Can you stand on one leg for 10 seconds? It gives a remarkably good prediction whether you will fall and fracture a hip in the next few years.
The "one leg standing test" can also be turned into an exercise; done daily it will reduce the risk of falling by a massive 50%. The disability that ensues from a fractured hip is simply awful; and 50% of folk die within one year. Prevention as always, is better than a cure.
The elderly for obvious reasons are afraid of falling and with good reason; researchers report that taking a tumble is the leading cause of hospital admission for a traumatic injury in older persons.
A fall is also the most common cause of a subdural haematoma; capillaries are ruptured resulting in blood accumulating between the layers of the dura that surrounds the brain causing pressure on the very sensitive tissue. Death soon follows in 60% of those so injured.
The good news is that a simple exercise done daily to improve your balance will reduce the likelihood of a fall by a massive 50%.
First let's look at the test. Can you stand on one leg for 10 seconds?
If you instinctively know you cannot stand on a single limb then be sensible and don't even attempt the One Leg Standing Test. Certainly it is not for those suffering from vertigo, light-headedness or fainting spells. By all means practise a few times.
Well done if you can successfully achieve this test. Don't be anxious if you fail at the first attempt. At 77 I lost the plot after 3 seconds initially but after a few practice sessions could manage 20s with some trepidation and wild swings.
Don't despair if you could not reach 10 seconds; that's where the exercise based on this test has such value.
Let's emphasize this again; do this little exercise taking no longer than the kettle needs to boil, a few times a day. The research shows you are 50% less likely to trip and fall. It is all about strengthening your lower limbs and repeatedly activating the balance mechanism located within the inner ear.
You will reduce your risk of falling and doing yourself a serious mischief by a massive 50% if you spend just 3 or 4 minutes every day.
Only make changes that you are prepared to continue with for the rest of your life; anything less is blowing in the wind and doomed to fail.
My elderly patients are very reluctant to use a stick. Sometimes I think they'd rather risk breaking a hip than admit they are getting older.
So my recommendation is to start taking a stick with you on your walks long before you get old; then you won't be faced with that challenge. You'll also be able to fend off any dogs.
If you can't stand on one leg for ten seconds then it is definitely time to start using the walking stick; preferably before the fall and the broken hip.
Alcohol may make a good serf but it certainly will not be a satisfying master. Many falls in the elderly are alcohol-related particularly on the stairs and in the bathroom.
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