Lord SR, Sherrington C, Menz HB, et al: Falls in Older People: Risk Factors and Strategies for Prevention, 2nd Ed, Cambridge University Press, Cambridge, England. ,2007. .10.1017/CBO9780511722233)| false
Tideiksaar R: “Reducing the Risk of Falls and Injury in Older Persons: Contribution of a Falls and Immobility Clinic,” in Falls, Gait and Balance Disorders in the Elderly: From Successful Aging to Frailty, ed by C La-Font, A Baroni, M Allard, et al, p 162, Springer, New York. ,1996. .
Hill KD, Dwyer JM, Schwartz JA, et al: A falls and balance clinic for the elderly. .Physiother Can45::20. ,1994. .
Hill KD, Dwyer JM, Schwartz JA, et al: A falls and balance clinic for the elderly. .Physiother Can45::20. ,1994. .)| false
Victorian Quality Council: Minimising the Risk of Falls and Fall-Related Injuries, Metropolitan Health and Aged Care Services Division, Victorian Government Department of Human Services, Melbourne. ,2004. .
Hughes M: Feet, falling and the Framework: the contribution of podiatry to fall prevention and the National Service Framework for Older People. .Brit J Podiatr5::91. ,2002. .
Hughes M: Feet, falling and the Framework: the contribution of podiatry to fall prevention and the National Service Framework for Older People. .Brit J Podiatr5::91. ,2002. .)| false
Australian Podiatry Council: Clinical Guidelines for Orthotic Therapy Provided by Podiatrists, Australian Podiatry Council, Collingwood, Victoria. ,1998. .
Menz HB, Sherrington C: The Footwear Assessment Form: a reliable clinical tool for the evaluation of footwear characteristics of relevance to postural stability in older adults. .Clin Rehabil14::657. ,2000. .
Menz HB, Sherrington C: The Footwear Assessment Form: a reliable clinical tool for the evaluation of footwear characteristics of relevance to postural stability in older adults. .Clin Rehabil14::657. ,2000. .11128742)| false
Background: Falls in older people are a major public health problem, and there is increasing evidence that foot problems and inappropriate footwear increase the risk of falls. Several multidisciplinary prevention clinics have been established to address the problem of falls; however, the role of podiatry in these clinics has not been clearly defined. The aims of this study were to determine the level of podiatric involvement in multidisciplinary falls clinics in Australia and to describe the assessments undertaken and interventions provided by podiatrists in these settings.
Methods: A database of falls clinics was developed through consultation with departments of health in each state and territory. Clinic managers were contacted and surveyed as to whether the clinic incorporated podiatry services. If so, the podiatrists were contacted and asked to complete a brief questionnaire regarding their level of involvement and the assessment procedures and interventions offered.
Results: Of the 36 clinics contacted, 25 completed the survey. Only four of these clinics reported direct podiatric involvement. Despite the limited involvement of podiatry in these clinics, all of the clinic managers stated that they considered podiatry to have an important role to play in falls prevention. Podiatry service provision in falls clinics varied considerably in relation to eligibility criteria, assessments undertaken, and interventions provided.
Conclusions: Despite the recognition that foot problems and inappropriate footwear are risk factors for falls, podiatry currently has a relatively minor and poorly defined role in multidisciplinary falls-prevention clinics in Australia. (J Am Podiatr Med Assoc 97(5): 377–384, 2007)
Corresponding author: Hylton B. Menz, PhD, Musculoskeletal Research Centre, La Trobe University, Bundoora, Victoria 3086, Australia.