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Community exercise class

Exercise groups in leisure and other community centres are run throughout Lambeth and Southwark and are designed to improve muscle strength and balance for people who have fallen, are at risk of falls or have fear or falling.

The exercise programme is based on FaME Programme exercises (components of flexibility, muscle strengthening, balance, endurance, tai chi and practice getting up from the floor). Classes are run by postural stability instructors who have completed the Later Life Training Course.

Class participants attend one class a week and exercise at home twice a week. The programme lasts for 9 months during which time exercises are gradually progressed. Each group takes a maximum of 12 participants.

Criteria for referral to community exercise group

  • Reaction times, muscle strength or postural sway impaired related to age reflected in moderate/marked falls risk score on PPA or near tandem stand, alternate step and/or sit to stand impaired on PPA QuickScreen©
  • Able to stand unsupported on the floor with eyes open for 30 seconds
  • Memory sufficient to remember a set of exercises using the booklet as necessary
  • Motivated to exercise independently
  • Fear of falling does not limit ability to challenge balance appropriately during exercises
  • Client has chosen the option of group exercise.

Inclusion criteria

  • Fear of falling
  • Feeling unstable
  • History of falls (injurious or non-injurious)
  • Low bone density and/or family history of osteoporotic fracture.

Exclusion criteria

  • Uncontrolled angina
  • Uncontrolled resting systolic blood pressure >180mmHg or resting diastolic blood pressure >100mmHg
  • Uncontrolled tachycardia >100bpm
  • Uncontrolled acute systemic illness (cancer / pneumonia)
  • Uncontrolled visual or vestibular disturbance
  • Uncontrolled pain
  • Significant drop in blood pressure during exercise>100bpm
  • Unstable or acute heart failure
  • Unable to maintain seated upright posture due to neurological deficits
  • Impaired cognition (to the extent of being unable to follow simple movement instructions)
  • People who place themselves or others at risk
  • Participants who are unable to monitor or modify their exercise level or technique or follow advice.

How to refer to community exercise class

Referrals from falls clinic

Complete the community exercise referral form and fax or send with a copy of the clinic outcome letter (sent to GP), the physiotherapy outcome sheet and the PPA results to:

Southwark

Community Falls Service
Southwark Adult Therapy Rehab Team
1st Floor
Dulwich Community Hospital
East Dulwich Grove
London SE22 8PT

Tel: 020 3049 8960
Fax: 020 8693 6760

Lambeth

Community Falls Service
Pulross Intermediate Care Centre
47a Pulross Road
London SW9 8AE

Tel: 020 3049 4004
Fax: 020 3049 4014

Non falls clinic referrals

Once the cause of the client’s falls has been investigated, complete the Community Exercise Referral form and the Specialist Physiotherapy Assessment form (and PPA QuickScreen© results if service has access to PPA Quickscreen) and fax or send to:

Southwark

Community Falls Service
Southwark Adult Therapy Rehab Team
1st Floor
Dulwich Community Hospital
East Dulwich Grove
London SE22 8PT

Tel: 020 3049 8960
Fax: 020 8693 6760

Lambeth

Community Falls Service
Pulross Intermediate Care Centre
47a Pulross Road
London SW9 8AE

Tel: 020 3049 4004
Fax: 020 3049 4014

Transport options

The programme promotes independence, therefore independent travel to and from classes is encouraged. Please click on the link for further information about taxi card and dial-a-ride schemes which are available to assist clients in getting to and from the classes (details will be sent to clients on acceptance to the class).