Falls often arise from a mismatch between an individual’s physiological capacity and their environment [1]. Biomechanical research highlights that factors such as muscle weakness, impaired proprioception, and gait instability increase the likelihood of slips, particularly when environmental hazards are present [1]. A forensic approach to home assessment allows us to analyze the “environmental press”—the degree to which the home structure challenges the occupant’s functional limits [1]. By identifying and removing these physical barriers, we can reduce the kinetic energy transfer during a potential fall and ensure the home environment serves as a support system rather than a source of risk [1].
Clinical References:
[1] Campani, D., et al. (2020). Home and environmental hazards modification for fall prevention. Public Health Nursing, 38(3).
[2] Kirchner-Heklau, U., et al. (2021). Predischarge home assessments to improve transition of care. BMC Health Services Research, 21(1).
[3] Marini, G., et al. (2025). Transitional Care Interventions in Improving Outcomes. Healthcare, 13(3).
[4] Stark, S., et al. (2017). Effect of Home Modification Interventions on Participation. AJOT, 71(2).