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RIWC_PARA_A097 Fall and Accident Avoidance in Older people with an intellectual disability


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A097 Fall and Accident Avoidance in Older people with an intellectual disability

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RIWC_PARA_A097 Fall and Accident Avoidance in Older people with an intellectual disability

  1. 1. A Pilot study on Fall Exercise Intervention for persons with intellectual disabilities Rex Chan wai-hung Regional Physiotherapist, FUHONG Society HONG KONG RI World Congress 26 October 2016
  2. 2. Introduction • Ageing ID persons having higher risk of dementia , osteoporosis and fall • Falls devastating • Timely and feasible interventions
  3. 3. • Risk factors for falls management • Assessment and outcome measurement tools to evaluate and prevent falls • Interventions and prevention strategies may differ for individuals with IDs
  4. 4. Objective • to evaluate the effectiveness of a specifically designed fall exercise programme by respective changes in three balance assessment tools for users with intellectual disabilities (ID) at fall risk Tinetti balance sub-scores Bergs Balance score BBS Timed up and go test TUG tests
  5. 5. Method Phase II: 24 weeks of Fall Exercise regime for 23 users Medium Fall risk Phase I: baseline sampling data base for 70 eligible fall risk users including gender, sex, degree of IDs, mobility status and Fall risks benchmarking , BBS)/ TUG ) /Tinetti balance sub-scores
  6. 6. Quality control measures • Inclusion criteria • Outcome indicators- valid and reliable • Fall exercise protocol • Regular monitoring on implement / attendance of fall exercise regime
  7. 7. Results and findings • Overall improvement for pre and post BBC; TUG test and Tinetti balance sub-scores • Female subjects showed better performance compared to male • Degree of IDs , mobility status correlating factor • Age is not a correlating factor
  8. 8. Discussion • Three outcome indicators pre & post P value is 0.000 whilst TUG test is 0.026. Still significant difference but less for TUG test( Using Non-parametrics) • There is improvement at 5% level of significance ( p<0.05) for respective three outcome indicators , BBS, TUG and Tinetti balance sub-scores.
  9. 9. Conclusion and future directions • Assessment tools --- The use of observation to assess mobility proved to be the most useful tool for those individuals with more cognitive limitations or behavior problems --- A scored observational tool may be a possible alternative method of screening gait and balance capabilities
  10. 10. • Therapeutic intervention --- Laser acupuncture --- Vibration/ Oscillation therapy