Fall Prevention for Older Adults How Physiotherapy & OT Can Help

Fall Prevention for Older Adults How Physiotherapy & OT Can Help
Fall Prevention for Older Adults How Physiotherapy & OT Can Help

In Australia, falls are the leading cause of injury-related hospitalisations, especially among older adults. According to the Australian Institute of Health and Welfare, people aged 65 and over are nearly 12 times more likely to be hospitalised from a fall compared to those aged 25 to 44. In 2022–23, the hospitalisation rate for older adults reached 3,217.6 per 100,000 people, compared to just 277.5 per 100,000 in younger adults. These figures highlight the urgent need for effective fall prevention strategies tailored to the aging population.

The data also shows that older women are more likely to be hospitalised for fall injuries than men. While there has been a small decline in rates over recent years, the numbers remain high. This clearly highlights how important it is to take action early.

In this article, we explore when to seek physiotherapy or occupational therapy help, how these therapies work to prevent falls and how to access them through the NDIS in Australia.

Why Are Older Adults More Prone to Falls?

As we age, physical and sensory changes can increase the likelihood of falls. Identifying and addressing these changes early is key to prevention.

Common risk factors include:

  • Decreased muscle strength and joint flexibility
  • Poor balance and coordination
  • Chronic conditions such as arthritis, Parkinson’s disease, or diabetes
  • Vision or hearing impairment
  • Side effects from medications, including dizziness or fatigue
  • Unsafe home environments, such as slippery floors, poor lighting, or clutter

By recognising these risks and involving qualified health professionals, older adults can continue to live safely and confidently.

When to Seek Help from a Physiotherapist

Physiotherapists specialise in improving physical function, mobility and strength all essential in preventing falls. If you or your loved one is experiencing any of the following, it may be time to consult a physiotherapist:

  • Recent falls or near-miss incidents
  • Declining balance or stability
  • Muscle weakness, especially in the lower body
  • Difficulty with stairs, walking, or standing
  • Concerns about unsteadiness or reduced mobility

How Physiotherapy Helps Prevent Falls

Strength and Balance Training
Physiotherapists design customised exercise programs that strengthen key muscle groups and improve stability. Targeted training enhances your ability to move safely and reduces the likelihood of falling.

Gait and Mobility Assessment
If your walking pattern is unsteady, a physiotherapist can assess your gait and correct it with tailored exercises. Improved gait helps with smoother, safer movement.

Recommending Mobility Aids
Physiotherapists can recommend assistive devices such as walking sticks or rollators. These aids provide support, improve confidence and promote safe mobility.

Personalised Fall Prevention Strategies
Physiotherapists perform risk assessments to develop individualised fall prevention plans. These may include strengthening exercises, mobility training and safety recommendations based on your lifestyle and health conditions.

When to Seek Help from an Occupational Therapist

Occupational Therapists (OTs) focus on helping people perform daily activities safely. They also ensure your living environment supports safe and independent living.

Consider consulting an OT if:

  • You have had a fall or feel unsafe performing daily tasks
  • You need help with bathing, dressing, or using the toilet
  • You are recovering from surgery, stroke, or injury
  • You are concerned about safety at home or in the community

How Occupational Therapy Helps Prevent Falls

Home Safety Assessments and Modifications
Occupational therapists evaluate your home to identify fall hazards such as poor lighting, loose rugs and tight walkways. They suggest practical changes like installing handrails, removing clutter, or improving lighting to make your home safer.

Recommending Assistive Equipment
OTs provide advice on assistive technology such as:

  • Shower chairs and non-slip bathroom mats
  • Raised toilet seats
  • Bed rails and grab bars

These tools reduce physical strain and minimise the risk of falls.

Safe Techniques for Daily Living
Occupational therapists teach you safer methods for everyday tasks, such as getting in and out of bed, navigating stairs, or using mobility aids. These personalised strategies improve functional independence and reduce anxiety around movement.

Why Combining Physiotherapy and Occupational Therapy Works Best

Both physiotherapy and occupational therapy address different aspects of fall prevention:

  • Physiotherapy strengthens the body and improves movement
  • Occupational therapy modifies your environment and daily routines

Together, they provide a comprehensive fall prevention plan, helping you improve strength, safety and self-confidence.

This team-based approach is ideal for:

  • Seniors at risk of falls
  • People recovering from surgery or stroke
  • Individuals with chronic health conditions
  • NDIS participants who require mobility or home safety support

Accessing Physiotherapy and Occupational Therapy Through the NDIS

If you or a loved one has an NDIS plan, you can access physiotherapy and occupational therapy services under several categories:

  • Improved Daily Living – for therapeutic support to build capacity
  • Improved Health and Wellbeing – for maintaining physical function
  • Core Supports – for in-home assistance and assistive technology

Working with a registered NDIS provider like Hope & Care Community Services, ensures you receive professional, person-centred care that aligns with your NDIS goals.

Conclusion: Take Action Before a Fall Happens

Falls can lead to serious consequences but they are often preventable. By seeking physiotherapy or occupational therapy support, you or your loved one can take control of your health, reduce risks and maintain independence.

Do not wait until after a fall. If you notice changes in mobility, confidence, or strength, now is the time to act.

About Hope & Care Community Services

Hope & Care Community Services (HCCS) is a trusted NDIS-registered provider in Queensland, offering expert physiotherapy, occupational therapy services for older adults and individuals living with disability. At HCCS, we are committed to helping you stay safe, active and independent. Our allied health team will work with you to build a personalised care plan that meets your needs and goals.


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HCCS is a registered NDIS provider. Learn more about our services.
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