Many elderly will experience a reduction in physical function, leading to more falls and injuries. This leads to a loss of independence, hospitalisation, long-term nursing home care as well as premature death [1, 2]. In 2013, 2.63 million people in Germany were in need of nursing care. Roughly two third of them received ambulatory nursing care and one third received care in a nursing home. From the years 2011 to 2013, people receiving nursing care increased by 5% . In 2014, 27% of the population aged 65–79 received either ambulatory or institutionalised nursing care . Given the projected demographic changes in Germany, the population in the age group ≥65 years will increase from 21% (17.3 million) in the year 2015 to 27% (21.8 million) in the year 2030 . Long term nursing care and institutionalisation in a nursing home can be associated with a significant reduction of quality of life, mainly due to loss of autonomy and social contacts . The increased need of long term nursing care poses a major economic challenge . Thus measures to prevent, minimise or delay long term nursing care for elderly are urgently needed.