Return to Search

Falls Management Exercise Program

Health Problem : Risk of fall

Bodily
Sheet Code
NPIS-0000000112

Designation

Falls Management Exercise (FaME) Program

Abbreviation

FaME

Category

Bodily

Main Indication

Prevent recurrent falls

How does it work?

The FaME program is a set of exercises that helps older adults fall less often and have fewer medical complications after a fall, by making them stronger, more stable, and safer in their movements.
Thanks to this program, they are less afraid to move, they move more each week, spend less time sitting or lying down, and regain confidence in their abilities.
By physically reconditioning themselves, they also reduce the risk of serious consequences after the fall (such as a fracture, hospitalization, or loss of independence).

Other Benefits

  • The program helps to increase strength and muscular “power,” meaning that the muscles become stronger and better able to react quickly.
  • It helps people get up from the floor more easily and better resist when something unbalances them (a shock, a misstep, someone slightly bumping into them…).
  • It improves “static” balance (for example, standing still without moving) and “dynamic” balance (walking, turning, changing direction…).
  • It increases mobility, the ability to perform everyday movements (getting up, walking, climbing stairs, carrying objects), and thus the person’s independence. For some people, it can help maintain or improve bone strength (bone density), which reduces the risk of fractures.
  • It allows for faster walking, which is a sign of better fitness and safer walking.
  • It reduces the fear of falling, which encourages people to keep moving and going out.
  • It increases It increases confidence in one's own physical abilities; one feels more capable, more stable, and more self-assured.
  • It promotes participation in social life: going out more, seeing loved ones, participating in group activities.
  • It improves health-related quality of life: fewer limitations, more comfort in everyday activities.
  • It reduces the risks of becoming dependent (hospitalization, admission to an institution) and of dying due to falls and their consequences. T
  • his type of non-pharmaceutical intervention is considered cost-effective: for the money invested, it prevents a significant number of falls and complications, which is beneficial both for individuals and for the healthcare system.

Direct Risks

  • In people with poorly controlled heart disease (chest pain, significant shortness of breath, rhythm disorders), exertion can worsen these symptoms.
  • If someone has fragile bones (osteoporosis) or a poorly protected prosthesis (hip, knee, etc.), carrying too much weight or making inappropriate effort can cause a fracture or damage the prosthesis.
  • A fall can occur if the person uses a cane, or walking aid that is not suitable for their situation (wrong height, wrong type of equipment, incorrect adjustment).
  • Muscle soreness or temporary fatigue may appear after sessions, which is unpleasant but generally harmless and temporary.

Risks of interaction

Overload of muscular effort, excessive fatigue, and injury if combined with another rehabilitation program (e.g., post-operative).

Target Audience

- Individual over 65 years old with a history of repeated falls.
- Individual over 65 years old at risk of falling (at least one fall in the past year, balance disorder, fear of falling) living in an open residence or at home.
- Frail Individual over 65 years old (slow walking speed, multiple other health problems).
- Individual motivated by group practice and able to participate in more than 3/4 of the planned sessions.

Contraindications

- Individual requiring manual assistance for walking or transfers (from bed to chair, for example).
- Individual with a moderate to severe cognitive deficit.
- Individual who is highly dependent.
- Individual with an acute health problem or an unstable medical contraindication (uncontrolled heart failure, acute arthritis…).

Duration

24 weeks

Sessions per week

1 session per week

Precautions

- Ensure to inform the prescribing doctor and the practitioner in case of concurrent physiotherapy sessions.
- Inform the practitioner as soon as cardiovascular symptoms appear (chest pain, significant shortness of breath, ...) if you have an unstable heart condition.
- Notify the practitioner in case of osteoporosis or if you wear a prosthesis so that they can adjust the doses.
- Report any other adverse events or symptoms that occur during the program.

Regulatory provisions

The program can be provided with or without a medical prescription. It must nevertheless take place in a healthcare facility even if some sessions are carried out at home and others remotely in real time with the practitioner.

Main Initiator

Dawn A. Skelton, professor at Glasgow Caledonian University. Chris Todd, professor at the University of Manchester.

