09/18/2026
September is National Fall Prevention Month. 1 in 4 adults aged 65+ fall each year and that number is evidently increasing. Falls are the leading cause of fatal and nonfatal injuries in persons aged 65+.
At a medical appointment a couple years ago, I was asked if I’d fallen at any point in the previous three months. I replied that, conservatively, I’d fallen a few hundred times within that period. After the nurse got over her shock, I explained that I teach martial arts. This photo is me, this year, at age 70. Ukemi, literally “receiving body,” is the set of skills we use for landing safely when thrown — these skills translate directly to being able to fall unexpectedly, without injury. Multiple members of our dojo and friends from other dojo have had instances of falls that in an untrained person would likely have resulted in catastrophic injury or worse but for them was a minor bruise or two and some scuffed up clothing. Ukemi is the #1 self-defense skill we teach.
I’m not suggesting that someone my age could start training now and be able to do what I do. But start training at 45 or 50 years of age and it’s entirely possible. And then carry those skills forward.
There are other measures that can be taken for older persons. Madden & Gilbert Physical Therapy, for instance, is this month offering at their Harrisburg clinic Fall Risk Assessments that involve three simple tests that predict risk of a fall in the next six months. If there is an increased risk of falling a treatment plan can be provided. Contact them through their website: https://maddengilbertphysicaltherapy.com/.
Multiple studies and programs have tested adapted ukemi for people aged ~65+:
• Feasibility and pre-post studies show older adults can learn modified breakfalls/rolls with high adherence and few serious adverse events when sessions use proper mats and supervision.
• Lab work (including Groen et al.) found reduced hip impact force after short martial-arts fall training in older adults.
• Programs such as Judo4Balance (Sweden; includes an RCT), Adapted Utilitarian Judo (Spain), Yawara-chan Taiso, and elements of the Nijmegen Falls Prevention Program report improvements in “fall competence” (skill + confidence in backward/side/forward landing), mobility (e.g., Timed Up and Go), balance, physical performance, and sometimes fear of falling. Skills can be retained for many months.
• A 2023 scoping review of judo-based interventions in middle-aged and older adults found they were generally safe and feasible and associated with gains in physical function, strength, gait, flexibility, quality of life, and (mixed results on) fear of falling. All included ukemi.
• A 2024 global consensus statement from judo researchers and organizations recommends adapted ukemi programs as a strategy to reduce the severity of falls in older adults.
Learn more about how we teach ukemi at https://youtu.be/yHo7usNwXBw.