Case report: influencing adherence of pre-frail older adults and an exercise programme

Maintaining functional capacity over the life course

As a first-line physiotherapist, I earned my Master’s in Physiotherapy in Geriatrics in 2014. The subject of my graduation thesis was the importance of adherence to therapy in older adults. Training is necessary to maintain independence, and it is important to persevere with it. Training helps to slow down the decline in health. My vision is that older people often lack this knowledge and understanding: often, you don’t feel as old as you are. This is why informing and advising patients is an important part of my treatment plan. You can download the case report here.

Thesis: The perception of older people living in the community of the environment is the missing link in understanding the dynamics of outdoor falls and fear of falling in fall prevention

A Professional Assignment Project on behalf of Gertrud Pijnenburg MSc, PT

Krom Boomssloot, Nieuwmarkt district, Amsterdam

As a geriatric physiotherapist in the Nieuwmarkt district in Amsterdam, I commissioned students of the European School of Physiotherapy in Amsterdam to carry out research into fall incidents in public space. Outdoors, in other words. The reason for this was that many more fall incidents involving older people occurred in my neighbourhood than in others. The neighbourhood is an old city district, with narrow streets and pavements. There are many residents per square metre, and there are also many tourists. The principle finding was that people with a fear of falling particularly suffer from the consequences of a fall: being increasingly unable to leave home, and becoming isolated. They are affected by crowded streets and the unpredictable behaviour of other pedestrians and road users, and most of all by uneven paving and pavements that are full of obstacles that require them to walk on the road to continue on their way. These lead to a very high risk of falling for all older people. City administrators are obliged to take account of this, but this does not happen. Attention is being paid to this on paper: for example, Amsterdam has been part of the World Health Organisation’s (WHO) Age-friendly Cities network since 2015. However, the situation in practice does not help the mobility of older people. Despite this, older people in fact enjoy living in the city centre because all the facilities are within walking distance. You can download the thesis here.