Author(s) of the Sheet

NPIS (comité scientifique)
Creation Date : 13/03/2026
Revision Date : 15/04/2026
Version : V01



Download the sheet in PDF format

Designation

Falls Management Exercise (FaME) Program

Abbreviation

FaME

Category

Bodily

Main Health benefit

  • Prevent recurrent falls
  • ICD : MB47.C

Explanation

The FaME program reduces the risk of falls and their medical consequences in elderly people by strengthening their muscle strength, balance, and neuromotor control (Lliffe 2014; Adams 2018; Gawler 2016; Jessiman 2025; Cheng 2026). They are less afraid of movement, engage in more weekly physical activity, are less sedentary in daily life, and have more self-confidence. They reduce their physical deconditioning and their risk of exposure to falls with serious consequences.

Routine Test

Monopodal test (One-Leg Stance Test) (Springer 2007; Vellas 1997). Timed Up and Go (TUG) (Podsiadlo 1991; Beauchet 2011).

Threshold

Support less than 5 seconds in the single-leg test.
Time of more than 15 seconds in the Timed Up and Go (TUG) test.

Minimal Clinically Important Change

Single-leg test
≈ 1.5 to 2.0 seconds in elderly people living at home. ≈ 2.1 seconds in frail elderly people. ≈ 3.4 seconds in people with a chronic disease.
Timed Up and Go (TUG) Test
≈ 5 s or ≥ 30% improvement.

Secondary benefits

• Gains in muscle strength and power (Skelton 2019).
• Improvement in the ability to get up and resist a stimulus causing imbalance (Lliffe 2014; Adams 2018).
• Improvement in static and dynamic balance (Yeung 2015).
• Increase in mobility, functional abilities, and autonomy (Lliffe 2014; Adams 2018; Skelton 2019; Orton 2021; Cheng 2026).
• Possible improvement in bone density in some people (Skelton 2019).
• Increase in walking speed (Yeung 2015).
• Reduction in fear of falling (Yeung 2015; Skelton 2019).
• Increase in confidence in physical abilities (Orton 2021).
• Improvement in social participation (Orton 2021).
• Improvement in health-related quality of life (Orton 2021).
• Reduction in risks of dependency (hospitalization, entry into institutions) and death (Yeung 2015).
• Cost-effective INM (Franklin 2019; Deverall 2019).

Direct Risks

  • Exacerbation of cardiovascular symptoms in participants with unstable heart disease (e.g., angina, shortness of breath, arrhythmias).
  • Fracture or complication on a prosthesis in case of excessive load in participants affected by osteoporosis or with a poorly protected prosthesis.
  • Fall due to an inappropriate orthosis, cane, or walking aid.
  • Muscle pain or temporary fatigue.

Risks of interaction

Overload of muscular effort, excessive fatigue, and injury if combined with another rehabilitation program (e.g., post-operative).

Biological and Psychosocial Mechanisms

Biological mechanisms
• Increase in muscle strength and power: INM includes exercises targeting the lower limbs and trunk that increase muscle strength and power. This strengthening improves the ability to control imbalance, to fall without injury if necessary, and to get up in case of a fall (Skelton 2019).
• Improvement of static and dynamic balance: progressive and individualized exercises based on reducing support, managing perturbations, and dual-tasking lead to measurable improvements in balance and walking speed, factors directly correlated with a reduced risk of falling (Yeung 2015).
• Optimization of neuromuscular control and proprioception: perturbation reaction exercises and functional tasks improve the latency and coordination of motor responses, reducing the likelihood of an unrecovered loss of balance (Skelton 2019).
• Effects on bone health: a study reports benefits on bone density for frequent fallers, suggesting that the repeated mechanical loads of the program help limit the loss of bone quality (Yeung 2015).
• Improvement in mobility and walking speed: specific work on walking, obstacle management, and speed changes on variable terrains increases walking speed and functional performance (Skelton 2019).

Psychosociological mechanisms
• Reduction of fear of falling and prevention of risky situations: the safe progression of exercises and repeated success in motor tasks reduce fear of falling, decrease activity avoidance, and limit the vicious cycle of deconditioning (Skelton 2019).
• Strengthening of self-efficacy related to motor mobility: success in tasks perceived as difficult increases participants’ confidence in their ability to move without falling (Orton 2021)
• Social support: group dynamics create social support, promote adherence, strengthen perseverance, and normalize age-related difficulties (Manning 2025).
• Behavior change and maintenance of regular activity: the INM combines supervised specific physical activity sessions and home exercises. They establish habits that become daily routines (walking instead of taking motorized transport for a short trip, gardening instead of staying on the couch…). They promote self-management in 'real life' (Orton 2021).
• Improvement of social participation and quality of life: the INM encourages participation in daily and social activities, which indirectly contributes to overall health and fall prevention (Orton 2021).

