“Until you actually learn to fall, your nervous system will never truly know that it is actually safe to fall.” – Dr. Shante Cofield

I spend the majority of my time discussing concerns about falls with my clients, so it’s on my mind often. As a physical therapist specializing in empowering adults throughout the aging process, both the future and current risk of falls comprise the number one concern each of my clients expresses. 

To guide them
through this process, I have to help them analyze both the physical and
psychological risk factors. Because they both play a major role.

The Purpose of Controlled Stress

Another one of my responsibilities
is to help all adults adopt the forms of physical activity and exercise they
enjoy. We’ve all heard of the health benefits of physical activity, but do we
know they are created by exposing ourselves to controlled stress?

This defines the
actual purpose of exercise – or putting yourself in any uncomfortable situation: to
allow your body to adapt by exposing yourself to controlled stress. Small
amounts of stress are what make you resilient, in both mind and body. This is
how you train your body to recover from physiological stress.

Falling follows a
similar concept. By exposing yourself to controlled falls, you’re prepared for
the real deal. When I tell my clients that they should be practicing falling,
they all look at me in shock. My purpose is to help them prevent falls in the
first place, so why would I give this counterintuitive advice?

For several
reasons, so let’s break it down. And before we start, I would advise seeking
the assistance of a trained professional, such as a physical therapist, before
beginning a controlled falls program on your own.

Falls Defined

When we talk about
falls, it helps to have an understanding of what actually defines a fall as
there is confusion around the term. The definition of a fall is “any
uncontrolled descent.” A common misconception is that it doesn’t count as
a fall if you caught yourself on something.

But I have news:
even that is still a fall. 

If you plop into a
chair every time you sit down, that’s also a fall. And it’s only natural that
we freeze up and become fearful of any situation where we aren’t in control.

Common Misconceptions About Falling

All Falls Can Be Prevented

“Falls don’t ‘just
happen’ […] and people don’t fall because they get older.” – National Institute
on Aging

We’ve all heard about the dangers of falls in older adults. The statistics are alarming. And we all know someone it’s happened to. But here’s the deal: not all falls can be prevented. And that’s just life. The problem comes in when falls become too frequent or there’s an inability to recover from a fall.

The antidote to this is to practice
falling so your behavior during a fall becomes reflexive. The act of
practicing falling is an act of acceptance.

Learning to let go of the things we
can’t control and surrendering to them. And being prepared for those unknown
circumstances gives us the confidence to know that by surrendering everything
will turn out for the best.

You Can’t Learn to Fall Right

“The impact of a
fall has more to do with the state of the body doing the falling – the
interface between a body and a particular surface.” – Katy Bowman, Dynamic
Aging: Simple Exercises for Whole-Body Mobility

The less rigid you
can be during a fall, the better. Rigidity leaves when fear leaves. The more
you practice falling, the less likely you are to become fearful and rigid.

Imagine a brittle
object falling to the ground. It shatters the moment it hits. Think instead of
a more pliable object. Pliable objects are generally fine after hitting the
ground. By changing the composition of your body, you can make yourself less
likely to be injured during a fall.

A stronger, more flexible person will adapt to the ground better than someone lacking muscle mass with a lot of joint stiffness. By implementing a simple, daily mobility and strengthening program you can better protect yourself in the event of a fall.

Fear Plays a Major Role

“We’ve essentially
mislabeled ‘scared gait’ as ‘senior gait’.” – Katy Bowman, Dynamic Aging:
Simple Exercises for Whole-Body Mobility

One of the reasons
we fall as we age is that we become less playful with our mobility and more
cautious. The irony is, this fear makes us more likely to fall to begin with.

One of the strongest risk factors for having a fall is the fear of falling in the first place. This is stronger than any other physical risk factor, like loss of strength or balance, that might contribute to falls. 

Fear of falling can exist whether or not there’s been a fall in the past. Moreover, those who haven’t had a fall and are fearful are more likely to fall than someone who has fallen in the past and isn’t fearful of falling.

Challenge Yourself with Controlled Falls

So, avoid
developing this fear of falling by finding small ways to physically challenge
yourself in your environment daily. This also gives your brain health a boost,
ensuring that your mind and body maintain a strong connection. Life should be
playful and continue to approach it that way.

By spending more time on the floor ON PURPOSE, practicing falling, and conditioning your mind and body to be able to handle the unknown, you can avoid becoming one of the alarming statistics behind falls in older adults. It’s never too early or too late to start thinking about this.

If you aren’t sure
where to start, I highly recommend seeking the help of a trained professional,
like a physical therapist or movement coach. Once you have the confidence to
practice falling, make it a daily habit.

Continue to build on your practice and see where it takes you. Not only will you reap the physical benefits, but there is something so powerful about learning to surrender to the unknown in all areas of life.

Let’s Have a Conversation:

What
do you know about falling? Have you experienced a fall? How did that go? Have
you heard of controlled falling? Does it sound like something you’d like to
try? Please share your thoughts with our community!