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The expected rise in the number of older adults in the coming decades may exacerbate the social, medical and economic problems posed by falls and fall-related injuries. In part, the growing urgency for effective solutions refects the apparently constant average annual rate of falls by older adults over the past 30 years. Exercise by older adults can significantly reduce fall risk. However, the extent to which it does so raises the question as to whether its effectiveness can be increased. Results from recent studies support the view that avoiding a fall following a large postural disturbance is a complex motor skill that can be significantly improved by practice and thereby reducing fall risk. This reduction in fall risk appears to exceed that achieved by previously reported interventions. The principles on which the associated training protocol is based fall clearly within the discipline of kinesiology.
Rosenblatt and Grabiner (NAK Fellow #441) are with the Clinical Biomechanics and Rehabilitation Laboratory, Dept. of Kinesiology and Nutrition, University of Illinois at Chicago.