Responding population

- Individual over 65 years old with a history of repeated falls.
- Individual over 65 years old at risk of falling (at least one fall in the past year, balance disorder, fear of falling) living in an open residence or at home.
- Frail Individual over 65 years old (slow walking speed, multiple other health problems).
- Individual motivated by group practice and able to participate in more than 75% of the planned sessions.

Nonresponding population

- Individual requiring manual assistance for walking or transfers (from bed to chair, for example).
- Individual with a moderate to severe cognitive deficit.
- Individual who is highly dependent.
- Individual with an acute health problem or an unstable medical contraindication (uncontrolled heart failure, acute arthritis…).

Participants

Groups
Minimum : 2
Maximum : 6

Duration

24 weeks

Sessions per week

1 session per week

Procedure

British program (Health Innovation South West, 2026) of 24 weeks, one weekly session of about 1 hour with exercises to be done at home. The program can be extended to 36 weeks.

The sessions are led by a Postural Stability Instructor supplemented by home exercises. A second instructor is needed if the groups have more than 6 people.

Easily implementable intervention (Orton 2021; Jessiman 2025; Manning 2025).

Promotion of the program to the target population is important, as is the training of instructors (Lafond 2019; Gumber 2022).

The strength of group practice lies in both social support, better regularity, normalization of age-related difficulties, and lower cost per participant.

A FaME program manual can be downloaded from this site: https://fameexercise.com/fame-manuals/
An English video illustrates the FaME program : https://www.youtube.com/watch?v=HnPlcDU5szc

A pre‑participation assessment, including motor tests and a review of the medications used, is necessary.

The program takes place in three phases.
Phase 1: Adaptation (sessions 1 to 8)
Objective: learning movements, safety, initial neuromuscular gain.
- Session 1
Warm-up: walking 5 min, shoulder/ankle rotations.
Strengthening: sit-to-stand 3×8 (assistance if needed), mini-squat 3×8.
Balance: single-leg support 3×10 s (support nearby).
Walking: walk 3 min in a line, half-turn.
At home: sit-to-stand 2×10/day.
- Session 2
Strengthening: sit-to-stand 3×10, low step-up 3×8 (alternating).
Balance: single-leg support eyes open 3×12 s, lateral weight transfer.
Walking: walk with short accelerations 4×30 s.
At home: 5 min walk + 1 resistance exercise.
- Session 3
Strengthening: chair-stand tempo (slow descent) 3×8, elastic band hip extension 3×10.
Balance: tandem stance 3×15 s, light perturbations.
Walking: walk with low obstacles (e.g., cones) 5 min.
At Home: sit-to-stand + balance 1 min/support.
- Session 4
Strengthening: step-up 3×10, assisted lunges 3×6.
Balance: single-leg support eyes closed (if safe, otherwise keep eyes open) 3×8 s.
Walking: walking on a slight incline for 4 minutes.
At Home: two strength exercises and one balance exercise.
- Session 5
Strengthening: 5×STS test (the person must stand up from a chair five times as quickly as possible, time is recorded), sets of 3, progression with elastic bands.
Balance: simple dual task (counting aloud while standing).
Walking: course with changes of direction.
At Home: 10 min circuit (resistance + balance).
- Session 6
Strengthening: assisted squats 3×12, standing calves 3×15.
Balance: single-leg support 3×20 s, lateral perturbations.
Walking: brisk walking 5 min.
At Home: floor rise taught and practiced.
- Session 7
Strengthening: step-up + elastic band 3×12, fast chair-stand 3×8.
Balance: sensory tasks (eyes closed on stable surface).
Walking: walking with obstacles + accelerations.
At home: 2 times per week for 15 min.
- Session 8 (intermediate evaluation)
Tests: TUG, 5×STS, gait speed test.
Session: consolidation of learned exercises, implementation with progression.
At home: personalized plan.

