Monday, 22 June 2015

Fear of falling in elderly

Fear of Falling
How the Alexander Technique can Help
by Robert Rickover
According to a New York Times article, “For Elderly, Fear of Falling Is a Risk in Itself” (March 15, 2003, page A1), an estimated 10,000 people 65 and over die each year from injuries related to falls. Studies show that 30 to 50 percent of elderly people fear falling.
This fear can itself actually increase the risk of falls. As Patricia A. Miller, an occupational therapist and professor of occupational therapy at Columbia University points out, when people are afraid of falling, they often impose immobility on themselves. As they do less, their physical condition deteriorates, making them more susceptible to falls. What they fear becomes more likely.
Worse yet, this self-imposed inactivity often leads to depression which requires medication and the medications usually prescribed make falls more likely. Sometimes, the depression leads to drinking which also makes falls more likely. The combination of medication and drinking is particularly dangerous in this regard.
Some things have been shown to lessen the risks - better lighting, modified furniture and the like. Strengthening exercises and activities like yoga and tai chi may also be useful. But the teaching method pioneered by the late of F. Matthias Alexander, the developer of the Alexander Technique, can be especially helpful in helping older people improve their balance, thereby lessening the likelihood of a fall.
The Alexander Technique can be described as a way to learning how to release harmful tensions from your body - tensions that get in the way of efficient functioning. Excess tension - particularly in the neck - has an immediate effect of balance. The neck is the connecting link between your body - which does the moving about - and your head, where those two important balance organs, your eyes and ears (more precisely, your inner ear canals) are located. Anything which interferes with the fluidity of that connection is bound to create balance problems.
You can easily test this for yourself by first standing on one foot for a few seconds, noticing your ability to remain upright. Once you have a sense of what it’s like to stand on one foot, tighten your neck and see what happens to your balance. (I’d advice having a chair or table or another person next to you while you perform this experiment so you can quickly get support if needed.)
It’s not uncommon for older adults to carry quite a bit of tension in their necks, and elsewhere in their bodies, without being aware of it. A major problem with this kind of chronic tension is that over time the “I am tense” signals from the affected muscles get cut off. Often older people with severe neck tension actually feel little or nothing in their necks. What they do notice, of course, are the results of that tension - restricted breathing, stiffness in their joints and, of course, increased risk of falling.
Although harmful tension habits are often become more deeply entrenched as we age, a hundred years experience of teaching the Alexander Technique has shown that these habits can be changed if there is a willingness and commitment to do so. In fact, many students of the Technique begin taking lessons in their 70s, and 80s. George Bernard Shaw is a famous example. He was in his late 80s when he started taking lessons with Alexander.
One of my own students, a 79 year old woman, said to me, after a couple of months of lessons, “It was getting so I had to severely limit my activities because I was worried about falling. I’ve had several friends who fell and had broken bones or, worse yet, had to have hip replacement operations. With what I’ve learned from the Alexander Technique I am able to walk pretty much anywhere I want to now. In some ways, I think I’m more active than I was 5 years ago!”
If you’d like to learn more about the Alexander Technique, The Complete Guide to the Alexander Technique at http://www.alexandertechnique provides a comprehensive source of information. If you don’t have access to a teacher, I urge you to explore the self-help resources on the page “Can I learn the Alexander Technique Without a Teacher” .
RESOURCES: “Alexander Technique and Aging Well” and “Growing Older With Grace” provide additional information on this topic.
Robert Rickover is a teacher of the Alexander Technique living in Lincoln, Nebraska. He also teaches regularly in Toronto, Canada. Robert is the author of Fitness Without Stress - A Guide to the Alexander Technique and is the creator of The Complete Guide to the Alexander Technique.

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