FallProof!

Debra Rose, PhD, FNAK, is a chair and professor emerita of the department of kinesiology at California State University at Fullerton and is director emerita of the university’s Center for Successful Aging. She also served as one of three codirectors of the Fall Prevention Center of Excellence at the University of Southern California, funded by the Archstone Foundation. The goal of the Fall Prevention Center was to advance national and statewide efforts to reduce falls among older adults.For the past 40 years, Rose’s primary research focus has been the development of fall risk assessment tools and theoretically driven interventions that address balance and gait disorders in older adults. She is nationally and internationally recognized for her scholarly contributions to the literature, and her research has been published in numerous peer-reviewed publications, including Journal of the American Geriatrics Society, Archives of Physical Medicine and Rehabilitation, Neurology Report, and Journal of Aging and Physical Activity.The innovative fall risk reduction program she developed is considered a best practice program in health promotion and continues to be implemented in numerous community-based settings and retirement communities throughout the United States. The Balance and Mobility Specialist Instructor certificate program that she founded in 2003 has trained over 1,000 instructors and clinicians to deliver effective individual and group-based balance and mobility programs in a variety of settings.Rose is a fellow and past president of the National Academy of Kinesiology, former executive board member of the North American Society for the Psychology of Sport and Physical Activity (NASPSPA), and past editor in chief of Journal of Aging and Physical Activity.Elizabeth White, MS, is a graduate of California State University at Fullerton with a bachelor’s degree and master’s degree in kinesiology, with a concentration in gerokinesiology. She is assistant program director of the Balance and Mobility Specialist Instructor certificate program, which trains professionals to deliver FallProof balance and mobility programs. She has years of experience designing exercise programs for older adults based on client needs, goals, and abilities. She is also a part-time lecturer and researcher at California State University at Fullerton as well as an adjunct faculty member in the older adults education department at Mt. San Antonio College. White has a passion for working with the older adult population and teaches group-based balance, mobility, and fitness classes to older adults in hopes of helping them age successfully and improve their overall quality of life.

• Part I. The Theory Behind the ProgramChapter 1. Understanding Balance and MobilityWhat Is Balance?TerminologyPostural Control Strategies for Controlling BalanceMultiple Systems Contribute to Balance and MobilityAge-Associated Changes in the Systems Contributing to Balance and MobilityCase StudiesSummaryTest Your UnderstandingPractical ProblemsChapter 2. Why Do Many Older Adults Fall?Multiple Factors Cause FallsEffects of Common Medical ConditionsEffect of Medications on Balance and MobilityFear of FallingAre the Risks the Same for All Older Adults?Practical Implications for Program PlanningSummaryTest Your UnderstandingPractical ProblemsPart II. The FallProof Program for Improving Balance and MobilityChapter 3. Screening and AssessmentSystems Framework of Postural ControlHealth and Physical Activity PatternsAssessing Functional AbilityAssessing Fall RiskAssessing the Multiple Dimensions of Balance and GaitSummaryTest Your UnderstandingPractical ProblemsChapter 4. Center-of-Gravity Control TrainingSeated Balance ActivitiesStanding Balance ActivitiesFloor-to-Standing TransfersSummaryTest Your UnderstandingPractical ProblemsChapter 5. Multisensory TrainingForcing the Use of the Somatosensory System to Control BalanceForcing the Use of the Visual System to Control BalanceForcing the Use of the Vestibular System to Control BalanceExercises Coordinating Eye and Head MovementsSummaryTest Your UnderstandingPractical ProblemsChapter 6. Postural Strategy TrainingPractice RequirementsProgressive Exercise ActivitiesSummaryTest Your UnderstandingPractical ProblemsChapter 7. Gait Pattern Enhancement and Variation TrainingOverview of the Gait CycleMechanisms Controlling GaitAge-Associated Changes in GaitEffect of Pathology on the Gait PatternGait Pattern Enhancement and Variation TrainingCulminating ActivitiesSummaryTest Your UnderstandingPractical ProblemsChapter 8. Strength and Endurance TrainingSelected Upper-Body Strength ExercisesSelected Abdominal Strength ExercisesSelected Lower-Body Strength ExercisesSelected Compound Floor ExercisesSelected Exercises for the Foot and ToesSummaryTest Your UnderstandingPractical ProblemsChapter 9. Flexibility TrainingSelected Neck and Upper-Body Flexibility ExercisesSelected Lower-Body Flexibility ExercisesSelected Floor-Based Flexibility ExercisesSummaryTest Your UnderstandingPractical ProblemsPart III. Implementing the FallProof ProgramChapter 10. Setting the Stage for LearningUnderstanding the Stages of LearningUnderstanding Different Learning StylesIntroducing the Skill Being LearnedIdentifying and Correcting Errors in PerformanceSummaryTest Your UnderstandingPractical ProblemsChapter 11. Program Planning and Class Management TechniquesFollowing the Initial AssessmentSetting Individual Program GoalsBefore Each Class SessionDuring Each Class SessionBetween Class SessionsAfter Each Follow-Up AssessmentCommunicating With Class ParticipantsSummaryTest Your UnderstandingPractical ProblemsAppendix A. Balance Kit InventoryAppendix B. Answer Key for Test Your Understanding Questions