Phase 2: Strengthening and complexity (sessions 9 to 16)
Objective: increase load, complicate balance, introduce demanding dual-task.
- Session 9 Strengthening: squats 3×12 with tight elastic band, assisted lunges 3×8.
Balance: single-leg support + trunk rotation (dual-task).
Walking: fast walking 6 min + changes of pace.
At home: 20 min circuit 3×/week.
- Session 10
Strengthening: step-ups 3×15 (increased height if safe).
Balance: unstable surface (cushion) 3×20 s.
Walking: course with obstacles and quick half-turns.
At Home: strengthening + walking 15–20 min.
- Session 11
Strengthening: explosive chair‑stand (power) 3×6.
Balance: controlled external perturbations (light stick).
Walking: interval walking (30 s fast / 30 s slow) 8 min.
At Home: floor rise exercises 3 times a week.
- Session 12 (evaluation)
Tests: TUG, gait speed test, BBS if possible.
Session: review and intensity adjustment.
At Home: progression plan.
- Session 13
Strengthening: lunges 3×10, step‑up + light load (if tolerated).
Balance: dual cognitive task (mental calculation) during support.
Walking: course with movable obstacles (cones to move).
At Home: resistance + balance circuit 20 min.
- Session 14
Strengthening: assisted single-leg squats 3×6 (progression).
Balance: single-leg support eyes closed on unstable surface (if safe).
Walking: walking with rapid orientation changes, step up/down.
At Home: 2 sessions focused on power + 1 long walk.
- Session 15 Strengthening: combinations (step + squat) 3×10.
Balance: dual motor tasks (throw/catch ball while supported).
Walking: timed course (improve speed and safety).
At Home: maintain achievements, activity journal.
- Session 16
Session: simulation of daily activities (climb stairs, bend, carry light load) + transfer work.
At Home: plan for integration into daily life.

Phase 3: Consolidation and transfer (sessions 17 to 24)
Objective: stabilize gains, autonomy, long-term prevention.
- Session 17
Strengthening: combined circuits (resistance + balance) 3×12.
Balance: dynamic course with distractions (conversation).
Walking: outdoor walk if possible, terrain adaptation.
At Home: maintenance program 3×/week.
- Session 18
Strengthening: power exercises (quick sit-to-stand) 4×6.
Balance: complex multitask exercises.
Walking: brisk walk 10 min + obstacles.
At Home: strengthening + walking.
- Session 19
Strengthening: squats on step, dynamic lunges 3×10.
Balance: simulation of real disturbances (light pulling/pushing). Walking: timed course + subjective confidence assessment.
At Home: integration of domestic activities.
- Session 20
Session: floor-to-stand workshop + awareness of fall prevention at home.
At Home: regular practice of get‑up.
- Session 21
Strengthening: moderate intensive circuit (3 stations × 3 rounds).
Balance: prolonged single-leg support, cognitive tasks. Walking: varied outdoor course.
At Home: personalized maintenance plan.
- Session 22
Strengthening: holding load, focus on movement quality.
Balance: integration with aids (cane) if applicable. Arch: assessment of speed and endurance.
At Home: 20-minute routine 3×/week.
- Session 23
Session: complete review, real-life situations (running errands, stairs).
At Home: home safety checklist + exercises.
- Session 24 (final assessment)
Tests: TUG, 5×STS, walking speed (gait speed test), BBS/FES‑I.
Assessment: comparison S1/S12/S24, maintenance plan at 6–12 months.
At Home exercises (standard examples) Sit‑to‑stand: 2×10 morning and evening. Fast walking: 15–20 min three times a week. Single-leg support: 3×30 seconds per day (near support). Get‑up‑from‑floor: 3 repetitions, 3 times a week. Circuit 15–20 min: 3 exercises (squat, step‑up, balance) in sequence.

Adaptation criteria
Adapt in case of acute pain, dyspnea, angina, or persistent dizziness.
Temporarily exclude a person in case of acute infection, uncontrolled cardiac instability, or recent unhealed fracture.

Success criteria
Significant reduction in TUG.
Increase in walking speed.
Reduction in fear of falling.
Decrease in falls over 12 months.
Participation ≥75% of group sessions and 2 home sessions per week.
Recommended dose of supervised sessions and home exercises ≥50 hours over the period for a significant and lasting effect (Orton 2021).

Components

Each supervised session lasts one hour, if possible on the same day and at the same time of the week before 6 p.m.
Prepare one to two home sessions that are suggested to the participants.
Check the participant’s condition at reception, have the equipment within reach, and monitor signs of intolerance.
Gradually increase repetitions, resistance of elastic bands, and complexity (eyes closed, dual task) before increasing speed.
Record all tests conducted at weeks 1, 12, and 24.

