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Scholastic Orthopaedics
(ISSN: 3108-1606)



Research Article
Volume 2 Issue 3 March 2026

Falls, Safety Fears, Low Self-efficacy, and Frailty: Can the Cycle be Broken via Exercise? A 2000-2026 Updated Overview

Ray Marks*

OARC Clinical Research and Education Director, Ontario L3T 5H3, Canada.

Corresponding Author: Dr. Ray Marks, OARC Clinical Research and Education Director, Ontario L3T 5H3, Canada.

Received: March 10, 2026;; Published: March 28, 2026



Background: Many older adults are vulnerable to falling as well as to becoming frail, and developing secondary fears of falling, and low self-efficacy for undertaking many daily functions as well as therapeutic exercises safely.
Aim: This mini review aimed to reexamine if falls, frailty, fears of falling and their association insofar as these associations can be expected to impact an older affected adults’ wellbeing remain a pressing public health concern, and if so whether it is one that can be reduced or averted.
Methods: Articles extracted from major electronic data bases that addressed the current topic of interest largely between 2020-2026 were accessed and summarized in narrative form.
Results: A high proportion of older adults can be expected to exhibit frailty or become frail as they age either as a result of adopting a sedentary lifestyle or a disease response, while many are at risk for falls and fear of future falls, due to weakness and low falls self-efficacy as well as exercise efficacy.
Conclusion: Timely comprehensive assessments and tailored motor system, environmental, and behavioral interventions of the ‘at risk’ aging adult, including pre frail socially and physically impaired older adults, plus those who have fallen may avert serious prospective injuries and long term disability plus excess muscle and bone mass losses and their deleterious cumulative impacts on many aging older adults as well as societies.
Key words: Aging, Elderly, Falls, Falls Self-efficacy, Fear of Falling, Frailty, Intervention, Prevention, Therapy

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Citation: Ray Marks. “Falls, Safety Fears, Low Self-efficacy, and Frailty: Can the Cycle be Broken via Exercise? A 2000-2026 Updated Overview.xercise? A 2000-2026 Updated Overview”. Scholastic Orthopaedics 2.3 (2026): 01-08.

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