Falls in Young Adults: Difference between revisions

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== A Summary ==
== Introduction ==
[[File:Postural Instability.png|right|frameless]]
[[File:Postural Instability.png|right|frameless]]
Falls in older people have been characterized extensively in the literature, however little has been reported regarding falls in middle-aged and younger adults.<ref name="school" /> Falls and fall-related injuries are not uncommon in young adults and may be considered a lifestyle issue related to sports and vigorous activity.<ref>Cho H, Heijnen MJ, Craig BA, Rietdyk S. Falls in young adults: The effect of sex, physical activity, and prescription medications. PLoS one. 2021 Apr 22;16(4):e0250360.Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061998/#pone.0250360.ref009 (accessed 6.11.2022)</ref><ref>Talbot LA, Musiol RJ, Witham EK, Metter EJ. Falls in young, middle-aged and older community dwelling adults: perceived cause, environmental factors and injury. BMC public health. 2005 Dec;5(1):1-9. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1208908/ (accessed 6.11.2022)</ref>
Falls in older people have been characterized extensively in the literature, however little has been reported regarding falls in middle-aged and younger adults.<ref name="school" /> Falls and fall-related injuries are not uncommon in young adults and may be considered a lifestyle issue related to sports and vigorous activity.<ref>Cho H, Heijnen MJ, Craig BA, Rietdyk S. Falls in young adults: The effect of sex, physical activity, and prescription medications. PLoS one. 2021 Apr 22;16(4):e0250360.Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061998/#pone.0250360.ref009 (accessed 6.11.2022)</ref><ref>Talbot LA, Musiol RJ, Witham EK, Metter EJ. Falls in young, middle-aged and older community dwelling adults: perceived cause, environmental factors and injury. BMC public health. 2005 Dec;5(1):1-9. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1208908/ (accessed 6.11.2022)</ref>


The reporting of falls increased with age from 18% in young, to 21% in middle-aged and 35% in older adults, with higher rates in women than men. <ref name="school">Graduate School of Nursing, Uniformed Services University of the Health Sciences, 1335 East West Highway, Silver Spring, Maryland 20910, USA http://www.biomedcentral.com/1471-2458/5/86</ref>  
The reporting of falls increased with age from 18% in young, to 21% in middle-aged and 35% in older adults, with higher rates in women than men. <ref name="school">Graduate School of Nursing, Uniformed Services University of the Health Sciences, 1335 East West Highway, Silver Spring, Maryland 20910, USA http://www.biomedcentral.com/1471-2458/5/86</ref>


Risk factors include:  
In the US in 2020, 805 workers died in falls, and 211,640 were injured badly enough to require days off of work.<ref name=":0">NSC Make Fall Safety a Top Priority Available:https://www.nsc.org/work-safety/safety-topics/slips-trips-falls (accessed 6.11.2022)</ref>


* Sport: Among younger people, more than 42% of falls occur while they are engaged in exercise or sports, or while they are running (that is, not running for the purpose of exercise or during a sport; rather, running to catch a bus, for example).<ref>http://dontfall.ca/falls-when-and-why/</ref>  
'''Risk factors:'''
* Young people with impaired gait and balance or medium/severe motor disability appear to be at increased risk of falling, particularly if they are relatively independent and still participating in challenging activities.<ref>Saverino A, Moriarty A, Playford D. The risk of falling in young adults with neurological conditions: a systematic review. Disability and rehabilitation. 2014 Jun 1;36(12):963-77.Available:https://www.tandfonline.com/doi/abs/10.3109/09638288.2013.829525 (accessed 6.11.2022)</ref>  
* Sport: Among younger people, more than 42% of falls occur while they are engaged in exercise or sports, or while they are running (that is, not running for the purpose of exercise or during a sport; rather, running to catch a bus, for example).<ref>http://dontfall.ca/falls-when-and-why/</ref>
* Occupations at elevated heights or other hazardous working conditions  
* Young people with impaired gait and balance or medium/severe motor disability appear to be at increased risk of falling, particularly if they are relatively independent and still participating in challenging activities.<ref>Saverino A, Moriarty A, Playford D. The risk of falling in young adults with neurological conditions: a systematic review. Disability and rehabilitation. 2014 Jun 1;36(12):963-77.Available:https://www.tandfonline.com/doi/abs/10.3109/09638288.2013.829525 (accessed 6.11.2022)</ref>
* Occupations at elevated heights or other hazardous working conditions. Construction workers are most at risk for fatal falls from height – more than seven times the rate of other industries – but falls can happen anywhere, even at a "desk job."<ref name=":0" />
* Alcohol or substance use<ref>WHO Falls Available:https://www.who.int/news-room/fact-sheets/detail/falls (accessed 6.11.2022)</ref>
* Alcohol or substance use<ref>WHO Falls Available:https://www.who.int/news-room/fact-sheets/detail/falls (accessed 6.11.2022)</ref>
* Multitasking
* Multitasking
* Walking aids, wheelchairs and environmental hazards are significant environmental risk factors for people with a neurological condition<ref>http://informahealthcare.com/doi/abs/10.3109/09638288.2013.829525</ref>.  
* Walking aids, wheelchairs and environmental hazards are significant environmental risk factors for people with a neurological condition<ref>http://informahealthcare.com/doi/abs/10.3109/09638288.2013.829525</ref>.
 
