Cover image for Preventing falls : a defensive approach
Preventing falls : a defensive approach
Hutton, J. Thomas.
Personal Author:
Publication Information:
Amherst, N.Y. : Prometheus Books, 2000.
Physical Description:
115 pages : illustrations ; 23 cm

Format :


Call Number
Material Type
Home Location
Item Holds
RC952.5 .H87 2000 Adult Non-Fiction Non-Fiction Area

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Author Notes

J. Thomas Hutton, M.D., Ph.D., is the director of the Neurology Research and Education Center and medical director of the National Parkinson Foundation Center of Excellence at Covenant Health System in Lubbock, Texas.

Table of Contents

Forewordp. 11
Introductionp. 13
Falling Is a Major Health Risk for the Elderlyp. 15
Falls and Parkinson's Diseasep. 17
The Defensive Falls Schoolp. 21
Fine Motor Coordinationp. 25
Vision and Falls in the Elderly and in Parkinson's Diseasep. 27
Age-Related Changes in the Lens of the Eyep. 27
Central Nervous System Changes and Visionp. 28
Gazep. 29
Parkinson's Disease and Visionp. 29
Visual Contrast Sensitivity and Parkinson's Diseasep. 31
The Built Environment and Visionp. 35
Balance and Center of Gravityp. 37
Sensory Organization and Balance: Proprioceptionp. 38
Sensory Organization and Balance: Visionp. 40
Pronation/Supinationp. 41
Gait, Posture, and Risk of Falls in Parkinson's Diseasep. 43
Control of Gaitp. 43
Age-Related Changes in Gaitp. 44
Gait and Parkinson's Diseasep. 44
Assessing Gaitp. 45
Coping with Freezingp. 47
High-Risk Conditions and Built Environment Interventionsp. 51
Surface Transition Areasp. 52
Stepbacks, Turn Areas, Acceleration Zones, and Elevation Changesp. 53
Slips, Slides, and Slumpsp. 54
Executive Function and Falls in Parkinson's Diseasep. 57
Behavior and Executive Functionp. 57
Attention and Executive Functionp. 58
Progression of Executive Function Declinep. 58
Executive Function and Fallsp. 59
Anticipating Falls and Reducing Distractionsp. 61
Physical Evaluationp. 63
Home Safety Assessmentsp. 65
Illustrations of Hazardous Situations and Solutionsp. 66
Transfer Techniquesp. 79
Dizziness and Orthostatic Hypotensionp. 83
Walking Aids and Assistive Devicesp. 85
Recovery from a Fallp. 87
Conclusionp. 89
A. Defensive Falls School Curriculump. 91
B. Defensive Falls School Assessmentsp. 93
C. Parkinson's Disease Fall Profilep. 103
D. Suggested Readings and Referencesp. 109
E. Contributorsp. 113