Posters

Introduction Falls are a leading cause of injury and loss of independence among older people, with significant physical, psychological, and economic consequences. Digital interventions, such as the NHS-approved Keep On Keep Up (KOKU) app, offer scalable solutions for promoting strength and balance exercises. However, existing dashboards often lack usability and meaningful engagement with stakeholders, limiting their effectiveness in clinical practice. Method This planned study will employ a mixed-methods, multi-phase design guided by the Double Diamond framework. Phase 1 will involve focus

Background: More than 30% of cancer survivors are affected by chemotherapy-induced peripheral neuropathy (CIPN) six months post-neurotoxic treatment. Despite the ever-increasing burden of CIPN-related disability in cancer survivors, current management is inadequate. Small-scale trials have demonstrated the benefits of exercise, particularly balance training, on CIPN symptom severity. However, no studies have concurrently addressed the cognitive complaints raised by 20-30% of patients caused by cancer and/or its treatments. We have demonstrated that home-based cognitive-motor step training

Introduction: Dizziness is a common complaint with many of its underlying contributors overlapping with established risk factors for falls. This secondary analysis examined the fall‑risk profiles of middle‑aged (50–64 years) and older (≥65 years) community‑dwelling adults who reported significant dizziness. Method: 305 community‑dwelling adults aged ≥50 years with dizziness were recruited as part of a randomised controlled trial. Participants completed questionnaires assessing demographics, dizziness severity, medication use, and psychological health, alongside an evaluation of sensorimotor

Introduction Concern about falling (CaF), balance confidence, and falls efficacy are conceptually distinguishable psychological constructs in geriatric rehabilitation. Although interrelated, they require construct-specific measurement. Currently, no validated instrument exists to measure falls efficacy in Japan. The Brief Multidimensional Falls Efficacy Scale (MdFES), 4-item instrument for assessing falls efficacy, was recently developed; therefore, this study aimed to evaluate the psychometric properties of the Japanese version of MdFES (MdFES-J). Methods This cross-sectional study included

Introduction: About one in three adults over the age of 65 fall at least once annually. Land-based exercise can cut overall falls by up to 34% and the number of people who fall by more than 15%. However, exercising on land may be difficult for some, such as very frail individuals, those with a high risk or fear of falling, or people with painful joints and limited mobility. Aquatic exercise may also help reduce falls, but the available evidence is limited. This study aimed to develop and deliver an aquatic exercise therapy programme for fall prevention and to assess its feasibility and

INTRODUCTION In the recent falls guidelines, multidomain interventions are recommended for people with Parkinson’s disease (PwP) [PMID:36178003]. Walking aids improve local balance and stability, increase confidence and reduce mechanical effort associated with walking [PMID:20674533], however walking aid use is associated with recurrent falls in PwP [PMID:25095816]. This study aimed to understand pre-fall activity and environmental fall risk in fallers and the differences associated with walking aid use. METHODS An online survey was developed to evaluate retrospective falls in adults ≥60y. 117

Introduction: Prescription medication can increase fall risk in older adults with Parkinson’s disease (PD). Polypharmacy and medications that have a sedative effect are associated with fall risk in the general older population [PMID:24484618]. In addition, PD medications (higher levodopa dose, dopamine agonists, anticholinergics) are associated with fall risk [PMID:24484618]. Levodopa provides symptomatic treatment; however high levodopa doses (>400mg/day) are associated with motor complications and falls [PMID:23630119]. This study aimed to explore the frequency of prescription medications

Parkinson’s disease (PD) is a complex, progressive neurodegenerative disorder that significantly impacts both motor and non-motor functions, leading to an increased risk of falls. Approximately 60% of individuals with PD will fall every year and nearly 70% fall recurrently, many as often as several times a day or week. Falls occur from the complex interaction between personal, environmental, and behavioral factors; however, little focus has been given to understanding the environmental and behavioral circumstances of falls in PD. Knowledge of moment-to-moment changes in personal, environmental

Introduction: Many journals and articles have mentioned the correlation between bone health and cardiovascular health. There are many overlapping lifestyles and a comorbidity history. We are using the FRAX score as we use it in patients presenting with falls risk and fractures to assess osteoporosis risk in patients with cardiovascular disease. Aims and objectives: To assess osteoporosis risk in patients aged 75 years and above admitted to cardiology, using the FRAX score. Osteoporosis risk using the FRAX score Correlation of FRAX score with coronary artery disease, heart failure and similar

Introduction Falls are a devastating issue with compounded effects for people with Parkinson’s disease (PwPD). Promoting safer mobility behaviour may reduce falls however this concept has been poorly articulated. Furthermore, whilst some components of relevant assessment and intervention have been reported, this approach has not been holistically outlined. This scoping review aims to map out the existing literature on the conceptualisation of safer mobility behaviour and how it is assessed and promoted, with implications drawn for PwPD living in the community. Methods The review was conducted

