Mortality from falls among US adults aged 75 years or older, 2000-2016

Have you signed a release form acknowledging that learning to walk again post stroke is extremely dangerous and likely will lead to death? 

Mortality from falls among US adults aged 75 years or older, 2000-2016

JAMA — Hartholt KA, et al. | June 07, 2019

In this investigation, researchers reported trends in mortality from falls for the United States population (aged 75 years or older) from 2000 to 2016. An estimated 28.7% of adults aged 65 years or older in the US fell in 2014. Falls lead to increased costs of morbidity, mortality, and health care. Age, medication use, poor balance, and chronic conditions like depression and diabetes were included risk factors for falls. For adults older than 65 years, fall prevention strategies are typically suggested. An increase in mortality from falls has been observed since 2000 in several European countries, especially among adults older than 75 years. This age group has the highest risk of falling and the potential for cost-effective interventions.

• See Also: Statins significantly reduce mortality in patients receiving clopidogrel without affecting platelet activation and aggregation: A systematic review and meta-analysis

Read the full article on JAMA

What is the probability of patients who are nonambulatory after stroke regaining independent walking? A systematic review

And walking is the leading cause of falls. Have you signed a release form allowing your therapist to try to teach you this dangerous activity?
For people 65 years old and older falls are the number one cause of death from an injury, according to the Centers for Disease Control and Prevention (CDC).
http://www.ncbi.nlm.nih.gov/pubmed/22111798

Preston E¹, Ada L, Dean CM, Stanton R, Waddington G.

Author information

Abstract

Patients after stroke who are nonambulatory require resources, and independent walking becomes a major determinant of the ability to participate in activities of daily living. Our objective was to determine the probability of walking for patients who are nonambulatory in the first month after stroke. We performed a systematic review and meta-analysis of consecutive, prospective studies of nonambulatory patients within the first month after stroke in rehabilitation and acute units. The outcomes were the probability of achieving independent walking at three-, six- and 12 months after stroke. Twenty-six studies were included in the review. Seventeen studies comprising 2856 participants were entered into meta-analyses. For initially nonambulatory stroke patients managed in a rehabilitation unit, the probability of independent walking was 0.60 (95% CI 0.47-0.74, 1373 participants) at three-months, 0.65 (95% CI 0.53-0.77, 444 participants) at six-months and 0.91 (95% CI 0.81-1.00, 24 participants) at 12 months. For patients managed in an acute unit, the probability of independent walking was 0.39 (95% CI 0.27-0.52, 634 participants) at three-months, 0.69 (95% CI 0.46-0.92, 405 participants) at six-months and 0.74 (95% CI 0.59-0.88, 34 participants) at 12 months. 60% of patients managed in a rehabilitation unit who are nonambulatory in the first month after stroke will regain independent walking compared with 39% of those managed in an acute unit. This information can be used clinically to make decisions about allocation of rehabilitation resources, education of patients and carers, and for discharge planning.
© 2011 The Authors. International Journal of Stroke © 2011 World Stroke Organization.

PMID:

22111798

[PubMed - indexed for MEDLINE]

For the Elderly, Falls May Prove Deadly

And yet our physical therapists are complicit in helping stroke survivors walk again. Thus putting them at extreme risk of falling and dying. Did you sign a release form acknowledging that you accepted that risk?
http://www.agingcare.com/Articles/falls-prove-fatal-for-elderly-patient-149687.htm


Is your therapist working on fall prevention with any of these?
It seems to me that if you're are going to get better at walking you have to get a lot closer to falling by massive number of perturbations in your gait. Like this;

Motorized Shoes Help Elderly Prepare for Walking Accidents

Or this;

The effect of vibrotactile feedback on postural sway during locomotor activities

Or this;

Clinic helps stroke patients recover balance, avoid future falls

Or these;

1. Unstable Shoes Increase Energy Expenditure of Obese Patients
2. Compelled BodyWeight Shift Technique to Facilitate Rehabilitation of Individuals with Acute Stroke
3. Documenting abnormal anticipatory control prior to gait initiation in sub-acute stroke
4.  spnKiX motorized shoes edge closer to production
5. Motivation through Inclusion of Failure in Stroke Rehabilitation 

Or this;

Training to walk amid uncertainty with Re-Step: measurements and changes with perturbation training for hemiparesis and cerebral palsy