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Traumatic Injury in the Elderly: Exploring Injuries Associated With the Use of Mobility and Disability Aids in Adults 65 Years and Older

Journal: Osteopathic Family Physician Date: 2026/06, 18(3):Pages: 46–51, type of study: article

Free full text   (https://acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/09_traumatic-injury-in-the-elderly.pdf?sfvrsn=99d0869_1)

Keywords:

balance [82]
geriatrics [138]
mobility aids [1]
falls [8]
patient lifts [1]
injury prevention [4]
OMT [3896]
osteopathic manipulative treatment [3917]

Abstract:

As the geriatric population continues to grow, the use of mobility and disability aids– including canes, walkers, wheelchairs, and patient lifts–has become increasingly common. While these devices are essential for maintaining independence and preventing falls, they are not without risks. This review examines injuries associated with mobility aids, particularly lifts, in adults aged 65 years and older, emphasizing patterns of injury, high-risk populations, and implications for family medicine practice. While most discussions center on ambulation-related falls, emerging data highlight that transfer-related incidents involving mechanical or manual lifts pose a greater injury risk, particularly to the head and neck and disproportionately affecting women and individuals over 85 years of age.5 Biomechanical vulnerability, age-related musculoskeletal decline, and improper device use all contribute to this elevated risk. Osteopathic manipulative medicine offers a nonpharmacologic option to enhance balance and proprioception, thereby reducing fall risk and complementing preventive care strategies.11 Family physicians are uniquely positioned to mitigate these risks by providing patient and caregiver education, coordinating in-home services, and addressing systemic barriers to mobility aid use. Understanding the injury risks associated with these devices and implementing targeted preventive strategies can significantly enhance safety and patient outcomes.


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