Seniors' falls: how physiotherapy can prevent risks and promote recovery

With age, the risk of falls among seniors increases significantly, and their consequences can be serious: fractures, loss of confidence, reduced independence... In Switzerland, it is estimated that one in three elderly people is affected by a fall., falls at least once a year. Fortunately, physiotherapy offers concrete, personalized and effective solutions to prevent falls and support recovery after an accident.
Why are falls so common among the elderly?
The causes of falls among the elderly are often multiple. They may be linked to balance problems, loss of muscle strength, visual problems, taking certain medications, or an unsuitable home environment.
As we age, our bodies lose their flexibility, coordination and reactivity. These fragilities can turn a simple imbalance into a real accident. That's why preventing falls is a major public health issue, and one that lies at the heart of physiotherapists' work.
What are the warning signs of a risk of falling?
There are a number of warning signs, including
- A feeling of instability or dizziness
- Difficulty getting up from a chair or climbing stairs
- A fear of falling
- Reduced physical activity due to apprehension
- A history of falls within the last 12 months
In the face of these signals, a physiotherapy assessment can help us to better understand the causes of the imbalance and set up appropriate treatment.
Preventing falls in the elderly with physiotherapy
Initial assessment
An initial functional assessment identifies muscular weaknesses, balance problems or walking difficulties. Based on the results, the physiotherapist draws up a targeted exercise program.
Strengthening muscles and improving balance
Physiotherapy sessions are designed to :
- Strengthen muscles, especially those of the legs and trunk
- Working on static and dynamic balance
- Improve coordination and posture
- Restoring confidence in everyday movements
Functional exercises, such as getting up from a chair or walking on different surfaces, are integrated so that progress is directly applicable to real life.

Post-fall treatment for seniors
A fall can lead to physical injury, but it can also have a major psychological impact. Fear of relapse can lead to isolation and even loss of autonomy.
The role of the physiotherapist is to support the elderly person in gradually resuming activities, ensuring that safety conditions are met.
Care after fracture or hospitalization
The program can include :
- Gentle mobilization
- A personalized, functional strengthening program
- Walking training exercises
- Home improvement advice
The aim: to regain confidence and independence, in complete safety.
Home safety tips to prevent falls
Here are a few simple but effective gestures:
- Remove slippery carpets or objects from the floor
- Install grab bars in the bathroom and near the toilet
- Keep busy areas well lit, especially at night
- Wear closed shoes
- Seek medical advice in case of dizziness or reduced vision.
A physiotherapist can also carry out an assessment of your home to identify potential risks. (this is not true; it is the occupational therapist who is able to adapt the patient's home).

Tailor-made care with a physiotherapist
Each person is different, which is why physiotherapeutic support is entirely personalized. The bond of trust between patient and therapist is essential if the patient is to progress at his or her own pace and regain autonomy.
In Switzerland, a number of specialized centers provide elderly people with a caring environment, adapted equipment and a holistic approach to health.
Conclusion
Falls among the elderly are not inevitable. With appropriate physiotherapy care, it is possible to prevent the risks, strengthen physical capacities and regain a satisfactory quality of life. Whether it's for prevention or after a fall, physiotherapists are trusted partners who can help you age safely.