Typical session
Welcome and quick check-up (3–5 min): pain, dizziness, medications. Dynamic warm-up (8–10 min): walking, joint mobilizations, light knee lifts.
Lower limb strengthening (12–15 min): sit-to-stand, step-ups, assisted squats, resistance band. Exercises for quadriceps, hamstrings, hip abductors, ankles, and trunk, often in standing and functional positions. Progressive load and repetitions adapted to capacity.
Balance work (12–15 min): single-leg support, perturbations, sensory tasks, dual task.
Walking and functional skills (8–10 min): brisk walking, changes of direction, obstacle courses, ground recovery. Cool-down & home instructions (3–5 min): stretching, reminder of home exercises.

Equipment

- Stable chairs for seated/standing exercises, transfers, and safety.
- Floor mat with non-slip surface for getting up and lying down on the floor.
- Clear space and flat floor for balance and walking exercises.
- Stopwatch for TUG tests, recovery intervals, and set regulation.
- Program worksheets and teaching materials.
- Home exercise booklet.
- Dumbbells from 1 to 3 kg for functional strengthening of the upper limbs and load progression.
- Elastic bands (e.g., therabands) for progressive strengthening of the lower limbs and trunk.
- Cones and ground markers.
- Small obstacles for gait training, direction changes, and obstacle crossing.
- Low step for step-up and step-down exercises and leg power.
- Balance cushions to increase the sensory difficulty of balance tasks.

Location

Supervised group sessions: local organization (community center, municipal hall, leisure center, structure sponsored by a local authority, sports health house, sports association).
Home session: secure location.

Best implementation practices

  • Follow the regulatory framework given in France by the HAS (Haute Autorité de Santé 2024).
  • Keep in mind that the gains are greater for people over 75 years old and for those completing more than 75% of the scheduled sessions.
  • Selecting participants on a medical and functional assessment basis reduces risks and improves safety and adherence.
  • Train program leaders in the FaME program (Orton 2021).
  • Rely on group dynamics and the enthusiasm of the leader for adherence and the sustainability of benefits (Manning 2025).
  • Adapt exercises to individual abilities and comorbidities.
  • Coordinate the FaME program with other treatments (physiotherapist, cardiology, social services…) to avoid overload and interaction risks.
  • Use the official program manual and implementation strategies to ensure faithful and reproducible implementation, a factor of success reported by previous studies.
  • Regularly measure implementation fidelity and clinical outcomes.
  • Actively and continuously monitor adverse events and tolerance.
  • Engage participants through adherence strategies (groups, exercise log, phone follow-up).
  • Plan a long-term maintenance and self-assessment phase.

Best practices for sustainability

  • Consult two inspiring WHO reports on fall prevention (WHO 2007; WHO 2021).
  • Rely on the fall prevention documents proposed by the Health Insurance (2025), the CNSA (2022), the HAS (2024), the Ministry of Health (2022, 2025), and Public Health France (2022).
  • Train the facilitators in the FaME program and safety. The authors propose training ensuring adherence to execution and the necessary skills, called Postural Stability Instructor.
  • Standardize the content and progression of the sessions.
  • Systematically measure clinical outcomes and fidelity (adherence, dose, quality of facilitation).
  • Monitor participants' adherence and actively follow up with non-participants (Orton 2021).
  • Integrate the FaME program into local fall prevention pathways and primary care services (Ventre 2025).
  • Ensure recurring funding and resources (room, equipment, instructor time).
  • Adapt the format to local constraints while maintaining fidelity (group size, duration, equipment).
  • Support home practice with written materials, exercise notebooks, and reminders.
  • Regularly evaluate implementation quality (audit, observations, instructor feedback).
  • Involve local stakeholders (health professionals, communities, associations) to co-finance and promote the program.
  • Collect and disseminate impact data (reduction of falls, functional improvement, satisfaction) to justify continued funding.
  • Strengthen social support by fostering group dynamics and connections between participants.

Precautions

- Avoid muscle overload, excessive fatigue, and risk of injury in case of physiotherapy sessions simultaneously.
- Monitor exacerbations of cardiovascular symptoms (angina, dyspnea, arrhythmias) in people with unstable heart disease.
- Group participants suffering from osteoporosis or who have prostheses and adjust the doses.
- Record adverse events.

Regulatory specification

The program can be provided with or without a medical prescription. It must nevertheless take place in a healthcare facility even if some sessions are carried out at home and others remotely in real time with the practitioner.

