Posters

Introduction Current fall risk assessment tools are largely episodic, clinician-led, and not suited to continuous, real-world monitoring. Consumer wearables could offer continuous passive monitoring. Prior studies using wearable data use clinical-grade sensors or lab-based gait tests so limited real-world applicability Consumer wearables (Fitbit, etc.) are widely adopted but underexplored for fall risk classification. Method This was an observational cohort study over 6 months with 140 Fitbit users. Nested cross-validation: outer 10-fold × 5 repeats, inner 10-fold for hyperparameter tuning 6

Introduction Hip fracture is the commonest fracture in adults over 60 years, with high morbidity and mortality. Remote Ischaemic Conditioning (RIC) is a non-invasive intervention consisting of brief, repeated cycles of limb ischaemia and reperfusion for periods that avoid physical injury to the limbs, but induce neurohormonal, systemic or vascular changes in the body. Studies have demonstrated that RIC may have anti-inflammatory and cardiovascular protective effects following orthopaedic surgery and could represent a novel therapeutic strategy to improve outcomes. Method This was a single-arm

Introduction Wearable devices enable low-cost, real-world monitoring of individuals, capturing rich sensor data suitable for event detection. As studies increasingly rely on digital real-world monitoring, accurate and efficient event annotation (e.g., falls, disease-related symptoms) is essential. However, current labeling workflows often rely on manual logging or generic tools, which are time-consuming, error-prone, and lack the temporal precision required for high-frequency sensor data. Methods We developed Sigmark, an open-source graphical interface (Python, PySide6) designed to standardize

Introduction Falls are common in inpatient settings and are associated with poor outcomes. Evidence demonstrates multifactorial interventions to address fall risk factors are effective, and as such, have been incorporated into national and international guidelines. However, these complex interventions are difficult to implement at scale in hospitals. Continuous audit with embedded quality improvement is one method for implementation and scaling up complex interventions. Methods The National Audit of Inpatient Falls (NAIF), funded by the Healthcare Quality Improvement Partnership and run by the

Introduction Falls among community-dwelling older adults remain a major cause of morbidity and place a substantial burden on individuals and healthcare systems. Evidence-based exercise programmes, such as the Otago Exercise Programme (OEP), are effective in reducing fall risk. However, access to these interventions remains limited in current practice, which reduces engagement and contributes to low adherence among older adults. This project aimed to address access barriers by adapting the delivery of the OEP to better meet community needs. Method An intervention plan was developed to improve

Introduction: High-fidelity simulation provides a safe scaffold for developing clinical skills within an out-of-hours context. Night-shifts introduce compounding human and system factors that disproportionately affect care of frail older patients. Delirium and inpatient falls are common high-risk overnight presentations, yet recognition of frailty syndromes and the need for comprehensive geriatric assessment (CGA) is frequently missed1,2. System-wide approaches to frailty education include multimedia resources and clinical champions; however simulation-based training for is often poorly

Introduction Evidence-based exercise programs that improve balance and strength can reduce fall risk in older adults but are often unpopular. Our previous evaluation of community-based, tailored dance classes showed high participation and sustained attendance, but their effectiveness for fall prevention remains untested. This pilot trial examined the acceptability and feasibility of a tailored dance intervention and identified program and implementation features to guide future trials. Method We conducted a randomised waitlist-controlled pilot delivering a 10‑week, twice‑weekly dance program

Introduction Around a third of people aged 65 and over fall every year and falls are the leading cause of injury-related hospital admission among older adults in the UK. Despite evidence that physical activity reduces falls risk, public awareness of falls prevention information is low. Improving access to this information and leveraging the unique clinical contacts of paramedics to support early signposting, may enhance the reach of falls prevention resources empowering older people to help reduce their falls risk. Method We conducted a systematic mapping review to identify UK-based, community

Introduction Stroke frequently causes paretic ankle dorsiflexor weakness, impairing gait coordination and increasing fall risks. While a single session of wearable ultrasound visual feedback (UVF) training has been shown to improve isometric ankle dorsiflexion strength in chronic stroke survivors, the transfer of these effects to overground walking is unknown. This study investigated effects of an 8-week UVF training program on walking performance and inter-joint coordination in community-dwelling older adults with stroke. Method Thirty-four older adults with chronic stroke were randomized (17

Introduction: Perturbation-based balance training is a promising approach for reducing fall risk in older adults, yet evidence is largely based on laboratory or clinical interventions. To facilitate translation to community settings, we studied the effectiveness of a single-session, low-cost, accessible perturbation training by examining pre-post differences in falls over a year in older adults. Methods: One hundred community-dwelling older adults (age 75.3 ± 7.5 years; 67% female) participated. Perturbations (n=32) were delivered via a waist-mounted, cable-driven system that pulled

