How Not to Fall: Getting Fit and Standing Straight in any Weather
Early morning Nashua—it is 2 degrees out there. Brrrrr. And although the thermometer has been inching up, melting snow means more water turning into ice overnight. Water on my street has pooled and frozen, creating a scarily shimmering scene—an ice skater’s delight but a treacherous trap for the rest of us.
According to Jane Brody in her New York Times article Preserving a Fundamental Sense: Balance, the sense of balance begins to degrade in one’s 20s and then it is downhill — literally and figuratively. Steps can be taken to preserve or restore one's sense of balance.. She explains how to assess one's equilibrium and then goes on to describe several exercises to build motor skills.
Recently I heard a physical therapist speak on the topic of preventing falls, and he gave some serious food for thought. Fact: By 2030, one in five Americans will be older than 65. Fact: The number of people over 100 doubles every decade. Fact: As they age, people lose muscle mass and strength, flexibility and bone. Fact: The resulting frailty leads to a loss of mobility and independence. Falls account for 87% of all fractures for adults 65 years and older. Hip fractures, 90% of which are caused by falls, cause the most deaths and lead to the most severe health problems. And only 25% of hip fracture patients will make a full recovery. There are many risk factors, including intrinsic ones such as muscle weakness, and gait and balance disorders, and extrinsic ones such as use of four or more medications, and the home environment. The latter may include risks such as poor lighting, inappropriate footwear (shoes, not slippers are best), loose rugs, wet floors, lack of handrails, and a cluttered environment. If we keep these in mind we can lessen the risk of falls for ourselves, or friends or family members who may be at risk.
Besides modifying the home environment, strengthening the body—particularly the lower extremities—can make one less likely to fall. And did you know that walking up stairs is one of the best exercises for the lower body? Although I cannot identify any interesting lofty buildings in Nashua, we can try to avoid the elevator and use the staircase whenever possible. For several years, the American Lung Association of New England has been promoting stair climb events in various buildings throughout New England as described in Stair Climb Training Tips from Paul Curley.
IWIF (Injured Workers' Insurance Fund) presents Several Tips for Walking on Ice. Some of the strategies they recommend include approaching with caution and assuming that all wet, dark areas on pavements are slippery and icy in cold temperatures, avoiding boots or shoes with smooth soles and heels and wearing shoes or boots that provide traction on snow and ice (boots made of non-slip rubber or neoprene with grooved soles are best), keeping your hands out of your pockets to maintain balance, and taking small steps or shuffling for stability. I have also been advised anything to prevent a fall—such as getting down on your hands and knees to crawl across an icy patch.
Inspired by the presentation on falls, and a New Year’s Resolution to become more physically active, I searched our library for materials pertaining to balance and agility. You might find the following especially useful, as I did:
Balance: in search of the lost sense by Scott McCredie.
Somatics: reawakening the mind's control of movement, flexibility, and health by Thomas Hanna.
Fitness for life: exercises for people over 50 by Theodore Berland.
Sixty plus & fit again: exercises for older men and women by Magda Rosenberg.
So, happy stair climbing and if you meet me crawling on my hands and knees (see above), don't be surprised--just say hi!

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