Main Initiator

Dawn A. Skelton, professor at Glasgow Caledonian University. Chris Todd, professor at the University of Manchester.

Qualification required

- Physiotherapist 
- Adapted physical activity professional
- Physiotherapist
- Occupational therapist
- Nurse specialized in geriatrics
- Sports coach working with seniors

Specific training at the intervention is essential to strengthen participation and sustained engagement in physical activity (Gumber 2022; Hawley-Hague 2024).

In Great Britain, a Postural Stability Instructor certification is required to deliver the complete FaME program as it relies on a precise scientifically validated protocol (LaterlifeTraining 2026).

References

Prototype study
Skelton D et al. Tailored group exercise (Falls Management Exercise -- FaME) reduces falls in community-dwelling older frequent fallers (an RCT). Age Ageing. 2005 Nov;34(6):636-9. https://doi.org/10.1093/ageing/afi174

Mechanistic study
Skelton DA et al. Effects of a falls exercise intervention on strength, power, functional ability and bone in older frequent fallers: FaME (Falls Management Exercise) RCT secondary analysis. J Frailty Sarcopenia Falls. 2019 Mar 1;4(1):11-19. https://doi.org/10.22540/JFSF-04-011

Interventionnal studies
Lliffe S et al. Multicentre cluster randomised trial comparing a community group exercise programme and home-based exercise with usual care for people aged 65 years and over in primary care. Health Technol Assess. 2014 Aug;18(49):vii-xxvii, 1-105. https://doi.org/10.3310/hta18490
Adams N et al. Feasibility of trial procedures for a randomised controlled trial of a community based group exercise intervention for falls prevention for visually impaired older people: the VIOLET study. BMC Geriatr. 2018 Dec 12;18(1):307. https://doi.org/10.1186/s12877-018-0998-6

Risk assessment studies
Cheng M et al. Optimal type and dose of exercise to improve fall behavior in older adults: A systematic evaluation and network meta-analysis. Ageing Res Rev. 2026 Jan;113:102924. https://doi.org/10.1016/j.arr.2025.102924
Gawler S et al. Reducing falls among older people in general practice: The ProAct65+ exercise intervention trial. Arch Gerontol Geriatr. 2016 Nov-Dec;67:46-54. https://doi.org/10.1016/j.archger.2016.06.019

Implementation study
Orton E et al. Implementation fidelity of the Falls Management Exercise Programme: a mixed methods analysis using a conceptual framework for implementation fidelity. Public Health. 2021 Aug;197:11-18. https://doi.org/10.1016/j.puhe.2021.05.038

