By Internewscast

Copyright internewscast

When Margaret Kirkwood broke her hip falling up the stairs of her home in Sydney, she could have become a statistic: falls are the leading cause of hospitalisation and injury deaths in Australia.

Instead, the 83-year-old made a remarkable recovery. The day following her surgery, she was standing. Less than two weeks later, she was walking with the aid of a single crutch.

“The doctor said, ‘You’re a textbook case’. Your body is in fantastic condition,” she said.

Kirkwood credited her recovery to her yoga practice.

Kirkwood said it taught her about her body and has given her strength, which she notices while moving about the house and doing chores.

“If I weren’t strong, I would have had a really bad fall,” she said.

However, a surprising new study from The University of Sydney has found that Iyengar yoga — a distinct form of yoga that uses props and is popular among older people — should not be recommended as a fall prevention measure.

An unexpected result

The study recruited 700 people over the age of 60 and invited them to participate in two yoga classes each week for a year.

There were limitations to the study, including the COVID-19 pandemic, which forced the classes online. Source: Supplied / Sue-Ellen Kohler

Anne Tiedemann, lead researcher and professor of physical activity and health at The University of Sydney, said the results were “the opposite of what we expected”.

“We have a lot of evidence that exercise, challenges, and balance can prevent falls … We also know that older people like to do yoga, so we thought it’s important to know whether it also prevents falls,” Tiedemann said.

The yoga cohort reported 33 per cent higher rates of falls than the non-yoga-based group, with 276 falls compared to 164. However, there was only a slight increase in the rate of injury, with only 15 per cent of the yoga group and 13 per cent of the non-yoga group experiencing cuts, grazes, dislocations, sprains, fractures, or brain injury as a result of the fall.

“It’s a combination of the environment, your behaviour, and your physiology which determines if you fall or not,” Tiedemann explained.

“In our study, we identified that people who did the yoga-based exercise showed an improvement in their balance confidence … So we think what has happened is that people have felt more confident in their abilities, and there was also an indication that they moved about more.”

Tiedemann pointed out that the trial had limitations. Initially, the classes were held face-to-face, but when COVID-19 emerged, they transitioned online.

Yoga can’t ‘prevent falls forever’

Jean Leow runs Yoga Ink, teaching Iyengar to seniors in Sydney’s south and in aged care facilities across the city.

Jean Leow teaches Iyengar classes customised for the needs of her senior students. Source: Supplied / Jean Leow

Leow said that while she appreciated the study looked at the effects of yoga over a whole year, rather than just a few weeks, she stressed it’s up to the instructor to ensure the classes are tailored to the needs and abilities of each student if they want to see the benefits.

“I can’t emphasise enough the amount of customisation we as teachers have to be accountable for,” she said.

Sue-ellen Kohler, who has been a yoga instructor for 30 years and teaches at Black Lotus in Sydney’s inner-west, expressed concern that having the classes online may have influenced the results.

“The teacher needs to actually look at how the body is working and how the body is using its muscles. Online, you don’t get any of that. They’re just going to be making shapes,” she said.

Leow also said it’s important to recognise the purpose of yoga isn’t to “prevent falls forever”.

“The aim is to help the older person understand what to do when they do fall, and how to correct themselves so they can arrest it and rebalance. That means they may still fall, but they’re not going to hurt themselves in the process,” she said.

Preventing falls

In June, the Australian Commission on Safety and Quality in Health Care updated its falls guidelines for the first time since 2009. It emphasised the benefits of exercise for older people, recommending that two to three hours of exercise per week is crucial in preventing falls. It stated that the primary targets should be balance, mobility, and strength.

Tiedemann said for people whose main aim is fall prevention, there is evidence to show that activities like Tai Chi and classes that focus on functional balance training can be effective.

“I would not be promoting this type of yoga program for falls as the outcome, but it did have other benefits. People were more active and more likely to reach the goals they set,” she said.

She pointed out that some of the participants in the study enjoyed yoga so much they continued after the program ended.

Kirkwood, who is still recovering from her fall, believes yoga is still “perfect” for her.

“I wouldn’t be like this without Iyengar. I’ve got a really good teacher.”