How FOX Rehabilitation’s Specialist Programs Help Older Adults Stay Safe and Decrease Falls Risk

In today’s evolving healthcare landscape, access to expert care should never be limited by geography or traditional models. That’s why FOX Rehabilitation proudly offers FOX Specialist Programs Delivered via Telehealth—a transformative way to connect patients with diagnosis-focused, expert-led care wherever they are. 

These programs aren’t just services—they’re solutions. Whether you’re a clinician seeking advanced support for your patient, a physician aiming to improve outcomes, or a patient ready to take the next step in your wellness journey, FOX is here to help you Live Better Longer. 

At the core of this initiative is a commitment to breaking down barriers to care. FOX’s telehealth model mirrors the excellence of our in-person geriatric house calls, ensuring patients receive the right care at the right time from the right provider. 

Expert-Led, Diagnosis-Focused Care 

FOX Specialist Programs are delivered by clinicians with advanced certifications and specialized training. These experts tailor interventions to specific diagnoses, offering targeted and effective treatment plans. Whether it’s post-discharge referral for specialist care or performed concurrently while receiving care from another discipline, FOX’s flexible model adapts to each patient’s needs. Additionally, for physicians and referring providers, it’s a seamless way to ensure continuity of care when in-person options are limited. These specialist episodes complement traditional care plans, supporting coordination across the continuum. 

Addressing Fall Risk Through Specialized Care 

To further enhance access to targeted care, FOX offers three telehealth pathways designed to address common challenges in aging—particularly fall risk, a leading concern for older adults. These programs combine diagnosis-focused treatment, measurable outcomes, and long-term disease management to improve safety and quality of life: 

• Physical Therapy: Osteoporosis Management Program 

• Occupational Therapy: Incontinence Care Program 

• Speech-Language Pathology: Cognition Specialist Program 

Each program is built to reduce fall risk and empower patients to manage their conditions more effectively—reinforcing FOX’s mission to help patients Live Better Longer. 

Physical Therapy: Osteoporosis Specialist Program 

Osteoporosis and osteopenia affect over 10 million Americans. Fragility or low-trauma fractures, particularly hip fractures, are often the result of low-impact falls and can lead to long-term disability or death. FOX Physical Therapists can tailor weight-bearing interventions targeted at increasing bone mineral density and reducing fall-related fractures. FOX’s program is designed to be safe, scalable, and effective for older adults at all stages of bone loss 

Program Overview 

• Progressive resistance and weight-bearing exercises 

• Postural training to reduce thoracic hyperkyphosis and improve balance 

• Fall and fracture risk reduction strategies 

• Education on bone-healthy nutrition and medications 

• Home safety assessments and modifications 

Occupational Therapy: Incontinence Specialist Program 

It is estimated that 25-30% of community-dwelling older adults experience urinary incontinence, while this figure rises to 45-60% in senior living communities. Urinary incontinence is often dismissed as a quality-of-life issue, but its implications for fall risk are profound. Urge incontinence can lead to hurried, unsteady movements—especially at night—resulting in increased fall risk. Studies show that addressing incontinence can reduce the risk of falls by up to 50% in older adults. By integrating continence care into occupational therapy, FOX Occupational Therapists can tailor pelvic floor interventions and education to help patients regain confidence, reduce nighttime falls, and improve participation in daily activities. 

Program Overview 

• Bladder training and timed voiding 

• Pelvic floor muscle strengthening 

• Environmental modifications (e.g., lighting, grab bars) 

• Adaptive equipment education 

• Behavioral strategies to reduce urgency and frequency 

Speech-Language Pathology: Cognition Specialist Program 

Nearly one-third of Americans aged 65 and older have some level of cognitive impairment.  Cognitive impairment—whether due to mild cognitive decline, dementia, or executive dysfunction—significantly increases fall risk. Impaired judgment, poor hazard awareness, and difficulty following safety instructions all contribute. FOX Speech Language Pathologists utilize the BCAT™ – a gold standard tool used to evaluate persons with cognitive impairments and tailor interventions to meet the patient specific needs.  

Cognitive interventions have been shown to improve safety awareness and reduce fall risk, particularly when combined with physical and occupational therapy. FOX’s interdisciplinary model ensures that cognitive strategies are reinforced across all therapy domains.  

Program Overview 

• Executive function training (e.g., planning, sequencing) 

• Memory strategies and compensatory techniques 

• Attention and dual-task training 

• Environmental cueing and routine development 

• Caregiver education and support 

Why These Programs Matter: A Holistic Approach to Fall Prevention 

What sets FOX’s Specialist Programs apart is their interdisciplinary integration. Each program addresses a distinct but interconnected risk factor for falls: 

• Incontinence → Urgency and unsafe toileting behaviors 

• Osteoporosis → Fragility and fracture risk 

• Cognitive Impairment → Poor judgment and hazard awareness 

By targeting these domains simultaneously, FOX clinicians can create a comprehensive fall prevention plan that is personalized, evidence-based, and outcome-driven. 

Ready to refer? Here’s What You Need to Know 

Ideal Candidates 

• Older adults with a history of falls or near-falls 

• Patients with known osteoporosis or osteopenia 

• Individuals with urinary urgency or incontinence 

• Patients with mild cognitive impairment or early dementia 

Benefits for your patients 

• Improved patient outcomes and satisfaction 

• Reduced hospital readmissions and fall-related injuries 

• Enhanced interdisciplinary collaboration 

Elevating Care for Older Adults Through Specialization 

FOX Rehabilitation’s Specialist Programs represent a bold step forward in comprehensive care for the older adult population. By addressing the multifactorial nature of falls through targeted, evidence-based interventions, FOX is not only improving individual outcomes but also supporting broader healthcare goals. These programs offer a trusted, clinically sound pathway to enhance patient safety, independence, and quality of life.