Other publications
Assurance Maladie. Comment prévenir les chutes des personnes âgées? Assurance Maladie, Paris, 2025. https://www.ameli.fr/assure/sante/bons-gestes/seniors/prevenir-chutes-personnes-agees
Audsley S et al. Keeping adults physically active after Falls Management Exercise (FaME) programmes end: development of a physical activity maintenance intervention. Pilot Feasibility Stud. 2021 May 15;7(1):108. https://doi.org/10.1186/s40814-021-00844-w
British Geriatrics Society. Falls Management Exercise (FaME) Implementation Toolkit. British Geriatrics Society, London, 2026. https://www.bgs.org.uk/falls-management-exercise-fame-implementation-toolkit
Caisse Nationale de Solidarité pour l’Autonomie. Autonomie des personnes âgées, comment prévenir les chutes? CNSA, Paris, 2022. https://www.cnsa.fr/presse/autonomie-des-personnes-agees-comment-prevenir-les-chutes#:~:text=La%20CNSA%20(Caisse%20nationale%20de,maximum%20les%20risques%20de%20chutes
Deverall E et al. Exercise programmes to prevent falls among older adults: modelling health gain, cost-utility and equity impacts. Inj Prev. 2019 Aug;25(4):258-263. https://doi.org/10.1136/injuryprev-2016-042309
Franklin M et al. A modelling-based economic evaluation of primary-care-based fall-risk screening followed by fall-prevention intervention: a cohort-based Markov model stratified by older age groups. Age Ageing. 2019 Dec 1;49(1):57-66. https://doi.org/10.1093/ageing/afz125
Gumber L et al. 'It is designed for everybody to find their own level and to improve themselves'; views of older people and instructors of the Falls Management Exercise (FaME) programme. Age Ageing. 2022 Feb 2;51(2):afac023.  https://doi.org/10.1093/ageing/afac091
Haute Autorité de Santé. Personnes âgées à risque de chute: Prescription d’activité physique. Plaine Saint-Denis, HAS, 2024. https://www.has-sante.fr/upload/docs/application/pdf/2024-04/synthese_aps_personnes_agees_a_risque_de_chute.pdf
Hawley-Hague H et al. Understanding the delivery of the Falls Management Exercise Programme (FaME) across the U.K. J Frailty Sarcopenia Falls. 2024 Jun 1;9(2):96-121. https://doi.org/10.22540/JFSF-09-096
Health Innovation South West. Falls Management Exercise (FaME). Programme. Spread of an exercise-based innovation for falls prevention. Health Innovation South West, Exeter, 2026. https://healthinnovationsouthwest.com/programmes/falls-management-exercise-fame-programme/#:~:text=The%20Falls%20Management%20Exercise%20(FaME,reduced%20fear%2Dof%2Dfalling
Jessiman P et al. mixed-methods formative process evaluation of the falls management exercise programme in an English county. BMC Public Health. 2025 Aug 1;25(1):2609. https://doi.org/10.1186/s12889-025-23737-6
Lafond N et al. 'We got more than we expected.' Older people's experiences of falls-prevention exercise interventions and implications for practice; a qualitative study. Prim Health Care Res Dev. 2019 Jul 1;20:e103. https://pmc.ncbi.nlm.nih.gov/articles/PMC6609972/
LaterTraining. All Our courses. LaterTraining, Northumberland, 2026. https://laterlifetraining.co.uk/courses/postural-stability-instructor
Lliffe S et al. Promoting physical activity in older people in general practice: ProAct65+ cluster randomised controlled trial. Br J Gen Pract. 2015 Nov;65(640):e731-8. https://doi/10.3399/bjgp15X687361
Manning F et al. Mediators implementation and delivery: the falls management exercise programme (FaME). BMC Health Serv Res. 2025 Oct 22;25(1):1396. https://doi.org/10.1186/s12913-025-13550-7
Ministère de la Santé. Comment prévenir les risques de chutes chez les personnes âgées? Ministère de la Santé, Paris, 2025. https://www.pour-les-personnes-agees.gouv.fr/preserver-son-autonomie/preserver-son-autonomie-et-sa-sante/comment-prevenir-les-risques-de-chutes-chez-les-personnes-agees
Ministère de la Santé. Plan anti-chute des personnes âgées. Ministère de la Santé, Paris, 2022. https://solidarites.gouv.fr/plan-antichute-des-personnes-agees
Orton E et al. 'Real world' effectiveness of the Falls Management Exercise (FaME) programme: an implementation study. Age Ageing. 2021 Jun 28;50(4):1290-1297. https://doi.org/10.1093/ageing/afaa288
Santé Publique France. Bouger en toute sérénité. Prévenir les chutes dans la vie quotidienne. Paris, 2022. https://www.ameli.fr/sites/default/files/Documents/Bouger_en_toute_serenite_2022.02.pdf
Ventre JP et al. Factors influencing fall prevention programmes across three regions of the UK: the challenge of implementing and spreading the Falls Management Exercise (FaME) programme in a complex landscape. Age Ageing. 2025 Mar 28;54(4):afaf083. https://doi.org/10.1093/ageing/afaf083
World Health Organisation. Step Safely: Strategies for preventing and managing falls across the life-course. WHO, Geneva, 2021. https://www.who.int/publications/i/item/978924002191-4
World Health Organisation. WHO global report on falls prevention in older age. WHO, Geneva, 2007. https://www.who.int/publications/i/item/9789241563536
Yeung PY et al. A community-based Falls Management Exercise Programme (FaME) improves balance, walking speed and reduced fear of falling. Prim Health Care Res Dev. 2015 Apr;16(2):138-46. doi: https://doi.org/10.1017/S1463423614000024

Experts who voted for the publication of this sheet

NINOT Grégory , MALLARD Joris , ACHALID Ghislaine

Author(s) of the Sheet

NPIS (comité scientifique)
Creation Date : 13/03/2026
Revision Date : 15/04/2026
Version : V01



Download the sheet in PDF format
Information: No information available at the moment on the reimbursement terms for this NPI.

Submit a Suggestion for This Sheet:


Other sheets that might interest you


High-Intensity Endurance exercice program for Parkinson's Disease

Health Problem : Risk of fall