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Fallproof! 2nd Edition eBook With Web Resource

Fallproof! 2nd Edition eBook With Web Resource


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    The second edition of FallProof! A Comprehensive Balance and Mobility Training Program is a practical guide to implementing a multidimensional balance and mobility training program to address the increasing incidence of falls among older adults. Now available with companion online video, this edition is a research-based resource with a range of balance and mobility assessments and detailed instructions on implementing the FallProof! program. 

    The second edition contains everything that made the original edition so popular and the FallProof! program so widely recognized and well received. Written by Dr. Debra Rose, foremost expert in balance disorders and programming, this book continues to be the only text to address the multiple dimensions that contribute to balance and mobility. By exploring the reasons underlying falls, readers gain the knowledge to offer more comprehensive assessment and programming. This research-based approach has been field tested and has shown considerable success in a range of instructional settings, including community-based and residential care environments.  

    The FallProof! program is customizable for individual clients, with exercise progressions for early, middle, and late class modules. In addition, the program offers the following benefits:
    • Flexibility. Program participants can engage in group activities that take into account their individual abilities so that the program is not too easy or too difficult for them.
    • Guidance. Safe and easy ways of presenting each of the program’s exercise components are illustrated, addressing issues ranging from safety concerns to the best ways to provide feedback to participants.
    • Supplemental materials. Downloadable and reproducible health, assessment, and program-related questionnaires help instructors gather crucial information for effective programming. 
    • Results. The FallProof! program has been proven to reduce the risk of falling in participants who’ve completed one or more rotations of the program.
    The second edition of FallProof! contains significant content updates and new references and features for both professionals and students. A new section on goal setting and behavioral management techniques is included, as well as a section on prioritizing screening and assessment tests, scheduling subsequent tests, and organizing testing in a group environment. Each chapter has tools for maximizing retention and understanding—including a summary statement, a quiz, and a “practical problems” section. An extensive research bibliography and a subject index make it easy for readers to access the information and explore subjects in greater depth.

    A web resource with video clips makes the information in the text applicable to real situations. It shows how to administer screening and assessment tests, demonstrates selected exercise progressions for the major program modules, and provides a sample FallProof! class session in action. Reproducible forms and checklists help instructors with program implementation and can be easily downloaded from the web resource.

    This comprehensive manual is used in the only authorized FallProof! certification program offered by the Center for Successful Aging at California State University at Fullerton and is a must for anyone in the field developing balance and mobility programs for at-risk older adults. It delivers the theory along with the specialized knowledge and practical skills required for creating programs that ensure older adults maintain the high level of balance and mobility essential in avoiding falls and aging successfully.


    Reference for exercise specialists, physical therapists, occupational therapists, and recreational therapists working with older adults in community-based centers or rehabilitation settings. Text for upper-undergraduate, graduate, and certification courses in balance and mobility training, assessment, and programming for older adults.

    Table of Contents

    Part I. The Theory Behind the Program
    Chapter 1. Understanding Balance and Mobility
    What Is Balance?
    Postural Control Strategies for Controlling Balance
    Multiple Systems Contribute to Balance and Mobility
    Age-Associated Changes in the Systems Contributing to Balance and Mobility
    Case Studies
    Test Your Understanding
    Practical Problems

    Chapter 2. Why Do Many Older Adults Fall?
    Multiple Factors Cause Falls
    Effects of Common Medical Conditions
    Effect of Medications on Balance and Mobility
    Fear of Falling
    Are the Risks the Same for All Older Adults?
    Practical Implications for Program Planning
    Test Your Understanding
    Practical Problems
    Part II. The FallProof Program for Improving Balance and Mobility
    Chapter 3.Screening and Assessment
    Health and Physical Activity Patterns
    Assessing Functional Ability
    Assessing Fall Risk
    Assessing the Multiple Dimensions of Balance and Mobility
    Test Your Understanding
    Practical Problems

    Chapter 4. Center-of-Gravity Control Training
    Seated Balance Activities
    Standing Balance Activities
    Floor-to-Standing Transfers
    Test Your Understanding
    Practical Problems

    Chapter 5. Multisensory Training
    Forcing the Use of the Somatosensory System to Control Balance
    Forcing the Use of the Visual System to Control Balance
    Forcing the Use of the Vestibular System to Control Balance
    Exercises Coordinating Eye and Head Movements
    Test Your Understanding
    Practical Problems

    Chapter 6. Postural Strategy Training
    Practice Requirements
    Progressive Exercise Activities
    Test Your Understanding
    Practical Problems

    Chapter 7. Gait Pattern Enhancement and Variation Training
    Overview of the Gait Cycle
    Mechanisms Controlling Gait
    Age-Associated Changes in Gait
    Effect of Pathology on the Gait Pattern
    Gait Pattern Enhancement and Variation Training
    Culminating Activities
    Test Your Understanding
    Practical Problems

    Chapter 8. Strength and Endurance Training
    Selected Upper-Body Strength Exercises
    Selected Lower-Body Strength Exercises
    Selected Exercises for the Foot and Toes
    Test Your Understanding
    Practical Problems

    Chapter 9. Flexibility Training
    Selected Neck and Upper-Body Flexibility Exercises
    Selected Lower-Body Flexibility Exercises
    Test Your Understanding
    Practical Problems
    Part III. Implementing the FallProof Program
    Chapter 10. Setting the Stage for Learning
    Understanding the Stages of Learning
    Understanding Different Learning Styles
    Introducing the Skill Being Learned
    Identifying and Correcting Errors in Performance
    Test Your Understanding
    Practical Problems

    Chapter 11. Program Planning and Class Management Techniques
    Following the Initial Assessment
    Setting Individual Program Goals
    Before Each Class Session
    During Each Class Session
    Between Class Sessions
    After Each Follow-Up Assessment
    Communicating With Class Participants
    Test Your Understanding
    Practical Problems
    Appendix A. Balance Kit Inventory
    Appendix B. Answer Key for Test Your Understanding Questions
    About the Author
    DVD Menu and User Instructions

    About the Author

    Debra Rose, PhD, is a professor in the division of kinesiology and health science and director of the Center for Successful Aging at California State University at Fullerton. She also serves as codirector of the Fall Prevention Center of Excellence at the University of Southern California. Her primary research focus is on the enhancement of mobility and the prevention of falls in later years.

    Dr. Rose is nationally and internationally recognized for her work in assessment and programming for fall risk reduction. Her research in fall risk reduction in the elderly has been published in numerous peer-reviewed publications, including the Journal of the American Geriatric Society, Archives of Physical Medicine and Rehabilitation, Neurology Report, and the Journal of Aging and Physical Activity. She was an expert contributor to the Global Report on Falls Prevention in Older Age published by the World Health Organization in 2007.

    The innovative fall risk reduction program she developed and describes in this manual was recognized by the Health Promotion Institute of the National Council on Aging (NCOA) in 2006 as a “Best Practice” program in health promotion. This program is currently being implemented in numerous community-based settings and retirement communities throughout the United States. The NCOA also awarded Debra the Molly Mettler award for Leadership in Health Promotion for her work in the area of fall risk reduction in 2007.

    Debra is a fellow of the Research Consortium of AAHPERD, a fellow of the American Academy of Kinesiology and Physical Education, former executive board member of the North American Society for the Psychology of Sport and Physical Activity, and past editor in chief of the Journal of Aging and Physical Activity.