asked at least annually about falls.