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Part I. The Theory Behind the Program Chapter 1. Understanding Balance and Mobility What Is Balance? Terminology Postural Control Strategies for Controlling Balance Multiple Systems Contribute to Balance and Mobility Age-Associated Changes in the Systems Contributing to Balance and Mobility Case Studies Summary Test Your Understanding Practical Problems Chapter 2. Why Do Many Older Adults Fall? Multiple Factors Cause Falls Effects of Common Medical Conditions Effect of Medications on Balance and Mobility Fear of Falling Are the Risks the Same for All Older Adults? Practical Implications for Program Planning Summary Test Your Understanding Practical Problems Part II. The FallProof Program for Improving Balance and Mobility Chapter 3. Screening and Assessment Health and Physical Activity Patterns Assessing Functional Ability Assessing Fall Risk Assessing the Multiple Dimensions of Balance and Mobility Summary Test Your Understanding Practical Problems Chapter 4. Center-of-Gravity Control Training Seated Balance Activities Standing Balance Activities Floor-to-Standing Transfers Summary Test Your Understanding Practical Problems Chapter 5. Multisensory Training Forcing the Use of the Somatosensory System to Control Balance Forcing the Use of the Visual System to Control Balance Forcing the Use of the Vestibular System to Control Balance Exercises Coordinating Eye and Head Movements Summary Test Your Understanding Practical Problems Chapter 6. Postural Strategy Training Practice Requirements Progressive Exercise Activities Summary Test Your Understanding Practical Problems Chapter 7. Gait Pattern Enhancement and Variation Training Overview of the Gait Cycle Mechanisms Controlling Gait Age-Associated Changes in Gait Effect of Pathology on the Gait Pattern Gait Pattern Enhancement and Variation Training Culminating Activities Summary Test Your Understanding Practical Problems Chapter 8. Strength and Endurance Training Selected Upper-Body Strength Exercises Selected Lower-Body Strength Exercises Selected Exercises for the Foot and Toes Summary Test Your Understanding Practical Problems Chapter 9. Flexibility Training Selected Neck and Upper-Body Flexibility Exercises Selected Lower-Body Flexibility Exercises Summary Test Your Understanding Practical Problems Part III. Implementing the FallProof Program Chapter 10. Setting the Stage for Learning Understanding the Stages of Learning Understanding Different Learning Styles Introducing the Skill Being Learned Identifying and Correcting Errors in Performance Summary Test Your Understanding Practical Problems Chapter 11. Program Planning and Class Management Techniques Following the Initial Assessment Setting Individual Program Goals Before Each Class Session During Each Class Session Between Class Sessions After Each Follow-Up Assessment Communicating With Class Participants Summary Test Your Understanding Practical Problems
Debra Rose, PhD, is a professor in the division of kinesiology and health science and director of the Center for Successful Aging at California State University at Fullerton. She also serves as codirector of the Fall Prevention Center of Excellence at the University of Southern California. Her primary research focus is on the enhancement of mobility and the prevention of falls in later years. Dr. Rose is nationally and internationally recognized for her work in assessment and programming for fall risk reduction. Her research in fall risk reduction in the elderly has been published in numerous peer-reviewed publications, including the Journal of the American Geriatric Society, Archives of Physical Medicine and Rehabilitation, Neurology Report, and the Journal of Aging and Physical Activity. She was an expert contributor to the Global Report on Falls Prevention in Older Age published by the World Health Organization in 2007. The innovative fall risk reduction program she developed and describes in this manual was recognized by the Health Promotion Institute of the National Council on Aging (NCOA) in 2006 as a "Best Practice" program in health promotion. This program is currently being implemented in numerous community-based settings and retirement communities throughout the United States. The NCOA also awarded Debra the Molly Mettler award for Leadership in Health Promotion for her work in the area of fall risk reduction in 2007. Debra is a fellow of the Research Consortium of AAHPERD, a fellow of the American Academy of Kinesiology and Physical Education, former executive board member of the North American Society for the Psychology of Sport and Physical Activity, and past editor in chief of the Journal of Aging and Physical Activity.