Revolutionizing Fall Prevention: Online Physiotherapy for Older Adults at Home

A groundbreaking study conducted through the TOP UP clinical trial is transforming how seniors access fall prevention exercises. In collaboration with aged care providers and researchers from the University of Sydney, the trial demonstrated that remote physiotherapy programs significantly improve mobility, reduce falls, and enhance quality of life among older adults. Participants engaged in tailored strength and balance exercises via telehealth platforms, often supported by care workers equipped with iPads and necessary equipment. The results showed notable improvements: improved walking ability, a decrease in fall incidents, and lower pain levels. Specifically, those in the program could stand and walk more easily, with a 2-point improvement on standard mobility assessments. Only one fall occurred during exercise sessions, indicating the program's safety.

The trial included 242 participants aged 65 and above, with an average age of 82. Many had mild to moderate cognitive impairments and were residing in both community settings and aged care facilities. Participants performed exercises ranging from standing balance activities to more challenging tasks like squats and stairs, all delivered remotely with real-time oversight from physical therapists.

Professor Cathie Sherrington highlights that this hybrid model of expert advice through video calls, combined with in-person support from care workers or family, makes physical therapy more accessible, especially in regional and rural areas with limited access to traditional services. Dr. Rik Dawson emphasizes that strengthening mobility and confidence through this program enables older adults to regain independence, with a participant named Rita, aged 95, sharing her positive experience of increased strength and breathing capacity.

Following the success of the study, efforts are underway to commercialize the program. Industry partners such as Whiddon and Uniting AgeWell aim to expand access so more seniors can benefit from tailored, remote physiotherapy. The study underscores the urgent need for accessible healthcare solutions for Australia's aging population, especially in underserved regions. Overall, the TOP UP program offers a promising approach to support healthy aging, reduce fall risk, and improve the well-being of older adults.

Source: https://medicalxpress.com/news/2025-07-online-physio-fall-home.html