Introduction Older people who fall often do not present to health services, even if injured, but this is difficult to quantify. Methods When all participants in the Cambridge City over-75s Cohort, a representative population-based study of ageing, were aged over 90 prospective falls data collection successfully followed-up 96% of survivors for one year (20 men and 90 women aged 91-105, 18% in care). Participants or proxy informants returned weekly falls calendars and were re-interviewed after all reported falls regarding circumstances, consequences and whether they told anyone about that fall

Introduction Fractures of the cervical spine and neck of femur (NOF) represent a high burden of injury and mortality in the elderly population. Disability adjusted life years lost (DALY) is a measure of how many years of full health are lost across a population due to an injury. Methods Retrospectively 51 patients aged 65 or over that had sustained a cervical spine fracture were identified through ED coding between January 2023 and December 2023. Outcome data on 551 patients aged 65 or over that had sustained a NOF fracture was collected via the National Hip Fracture database for 2023. Local

Introduction Many falls in older adults occur during walking, particularly when responding to sudden gait perturbations such as slips or trips. Although automatic gait perturbation detection with wearable devices has been demonstrated in controlled datasets, it often remains uncertain whether such models generalize to unseen data. This study examines whether a pre-trained deep convolutional long short-term memory (DeepConvLSTM) algorithm, can generalize to an older participant group with a history of falls and to a different perturbation protocol. Method This sub-analysis used data from an

Background: Reactive balance training using repeated perturbations may reduce falls, however, training methods are not easily replicated or translatable to clinical settings. This study aimed to examine the effects of a novel reactive balance training program on balance recovery from laboratory induced trips and slips and fall risk factors in older people using simple and low-cost equipment. Methods: We conducted a randomised controlled trial involving 88 older people. An intervention group (n = 43) received the ReacStep program which involved tether-release reactive stepping and intentional

INTRODUCTION Oral bisphosphonates are widely prescribed for fracture prevention. Their efficacy is dependent on adherence to administration guidance. A British Geriatrics Society (BGS) review highlighted that incorrect administration provides minimal or no fracture protection, particularly in frail or hospitalised patients (1,2). Despite this, oral bisphosphonates are frequently prescribed or continued during inpatient admissions where correct administration may be challenging. Our aim was to assess multidisciplinary knowledge, local administration practice, and patient recall of

Introduction Stair falls cause major morbidity and mortality in older adults. Despite this, stair-focused recommendations are lacking from the 2022 World Falls Guidelines. We aimed to characterise environmental risk factors and consequences of home stair falls and near-falls, and demographics of older adults reporting them. Method Co-designed online survey of adults ≥60 years in England (N=194). Respondents provided demographics, indices of multiple deprivation (IMD), concern about falling, and injury outcomes for home falls/near-falls over two years. This analysis focuses on the stair/step

Introduction Parkinson’s medications are time critical and delays of over 30 minutes can increase the risk of harm to patients. Complications range from physical deconditioning, with associated risk of prolonged hospital stay or aspiration pneumonia to neuroleptic malignant syndrome. Inspired by Parkinson’s UK ‘Get it on Time’ campaign, we sought to improve administration of Parkinson’s medications to within 30 minutes of prescription time in at least 80% of patients at York Hospital. Method Parkinson’s patients on medical wards in York Hospital were continuously audited across May, June and

Background: Low-cost inside‑out wearable trackers can be deployed at scale to measure body motion. However, errors in the estimated sensor position and orientation can propagate into coordinate transformations and affect derived metrics such as gait parameters and measures of dynamic stability. Methods: Healthy adults walked on a treadmill at 0.5–2.0 m/s while VIVE Ultimate Tracker (VUT) and Vicon data were recorded. Data-driven calibration models were developed to correct tracker coordinates and estimate the full-body centre of mass (CoM) from a sacrum-only configuration. Agreement with Vicon

Background Falls are one of the most common secondary complications after stroke. Clinical guidelines do not include a falls prevention programme addressing the specific needs of stroke survivors. A falls prevention intervention called Action Falls has reduced fall rates in care home residents and could be effective for stroke survivors. The FISS trials in Australia and the UK aim to evaluate whether implementing the Stroke Action Falls programme helps in reducing fall rates among stroke survivors at home in the 12 months after discharge from hospital, and if it is more cost-effective compared

Introduction: Treadmill-based perturbation training (PBT) simulates gait perturbations and trains reactive dynamic balance responses under safe conditions and can reduce falls in daily life of older adults. Electrodermal activity (EDA) responses, an indicator of emotional arousal, decreases across six perturbations in young, healthy adults, suggesting adaptation. EDA was not yet measured during perturbed walking in older adults or across multiple sessions. Hence, the EDA trajectory during PBT and conventional treadmill training (CTT) in older adults with and without cognitive impairment (CI)