== Prevention ==
Whether working from a ladder, roof or scaffolding, plan ahead, assess the risk and use the correctt equipment. Determine if working from a height is absolutely necessary or if there is another way to do the task safely. Examples of steps taken include;
 
* Check the work area for potential hazards before commencing the job
* Ensure you have level ground to set up the equipment, placing the ladder on a solid surface, never lean it against an unstable surface
* Never work in inclement weather
* Check the stepladders have a locking device to hold the front and back open
* Always keep two hands and one foot, or two feet and one hand on the ladder
* Securely fasten straight and extension ladders to an upper support
* Wear slip-resistant shoes
* Don't stand higher than the third rung from the top
* Don't lean or reach while on a ladder, and have someone support the bottom
* Never use old or damaged equipment; check thoroughly before use
 
DIY home projects
 
You are better getting professional help for risky projects, for example installing siding, gutters or roofs. Don't risk a fall.
 
* Practice all of the ladder safety tips mentioned above
* Keep the work area clear of hazards and immediately clean up spills
* Read all instructions and safety precautions on your equipment
* Don't wear loose clothing that can get caught in equipment
 
Fall-proof your home
 
* Keep floors and surfaces clear of clutter
* Keep file cabinets and desk drawers closed
* Keep electrical and phone cords out of traffic areas
* Install handrails on stairways
* Wear sensible footwear
* Never stand on chairs, tables or any surface with wheels
* Properly arrange furniture to create open pathways
* Maintain good lighting indoors and out<ref name=":0" />


== Reference:  ==
== Reference:  ==

Revision as of 03:01, 6 November 2022

Introduction[edit | edit source]

Postural Instability.png

Falls in older people have been characterized extensively in the literature, however little has been reported regarding falls in middle-aged and younger adults.[1] Falls and fall-related injuries are not uncommon in young adults and may be considered a lifestyle issue related to sports and vigorous activity.[2][3]

The reporting of falls increased with age from 18% in young, to 21% in middle-aged and 35% in older adults, with higher rates in women than men. [1]

In the US in 2020, 805 workers died in falls, and 211,640 were injured badly enough to require days off of work.[4]

Risk factors:

  • Sport: Among younger people, more than 42% of falls occur while they are engaged in exercise or sports, or while they are running (that is, not running for the purpose of exercise or during a sport; rather, running to catch a bus, for example).[5]
  • Young people with impaired gait and balance or medium/severe motor disability appear to be at increased risk of falling, particularly if they are relatively independent and still participating in challenging activities.[6]
  • Occupations at elevated heights or other hazardous working conditions. Construction workers are most at risk for fatal falls from height – more than seven times the rate of other industries – but falls can happen anywhere, even at a "desk job."[4]
  • Alcohol or substance use[7]
  • Multitasking
  • Walking aids, wheelchairs and environmental hazards are significant environmental risk factors for people with a neurological condition[8].

Prevention[edit | edit source]

Whether working from a ladder, roof or scaffolding, plan ahead, assess the risk and use the correctt equipment. Determine if working from a height is absolutely necessary or if there is another way to do the task safely. Examples of steps taken include;

  • Check the work area for potential hazards before commencing the job
  • Ensure you have level ground to set up the equipment, placing the ladder on a solid surface, never lean it against an unstable surface
  • Never work in inclement weather
  • Check the stepladders have a locking device to hold the front and back open
  • Always keep two hands and one foot, or two feet and one hand on the ladder
  • Securely fasten straight and extension ladders to an upper support
  • Wear slip-resistant shoes
  • Don't stand higher than the third rung from the top
  • Don't lean or reach while on a ladder, and have someone support the bottom
  • Never use old or damaged equipment; check thoroughly before use

DIY home projects

You are better getting professional help for risky projects, for example installing siding, gutters or roofs. Don't risk a fall.

  • Practice all of the ladder safety tips mentioned above
  • Keep the work area clear of hazards and immediately clean up spills
  • Read all instructions and safety precautions on your equipment
  • Don't wear loose clothing that can get caught in equipment

Fall-proof your home

  • Keep floors and surfaces clear of clutter
  • Keep file cabinets and desk drawers closed
  • Keep electrical and phone cords out of traffic areas
  • Install handrails on stairways
  • Wear sensible footwear
  • Never stand on chairs, tables or any surface with wheels
  • Properly arrange furniture to create open pathways
  • Maintain good lighting indoors and out[4]

Reference:[edit | edit source]

  1. 1.0 1.1 Graduate School of Nursing, Uniformed Services University of the Health Sciences, 1335 East West Highway, Silver Spring, Maryland 20910, USA http://www.biomedcentral.com/1471-2458/5/86
  2. Cho H, Heijnen MJ, Craig BA, Rietdyk S. Falls in young adults: The effect of sex, physical activity, and prescription medications. PLoS one. 2021 Apr 22;16(4):e0250360.Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061998/#pone.0250360.ref009 (accessed 6.11.2022)
  3. Talbot LA, Musiol RJ, Witham EK, Metter EJ. Falls in young, middle-aged and older community dwelling adults: perceived cause, environmental factors and injury. BMC public health. 2005 Dec;5(1):1-9. Available:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1208908/ (accessed 6.11.2022)
  4. 4.0 4.1 4.2 NSC Make Fall Safety a Top Priority Available:https://www.nsc.org/work-safety/safety-topics/slips-trips-falls (accessed 6.11.2022)
  5. http://dontfall.ca/falls-when-and-why/
  6. Saverino A, Moriarty A, Playford D. The risk of falling in young adults with neurological conditions: a systematic review. Disability and rehabilitation. 2014 Jun 1;36(12):963-77.Available:https://www.tandfonline.com/doi/abs/10.3109/09638288.2013.829525 (accessed 6.11.2022)
  7. WHO Falls Available:https://www.who.int/news-room/fact-sheets/detail/falls (accessed 6.11.2022)
  8. http://informahealthcare.com/doi/abs/10.3109/09638288.2013.829525