Introduction Promoting safer mobility behaviour is an emerging concept that has been suggested as a common-sense approach to fall prevention in people with Parkinson’s disease (PwPD). Despite its potential, there is currently no assessment tool, nor optimal intervention addressing safer mobility behaviour for PwPD. This study aimed to develop a consensus on the key components that should be included in an assessment and intervention targeting safer mobility behaviour in PwPD. Methods A modified Delphi study was conducted over three rounds with two expert panels: (1) people with lived

Introduction Safer mobility behaviour involves the use of protective actions and functional cognitive processes to reduce the chances of falling. Physiotherapists and occupational therapists have a well-established role in improving functional independence however their approach to promoting safer mobility behaviour for fall prevention is unknown. This study aims to understand the perspectives of clinicians and researchers on the nature of safer mobility behaviour and how it is implemented in clinical practice. Methods A qualitative study using focus group discussions was conducted

Introduction Home modifications are recommended as part of multifactorial fall prevention interventions for adults aged 50+, yet uptake remains inconsistent. Our previous work, including a mixed-methods systematic review and World Café consultations, identified key psychological and social services barriers which are rarely addressed in routine services. This study aimed to review and prioritise these barriers with members of the public and a falls prevention service, to inform the co-production of a psychologically informed intervention to increase acceptance of home modifications. Methods

Introduction: Day-care rehabilitation users are at high risk of falls, and pragmatic interventions deliverable within routine services are needed. Dual-belt treadmill training can provide task-specific balance challenges while maintaining a feasible dose. We examined whether adding dual-belt treadmill balance training to routine rehabilitation is associated with improvements in dynamic balance/mobility and cognition in very old adults. Method: This single-group pre–post study included 47 day-care rehabilitation users (age 81.4±6.7 years). Participants continued routine rehabilitation (strength

Introduction Falls and fall-related injuries are the leading cause of morbidity and mortality for older adults. China’s rapidly aging population and ever-growing demands for available resources has highlighted the need for falls-prevention programs that deliver value for money. FAMILY, a 12-month cluster randomised controlled trial conducted in 128 Chinese rural villages involving 2610 community-dwelling older adults demonstrated that a balance and functional exercise program integrated in the primary healthcare system reduced falls. This study aimed to assess the cost-effectiveness of the

Introduction Hospital falls across the globe continue to rise and are responsible for significant patient harm and economic costs to health services. Clinical practice guidelines aim to reduce falls rates through the provision of up-to-date evidenced based recommendations. There is a need to identify and systematically evaluate hospital falls clinical practice guidelines on falls prevention and management across the globe. Method A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and published protocol. Eight

Introduction: Although global guidelines for fall prevention and management in older adults exist, using the algorithm from the World Guidelines for Falls Prevention and Management for Older Adults (WFG) in low- and middle-income countries is little explored. Evaluating the association between health inequities and fall risk can guide more effective and equitable interventions. The obhective of this study was to assess the association between health inequities, as defined by the PROGRESS-PLUS model, and fall risk according to the algorithm proposed by the WFG in older Brazilian adults. Methods

Background: Falls represent a major public health and occupational safety concern across the adult lifespan, with both incidence and injury severity increasing with age. Data from Afa Insurance, which insures approximately 90% of the Swedish workforce, show that workers aged 55 years and older have a twofold increased risk of sustaining fall-related injuries leading to more than 30 days of sick leave. As statutory retirement ages continue to rise, the proportion of older individuals exposed to occupational and daily-life fall hazards is expected to increase further. Despite extensive efforts

Introduction Falls remain one of the leading causes of emergency department attendance among older adults in England. In 2023/2024 alone, approximately 220,000 emergency admissions were attributed to falls, with mortality from accidental falls continuing to rise despite an overall reduction in incidence. Frail patients frequently present with multimorbidity, polypharmacy, and delirium or dementia, often resulting in a reduced Glasgow Coma Scale (GCS) score unrelated to acute trauma. Current NICE guidelines for head injury assessment may inadvertently lead to over-imaging in this cohort. This

Falls are a leading cause of injury and disability in older adults, yet current predictors have limited accuracy. Continuous monitoring of activity, sleep, and heart rate (HR), combined with clinical assessments such as FRAT-up (Cattelani et al, JMIR, 2015) and the World Falls Guidelines (WFG) score (Montero-Odasso et al, Age Ageing, 2022), may improve personalized fall-risk identification. DARE-FALLSPREDICT and DARE-FALLSPREDICT-GP are ongoing single-center studies recruiting older adults (> 65 y) in Italy, respectively at hospital discharge or from the general population. Participants wear a