Origin Rehab Physical Therapy, Health, And Wellness

Fast Tests for Predicting Fall Risk in Older Adults

Falls are a problem.  A big problem.  According to the latest estimates, 1 in 4 Americans over the age of 65 will fall this year because of their age alone.  The likelihood increases to 1 in 3 when that person turns 80.  When we start to add in other risk factors like medications, use of a cane or walker, or just a fear of falling it becomes more likely than not that the older adult we care for will fall.  Our list doesn’t even consider the top predictor of falls in the senior population:  a previous fall.  That’s right!  A previous fall more than doubles the risk that our loved one will fall again.

Preventing Back Injury in Caregivers: How to Help Getting Out of a Chair

Did you know that the best estimates say back injuries may account for up to 40% of all missed workdays in the US yearly?  With an average of 7.2 days lost per injury, this can cause not only back pain, but financial pain due to lost work, headaches from having to deal with insurance adjusters, and the worry we all have about the clients we’re not able to see.  On top of that, the #1 predictor of a future episode of back pain:  a previous episode of back pain.  That’s right!  If you’ve had it before, you are much more likely to have it again. 

Physical therapist is screening a patient for their risk for falls.

Preventing Falls in the Elderly and 65+ Adult Population

With recent celebrity deaths linked to falling, we wanted to highlight the risks and dangers of falling in senior adults. Even more important, we wanted to help you move beyond being afraid of falling to understanding your real risk and develop a plan for safer mobility.

Origin Rehabilitation is a recognized expert in prevention of falls for seniors. Our physical therapists have presented at the North Carolina Assisted Living Association Convention and other professional organizations teaching others fall prevention strategies for older adults. Our team has helped numerous clients physically recover from their falls and has prevented countless more. We are excited to do the same for you.

What Increases Risk for Falls in the Elderly

Falls have been studied for a long time. Fortunately, a great deal of information is known about the circumstances that lead to older adult falls.

Top Risk Factors for Falls in Adults Over 65 Years:

  • One or more previous fall
  • Fear of falling
  • Use of multiple medications or use of common medications for anxiety and depression
  • Weakness or loss of strength
  • Use of an assistive device like a cane or walker
  • Pain with activity

Each of these risk factors increases a person’s fall risk on its own.  The presence of more than one of these only increases risk further.

How to Address Non-Physical Risk Factors for Falls in the Elderly?

Healthy adults over 65 years without ANY other risk factors have a 1 in 4 chance of falling in any given year. Risk for falls only increases with age (even in spite of good health) and when other risk factors are added to the mix.

There’s not much that can be done about the past, so your personal history of falls will be one risk factor that remains. However, some research suggests that the greater time since you’ve experienced a fall, future falls become less likely.

A fear of falling is rooted primarily in the future but based on past experience and current ability. Often, the treatment provided to address other risk factors helps to reduce our clients’ fear of falling.

Prescription medication is outside the scope of our training and expertise. We do encourage clients to talk with their medical provider about their medications often to ensure they’re on only the medications and dosages needed and not more.

How We Address Risk for Falls in Older Adults?

While we can’t expect to keep the same strength at 75 as we had at 25 and age commonly brings conditions like arthritis that can cause pain, these should not stop an older adult from participating in activities you enjoy.

Often, improving strength through common movement patterns can help to reduce pain as well. Instruction in technique may be needed to improve mechanics and this is exactly where a physical therapist will commonly focus treatment sessions for fall prevention.

Application of strength is another way to think about balance and better balance is often what is needed to reduce reliance on the cane or walker. We like to use these strategies in sequence usually in the same visit for our clients: address strength then teach the client how to move through a particular movement pattern using that muscle group.


  • Even healthy older adults over the age of 65 have a 1 in 4 chance of falling in a given year. It’s important to know any additional factors that can increase your fall risk.
  • Falling is not inevitable.  It is not a “sentence.” Proactive steps can be taken to modify your risk in your favor.  Some steps can be taken on your own (if you feel comfortable).  Others may need the help of your medical provider or a physical therapist.
  • Movement is medicine in that it can help with pain, strength, and balance. This way, we may even be able to reduce your need for your cane or walker.
  • If you’re concerned about falling and don’t know where to start, hire a physical therapist experienced in working with older adults to lower your fall risk today. Start here (Get to Know YOUR Risk for Falls)

The Origin of Origin

We are well under way on our journey and thought many of our readers would enjoy hearing the origin of Origin Rehab. We believe that we are adding something special to our Mint-Hill, Matthews and Charlotte community and are grateful for the opportunity to serve our neighbors and improve the health of our community along with our many friends and partners.

Join me as I interview our founder and owner, Dave Reed, PT:

Katrina: Dave tell us a little about your experience once you graduated from PT School.

Dave: I graduated from Wayne State University in 2005, eager to make a difference in people’s lives. I was quickly met with the disjointed healthcare system, one that, as I experienced it, focused more on checking boxes for insurance companies versus fulfilling what would be best for my patients. I loved the people I worked with in my first outpatient clinic, but it was a busy clinic, seeing 24-27 patients per day, 3-4 patients at one time. It felt more like a factory working at maximum capacity than a place for people to come to get the care they needed. It was not the way I wanted to practice and it created a tension that stirred up a desire in me to find a better way to give my patients what they need.

Katrina: Where did you go from this role?

Dave: I wanted to make a bigger impact so I accepted a role as a clinic director for a struggling clinic, a job that had been open for a year. I was motivated and began consuming books and resources to learn about the business side of a clinic and how to navigate health insurance and was able to see the clinic turn around, but felt like I was still missing the information I needed to make the changes I wanted to see on a larger scale. This drove me to complete my MBA in 2012 with Michigan State University.

Katrina: Now that you have your MBA, what was next on your agenda?

Dave: I accepted a position as a rehab director for a small regional hospital in the mountains of NC and my wife and I made the big move from the Detroit area. I was in this position for a few years and learned a lot about the back-end of business operations, but was still bound by “coloring inside the health system’s lines” focused on insurance needs rather than being able to prioritize healthcare needs. Through a series of changes in the healthcare system, I stepped out of my role as a rehab director and started working in the Charlotte area overseeing rehabilitation operations at more than 80 assisted living communities.

Katrina: What what Physical Therapy like during the start of the Covid Pandemic?

Dave: During Covid jobs reduced employees and treatments provided to patients. I found myself in an unsustainable position and had more time to think about my passion of providing better care to patients and bridging the gap from home health physical therapy to outpatient physical therapy. I began seeing some patients on my own in their homes, which is where idea for Origin Rehab was borne. I found I really enjoyed building something that was best for my patients’ care and being able to deliver it in a way that was practical and conducive to my clients’ needs. I feel like my prior experiences were building to prepare me to create Origin to do rehab better and spurs me on to make a difference in my community.