Promoting Exercise as Part of a Physiotherapy‐Led Falls Pathway Service for Adults with Intellectual Disabilities: A Service Evaluation

Crockett, Jennifer; Finlayson, Janet; Skelton, Dawn A.; Miller, Gillian

doi:10.1111/jar.12119

Cited by 10 publications

(25 citation statements)

References 18 publications

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“…This highlights the complexity of falls and fall-risk factors among older people with ID. Nevertheless, among people with ID, as in the general population, falls may be prevented by exercises and physical activity [ 40 , 41 ]. Thus, in addition to medication reviews, physiotherapy interventions are relevant among older people with ID in order to reduce falls.…”

Section: Discussionmentioning

confidence: 99%

Fall-risk-increasing drugs and falls requiring health care among older people with intellectual disability in comparison with the general population: A register study

et al. 2018

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BackgroundFalls are the most common cause of injury for older people in the general population as well as among those with intellectual disability. There are many risk factors for falls, including a range of drugs which are considered to be fall-risk-increasing (FRIDs). The aim of the present study was to describe prescription patterns of FRIDs in itself as well as in relation to falls requiring health care among older people with intellectual disability and their age-peers in the general population. Moreover, to investigate possible differences between the two groups.MethodsA cohort of people with intellectual disability and a referent cohort, one-to-one-matched by sex and year of birth, were established. Each cohort comprised 7936 people aged 55+ years at the end of 2012. Register data were collected for 2006–2012 on prescription of antidepressants, anxiolytics, hypnotics and sedatives, opioids, and antipsychotics, as well as for fall-related health care contacts. Analyses were performed on yearly data, using repeated measures models.ResultsPeople with intellectual disability were more likely to be prescribed at least one FRID (Relative Risk [RR] 2.31). The increase was highest for antipsychotics (RR 25.0), followed by anxiolytics (RR 4.18), antidepressants (RR 2.72), and hypnotics and sedatives (RR 1.42). For opioids, however, a lower prevalence (RR 0.74) was found. In both cohorts, those with prescription of at least one FRID were more likely to have a fall-related injury that required health care. The increased risk was higher in the referent cohort (RR 3.98) than among people with intellectual disability (RR 2.27), although people with intellectual disability and prescription still had a higher risk of falls than those with prescription in the referent cohort (RR 1.27). A similar pattern was found for all drug groups, except for opioids, where prescription carried the same risk of having a fall-related injury that required health care in both cohorts.ConclusionsWith or without prescription of FRIDs, older people with ID have a higher risk of falls requiring health care than their age-peers in the general population. It is important to be aware of this when prescribing drugs that further increase the risk of falls.

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Section: Discussionmentioning

confidence: 99%

Fall-risk-increasing drugs and falls requiring health care among older people with intellectual disability in comparison with the general population: A register study

et al. 2018

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“…A convenience sample of nine adults with IDs was recruited into the study via Falls Pathway Services (Crockett et al ., ) within NHS (National Health Service) Greater Glasgow and Clyde and NHS Lanarkshire Community Intellectual Disability Physiotherapy Services. Final sample size was determined by the time frame of the study.…”

Section: Methodsmentioning

confidence: 99%

Lycra splinting garments for adults with intellectual disabilities who fall due to gait or balance issues: a feasibility study

Finlayson

Crockett

Shanmugam

et al. 2018

J intellect Disabil Res

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Background Adults with intellectual disabilities (IDs) experience high rates of falls and have high rates of gait or balance issues which contribute to falls. Lycra splinting garments (LSGs) have potential to improve gait or balance, but they have never before been tested with adults with IDs who fall due to gait or balance issues. The aim of this study was to test in adults with IDs, the feasibility of using LSGs to improve movement and function and reduce falls, whilst also exploring usability and likely compliance. Method A convenience sample of nine adults with IDs wore tailored LSGs over a 6-week assessment period. Laboratory-based foot clearance, balance, and gait measures were collected pre-and post-LSGwear. Falls charts and questionnaires on usability and likely compliance were also completed. Results Seven participants experienced a reduction in falls during their six weeks of LSG wear; most notably in the group of five participants who wore lycra splinting socks, compared with only two in the group of four who wore lycra splinting shorts or leggings only.

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“…For those who provide care or support to people with LDs, it is important that individual fall risk assessment is incorporated routinely into care/support planning for all people with LDs, or at the very least, for individuals with LDs who have experienced more than one fall or at least one fall injury (Finlayson et al, 2015;Petropoulou et al, 2016). National Institute for Health Care and Excellence (NICE, 2013) guidelines are available on fall risk assessment.…”

Section: Individual Risk Assessmentmentioning

confidence: 99%

“…National Institute for Health Care and Excellence (NICE, 2013) guidelines are available on fall risk assessment. At the same time, it is important that opportunities continue to be offered to individuals with LDs within a positive risk-taking and risk reduction framework (Finlayson et al, 2015). In other words, individuals with LDs who are identified as being at risk of falling, and/or of experiencing a fall injury, should not be restricted by these risks but be carefully and 'actively' (Wilson et al., 2010) supported to overcome them in their everyday lives, through the use of counter measures.…”

Section: Individual Risk Assessmentmentioning

confidence: 99%

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Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers

Finlayson

2018

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Purpose The purpose of this paper is to provide a narrative review of what is currently known about the high rates of falls, and fall injuries, which are experienced by people with learning disabilities (LDs) throughout their lives. Design/methodology/approach Narrative review. Current evidence is summarised as key points and recommendations for practitioners and researchers. Findings People with LDs experience similar rates of falls as older adults in the wider population, but throughout their lives, or at an earlier age. Originality/value Key points and recommendations are summarised for practitioners and researchers to promote fall prevention strategies and interventions for people with LDs.

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Promoting Exercise as Part of a Physiotherapy‐Led Falls Pathway Service for Adults with Intellectual Disabilities: A Service Evaluation

Abstract: Physiotherapists have a key role to play in promoting exercise to prevent falls in services for people with intellectual disabilities. This evaluation suggests positive outcomes for these clients to reduce or prevent further falls.

Cited by 10 publications

References 18 publications

Fall-risk-increasing drugs and falls requiring health care among older people with intellectual disability in comparison with the general population: A register study

Fall-risk-increasing drugs and falls requiring health care among older people with intellectual disability in comparison with the general population: A register study

Lycra splinting garments for adults with intellectual disabilities who fall due to gait or balance issues: a feasibility study

Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers

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