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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue3
Subject Area: Medicine
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DOI: 10.5272/jimab.2025313.6458
Published online: 16 September 2025
Review article
J of IMAB. 2025 Jul-Sep;31(3):6458-6462
KINESITHERAPY AND PHYSIOTHERAPEUTIC PROGRAMMES FOR FALLS IN ADULTS
Paraskeva Mancheva1
, Altsek Naydenov1, Mina Ivelinova2, Valentin Velchev1, Gergana Nenova1
,
1) Department of Kinesitherapy, Faculty of Public Health, Medical University - Varna, Bulgaria.
2) Speciality “Medicine”, Faculty of Medicine, Medical University - Varna, Bulgaria.
ABSTRACT:
Purpose: To study and present the scientific publications available in reference databases that discuss physiotherapeutic programmes focused on fall prevention among the elderly.
Material and Methods: Material: The study considers scientific publications from 2019-2024 relative to the keywords "kinesitherapy” fall prevention", "exercises" and "elderly" in scientific databases, such as PubMed, Scopus, Web of Science, and Google Scholar.
Methods for assessment of the risk and the complications occurring after falls are proposed, innovations and technologies in aid of fall prevention are introduced, and the role of the physiotherapist is affirmed.
Results: 63 full-text scientific articles were recruited, 22 of them (approx. 35%) focused on a specific proposal for a physiotherapeutic complex. Abstracting from the studies implementing virtual reality, augmented reality, and exergames as prevention methods, the study is focused only on the conventional methods. The developments of twenty-two authors’ collective present programs for the prevention of falls.
Conclusion: Based on the data, researchers create and introduce programmes in the physiotherapeutic practice, with Otago as the most common. The proposed physiotherapeutic procedures include exercises for balance and gait improvement (robot-assisted or not), occupational therapy, classic kinesitherapy, walking and treadmill training, as well as robot-assisted therapy for upper extremities. Exercises for increasing muscle strength and improving balance are present in almost all proposed programmes. Guidelines are being developed in support of clinicians around the world to determine their approach and manage the risk of falls among the elderly.
Keywords: kinesitherapy, fall prevention, exercises, elderly,
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Please cite this article as: Mancheva P, Naydenov A, Ivelinova M, Velchev V, Nenova G. Kinesitherapy and Physiotherapeutic Programmes for Falls in Adults. J of IMAB. 2025 Jul-Sep;31(3):6458-6462. [Crossref - 10.5272/jimab.2025313.6458]
Correspondence to: Gergana Boncheva Nenova, Faculty of Public Healt, Medical University of Varna; 1, Hristo Smirnenski Str., 9002 Varna, Bulgaria; E-mail: geri_nenova@yahoo.com
REFERENCES:
1. Pawlak J, Dudkiewicz M, Kikowski Ł. Assessment of the Therapeutic Effect of Physiotherapy on Minimising Imbalances of Geriatric Patients. Acta Balneologica. 2020; 62(2):86–91. [Crossref]
2. Worum H, Lillekroken D, Roaldsen KS, Ahlsen B, Bergland A. Physiotherapists ’ perceptions of challenges facing evidence-based practice and the importance of environmental empowerment in fall prevention in the municipality – a qualitative study. BMC Geriatr. 2020 Oct 29;20(1):432. [PubMed]
3. Dhargave P, Sendhilkumar R, James TT. Effect of a Structured Exercise Program in Reducing Falls and Improving Balance and Gait in the Elderly Population Living in Long-Term Care Homes – A Randomized Controlled Trial. AMH. 2020 Jun 29;11(2):53–9. [Crossref]
4. Sadruddin Pidani A, Sabzwari S, Ahmad K, Mohammed A, Noordin S. Effectiveness of home-based rehabilitation program in minimising disability and secondary falls after a hip fracture: Protocol for a randomised controlled trial. Int J Surg Protoc. 2020 Jun 18;22:24–8. [PubMed]
5. Iakovidis P, Lytras D, Kasimis K, Chatziprodromidou IP, Sykaras E. Effect of a Therapeutic Exercise Program on Improving Balance in Elderly Fallers with Intramedullary Nailing after an Intertrochanteric Fracture due to a Fall: A Randomized Controlled Trial. Crit Rev Phys Rehabil Med. 2021; 33(3):57-68. [Crossref]
6. Stasi S, Tsekoura M, Gliatis J, Sakellari V. Motor Control and Ergonomic Intervention Home-Based Program: A Pilot Trial Performed in the Framework of the Motor Control Home Ergonomics Elderlies ’ Prevention of Falls (McHeELP) Project. Cureus. 2021 Apr 7;13(4):e14336. [PubMed]
7. Senthilkumar M, Ramya K, Prabhakaradoss D, Samuel R. Effect of Physiotherapeutic Intervention Protocol in Improving Functional Mobility and Reducing Falls among Geriatric Patients. IJONS. 2021 Aug;12(67):32905-12.
