The Curbsiders Internal Medicine Podcast #503: Falls with Dr. Alyson Michener and Suzanne Zukoski, MSPT
49 snips
Nov 3, 2025 Join geriatrician Alyson Michener and physical therapist Suzanne Zukoski as they dive into the critical topic of falls in older adults. They discuss the Age-Friendly 5Ms Framework for multifactorial risk assessment and fall prevention strategies. Hear about the importance of medication review, mobility assessments, and targeted home modifications. They explore how chronic conditions and mental health impact fall risk, alongside evidence-based exercise programs like Tai Chi that enhance strength and balance. Practical tips for safer home environments are also shared!
AI Snips
Chapters
Transcript
Episode notes
Do Focused, Hypothesis-Driven Exam
- Perform orthostatics and observe functional transfers before extensive balance testing.
- Watch bed-to-sit, unsupported sitting, single-leg lift, and measure BP in each position.
Screen Tests Less Useful Acutely
- Screening balance tests are useful in outpatients but less informative acutely.
- In-hospital fall patients already fall into the highest-risk category, so tests may add limited immediate value.
Three Evidence-Based Strategies
- Use three evidence-based arms: multifactorial risk assessment, exercise (balance/strength), and home modifications.
- Prioritize multifactorial assessment for highest-risk patients (recent fall or injury).