The backward chaining method is an evidence-based technique to learn how to get back up off the floor if you have fallen.
Falls are a major healthcare problem and can be devastating to the lives of the faller.
This is because over 30% of individuals over the age of 65 fall every year, and approximately 10% result in serious injuries including hip fractures or traumatic brain injuries (Appeadu and Bordoni 2023).
A fall can often result in a long lie on the floor before help can arrive, and therefore knowing how to get back up again can save a lot of distress, discomfort and improve outcomes.
We have successfully taught many older adults the backward chaining method, which has not only resulted in the ability to get back up off the floor, but also improving the confidence of older adults when on their feet, which in turn reduces the risk of falling.
Click on the image below to watch the video as it breaks down the tasks required.
Start in a standing position. We recommend placing a pillow on the floor in front of the chair to make it more comfortable and help with mobility problems.
This can be removed after further practice.
Each step includes the step from above and ends by returning to the start position.
1. First, place hands onto the arms of the chair. This is to become comfortable with transferring your weight forwards.
2. Next, place one knee down onto the floor.
3. Place both knees on the floor into a kneeling position.
4. After kneeling, lower one side down, using your hand on the floor for support until you’re sitting.
5. Finally, bring your other hand back down to the floor.
We recommend that the method is initially performed with the help of a trained healthcare professional. This is because some individuals may be anxious and panic when practicing, and also reduces the risk of other problems.
For further information on physiotherapy for older adults please click here
For further information about balance rehabilitation please click here