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How Does Fear of Falling Influence Avoidance Behaviors and Impact Daily Life?

John V. Rider, PhD, MS, OTR/L, BCPR, MSCS, ATP

December 1, 2024

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Question

How does fear of falling influence avoidance behaviors and impact daily life?

Answer

Fear of falling can lead to avoidance behaviors, where individuals limit or restrict their participation in activities due to concern about falling. This behavior results in reduced engagement in meaningful occupations and deconditioning. As people become less active, they may experience declines in physical strength, balance, cognitive functioning, and social interaction, further increasing their fall risk and perpetuating the cycle of fear and avoidance. This cyclical pattern, often termed the "vicious cycle," must be addressed by evaluating physical and psychological factors to develop appropriate interventions that help clients balance caution and engagement in daily activities.

This Ask the Expert is an edited excerpt from the course, Fear of Falling and Avoidance Behavior: Impact on Occupational Performance, presented by John V. Rider PhD, MS, OTR/L, BCPR, MSCS, ATP.

 


john v rider

John V. Rider, PhD, MS, OTR/L, BCPR, MSCS, ATP

John V. Rider, PhD, MS, OTR/L, BCPR, MSCS, ATP, is an Associate Professor at Touro University Nevada. He completed an undergraduate degree in Deaf Studies and Linguistics, a Master’s degree in Occupational Therapy, and a Ph.D. in Interdisciplinary Health Sciences with an emphasis on Rehabilitation Science. He works in an outpatient neurological clinic and as a community-based therapist, treating clients with chronic conditions. His research is focused on understanding and addressing behavioral and mental health factors to improve quality of life and support productive aging among individuals with neurodegenerative diseases and chronic conditions.


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