8. Vaishnavi G, Chandralekha S, Tharani G, Kamatchi K, Kirupa K, Kamali R, et al. To compare the effectiveness of balance training and conventional exercises for elderly individuals. RJPT. 2021;14(3):1274–8. [Crossref]
9. Knott S, Hollis A, Jimenez D, Dawson N, Mabbagu E, Beato M. Efficacy of Traditional Physical Therapy Versus Otago-Based Exercise in Fall Prevention for ALF-Residing Older Adults. J Geriatr Phys Ther. 2021 Oct-Dec;44(4):210–8. [PubMed]
10. Abdelbasset WK, Nambi G, Elsayed SH, Osailan AM, Eid MM. Falls and potential therapeutic interventions among elderly and older adult patients with cancer: a systematic review. Afr Health Sci. 2021 Dec;21(4):1776–83. [PubMed]
11. Anwari C, Balasubramanian S, Sawant PS, Kuri U, Anand AK, Rao BC, et al. Elder care: The need for interprofessional collaboration between Family Physicians, Clinical Pharmacists, and Physiotherapists in home-based primary care teams. J Fam Med Prim Care. 2022 Sep;11(9):5170-75. [PubMed]
12. Meekes WMA, Leemrijse CJ, Korevaar JC, Stanmore EK, van de Goor LIAM. Implementing Falls Prevention in Primary Care: Barriers and Facilitators. Clin Interv Aging. 2022 Jun 2;17:885-902. [PubMed]
13. Yang Y, Wang K, Liu H, Qu J, Wang Y, Chen P, et al. The impact of Otago exercise programme on the prevention of falls in older adult: A systematic review. Front Public Health. 2022 Oct 20;10:953593. [PubMed]
14. Liu-Ambrose T, Li LC. Physiotherapy for Healthy Aging. Physiother Can. 2022 Jan 1;74(1):1–3. [PubMed]
15. Zemp DD, Baschung Pfister P, Knols RH, Quadri P, Bianchi G, Giunzioni D, et al. A blended e-health intervention for improving functional capacity in elderly patients on haemodialysis: A feasibility study. Front Digit Health. 2022 Dec 6;4:1054932. [PubMed]
16. Ong RHS, Nurjono M, Jumala J, Teo RCC, Png GK, Tan PC, et al. A community-based single fall prevention exercise intervention for older adults (STEADY FEET): Study protocol for a randomised controlled trial. Stortz J, editor. PLoS One. 2022 Oct 20;17(10):e0276385. [PubMed]
17. Lytras D, Sykaras E, Iakovidis P, Kasimis K, Myrogiannis I, Kottaras A. Recording of Falls in Elderly Fallers in Northern Greece and Evaluation of Aging Health-Related Factors and Environmental Safety Associated with Falls: A Cross-Sectional Study. Occup Ther Int. 2022 Jan 7;2022:9292673. [PubMed]
18. Montero-Odasso M, van der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, et al. World Guidelines for Falls Prevention and Management for Older adults: a Global Initiative. Age Ageing. 2022 Sep 2;51(9) :afac205. [PubMed]
19. Khan RMA, Joseph RS. The Impact of Regular Salah Practice on Balance and Fall Prevention among Community Dwelling Elderly Population. IJPOT. 2023 Apr-Jun;17(2):19–26. [Crossref]
20. Adnan M, Anjum H, Adnan H, Ayesha HS, Alam W, Umar S, et al. Effectiveness of Physical Activity in Geriatric Population to Decrease the Risk of Fall a Randomised Control Trial. Pak J Med Health Sci. 2022 Dec 31;16(12):589–91. [Crossref]
21. Santos LE, de Sá Ferreira A, Vilella RC, Lunkes LC. The Importance of Physical Therapy in the Evaluation of Fall Prevention Programs in Older Adults: A Scoping Review. TGR. 2024 Jan-Mar;40(1):83-92. [Crossref]
22. Tsekoura M, Matzaroglou C, Xergia S, Dionyssiotis Y, Tsepis E, Sakellari V, et al. The Feasibilty of the Motor Control Home Ergonomics Elderlies' Prevention of Falls (McHeELP) Programme in Patients with Sarcopenia: A Pilot Study. J Frailty Sarcopenia Falls. 2024 Jun 1;9(2):89-95. [PubMed ]
Received: 28 May 2025
Published online: 16 Septtember 2025