Currently viewing the category: "falls"

Parents, here’s one to think about: More than 5,000 U.S. children and teens are injured every year in falls from windows; but the problem isn’t confined to high-rises–most falls are from the first or second story.  Something to think about before airing out that unattended room by opening the windows.

According to a recent study published this week in the journal Pediatrics, preschoolers are the most at-risk from falling out of windows, and they also suffer the most head injuries. “Two-thirds of these injuries occurred among children younger than 5. This is the age group that’s mobile, curious and does not recognize the danger of falling from a window,” said senior author Dr. Gary Smith of Nationwide Children’s Hospital in Columbus, Ohio.  Fewer than 1% of these cases led to deaths, but the researchers said the tally likely underestimated fatalities because not all children who die from their injuries are brought to the hospital.

Parents don’t realize how easily children can climb up to windowsills by using toys or furniture as a boost.  And screens may appear as sturdy objects to little ones who don’t know any better.  A fall to the pavement below sure is tough way to learn that lesson.

The good news is that very few are fatal, but head injuries are common, so taking precautions is the best practice.  Window guards that run between $20-$40 can be installed, as can bars.  Window guards have a quick release that allows escape from a fire or other emergency.  No doubt, they’re ugly–but better ugly than Humpty Dumpty.  We have window locks in our place that allow us to keep the windows cracked, but prevent a child from slipping through–godsend for people that love fresh air.

Just think, 5,000 children per year dropping out of 1-2 story windows–that’s 100 per state!  That means the odds of yours being one ain’t that small.  Take precautions and prevent pediatric window diving…especially if you live in Wyoming.

In 1992 when I was in college, the Catholic Church finally acknowledged Galileo’s findings on planetary motion, and publicly cleared him of any wrongdoing. Evolution is still foolishly rejected by some. But what really makes me feel good is when an idea known as true for so long by some gets picked up by the mainstream.

Take pain for instance; chiropractors have known for over a century how wide ranging its effects are. But not the medical industry. Noooo. Pain is a part of getting old. There are some medications we can give you to ward off the pain, but…I’m sorry Missus Jones, you’ll just have to live with the pain.

But, as they say, the times they are a changin’. And there is now acknowledgment that pain can wreak havoc on human operation that goes well beyond the obvious. A new study out of the Beth Israel Deaconess Medical Center in Boston and the University of Massachusetts shows that chronic pain actually increases the probability of seniors falling. Since falls are a significant cause of death for the elderly, uncovering its predisposing factors are vital.

According to the study, published in the Nov. 25 issue of the Journal of the American Medical Association, people who had pain in more than one joint were more likely to fall, compared with people who reported no pain or minimal pain. Severe pain and pain that affected participants’ ability to do daily activities also made falls more likely, researchers found. In addition, having pain in one month made falling in the next month likely. People who reported severe pain in one month had a 77 percent increased risk of falling the next month. Even people reporting very mild pain were more likely to fall the following month, the group found.

So this is nothing new to chiropractors. We know precisely how much pain interupts neurological functioning of the human body; we know that the elderly are particularly susceptible to pain-induced biomechanical dysfunction (but don’t get false security young-folk, you, too, are susceptible); and we know that helping people become pain-free through chiropractic care helps them maintain their function, their balance and their dignity.

But here’s the problem: Medical science does not fully recognize it, yet. Damn shame I tell you. The current medical answer to pain in the elderly is pharmaceutical therapy, or in other words, drugs. Not only is this solution a non-solution since it never really removes or corrects the pain, but it can also add to the feelings of imbalance which then lead to further…you guessed it, falls.

Did the researchers mention pain-relieving chiropractic care as an answer? Well, they did mention fitness and wellness professionals, and since chiropractors are that, then…I guess they did. Thank you, thank you medical science–it’s about time. Like Galileo before him, D.D. Palmer will appreciate the acknowledgment.

I do lots of balance training with my clients in my West Hollywood chiropractic office. Balance or proprioceptive training prevents falls. You know this–I wrote a post on the subject back in April. But it’s so important I’m gonna say it again: Without a properly functioning proprioceptive system, you risk falling; and falls, especially in the elderly, can lead to disability and even death.

So what’s proprioceptive training? It’s challenging the body by forcing the client to balance, first on two legs, then on one and then on an uneven surface. The uneven surface I use in my office is a rocker board. These boards sit on an arching base, and teeter back and forth like a seesaw. They are quite challenging to the person who has diminished balance, but with work, the results are amazing. Eventually we get the client standing on the surface with one leg, juggling a chihuahua and a chainsaw–it’s incredible! OK, we save that last part for our aging circus performers, but if you’re ever interested…

Recent studies have shown the mega-importance of balance training to prevent falls in the elderly. But I have to say that I encounter many young people diminishing in their proprioceptive abilities. So it’s never too early to start. And aside from preventing falls, good proprioceptive senses help strengthen the low back, combating low back pain and eventually acting as a preventative. Nice.

So if you are unsure whether you need balance training, just stand up now, look straight ahead, and lift one foot off the ground by bending you knee. Was it difficult to hold your balance? If so, then you’re a prime candidate. Call your local chiropractor and start your balance training today.

You know how I feel about adequate sleep–I think it’s absolutely crucial. Not only does getting a proper amount do amazing things for your health, but not getting enough can be simply disastrous. Check out the latest findings from the California Pacific Research Institute in San Francisco: Women over 70 who get less than adequate sleep are more likely to fall; and falls cause fractures as well as some deaths.

According to the study, which followed 3,000 women over 7o for a number of years, women who slept no more than five hours per night were at the greatest risk of falling and seriously hurting themselves. They were, in fact, likely to have two or more falls a year. Women who slept between five and seven hours were the next most likely to fall, and they did 40% more than the best rested. The women who slept the most, over seven hours, had the least risk of falling.

Although the study looked at women solely, it is by no means a female phenomenon. Men are at the same types of risk when not rested, and in light of the numbers of older people falling every year, it’s something to think about. Many people have trouble sleeping that’s for sure. Every reason to take up regular exercise, meditation and get some regular bodywork in. Each one of these practices should help regulate the natural sleep cycle. And I also think very highly of melatonin supplementation. No, it’s not going to work immediately over night, but try it for a few weeks or months and I’ll bet it helps.

There’s nothing like a good night’s sleep, so if you aren’t getting yours it would be wise to make changes, no matter what your age. And if you are having sleep difficulties, speak to your doctor about any medications you are taking that might be contributing. Otherwise go to the gym, stay away from stimulants (coffee, cocaine) close to bedtime, meditate twice a day, and visit your local chiropractor–she might be able to help–and you should be catching proper z’s in no time. And when you finally do, you’ll find that your balance is as steady as a rock.

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