Fall prevention and hemorrhagic stroke risk control in the elderly based on biomechanics and medication adjustments

Objective: To explore the effect of a combination of biomechanical intervention and medication adjustment on the risk of falls and the incidence of cerebral hemorrhage in elderly people. Method: A total of 300–500 high-risk elderly individuals from October 2023 to June 2024 were included and randomly divided into an intervention group and a control group. The intervention group received a 12 week biomechanical intervention (including balance and gait training) and personalized medication adjustment; The control group continued with routine treatment. Evaluate the changes in balance ability, gait stability, medication compliance, fall incidence, and cerebral hemorrhage incidence between two groups of elderly people, and compare the evaluation data. Result: The intervention group improved balance ability and gait stability by 26.5% and 25.6%, respectively, with a fall incidence rate of 8.3%, significantly lower than the control group’s 18.5% (p < 0.05). The medication adherence score of the intervention group increased from 61.7 to 81.9 (p < 0.01), and the blood pressure control compliance rate increased from 74.1% to 88.3% (p < 0.05). The incidence of cerebral hemorrhage in the intervention group was 2.5%, which was lower than the 7.1% in the control group (p < 0.05). Conclusion: A comprehensive approach based on biomechanical intervention and medication adjustment can significantly improve the balance ability and medication compliance of the elderly, and effectively reduce the risk of falls and cerebral hemorrhage, providing a new intervention strategy for the health management of the elderly population.