Elderly
Conditions
Keywords
65 years old or older, hospitalized in, geriatrics
Brief summary
This study aims to evaluate the feasibility and the impact on physical performance and falls occurence among geriatric inpatients hospitalized in acute care unit.
Detailed description
Having developed many tools to determine fall risk of 65 years and older patients, Angers University Hospital plans to develop a corrective action to prevent the occurrence of falls in this population. This study aims to assess the feasibility of a physical activity program with 3 difficulty levels (depending on the patient's risk of falling): easy (low fall risk), moderate (average fall risk) and difficult (high fall risk). The implementation process should be simply and fastly applicable in practice for routine care by paramedics.
Interventions
PROCEDURESimple physical exercises
1. The participant must stay out of the bed 3 hours. This pre-required level prevents the occurrence of acute postural mismatch which can occur when elderly patients are bedridden and too long increases the risk of falling. 2. The participant stands standing in static equilibrium to a chair holding the back of it for 2 minutes. Depending on the patient's abilities, the exercise will be done on both feet or one foot. 3. The participant performs a transfer activity of sitting to standing repeated 5 times (FTSS test). According to the patient's abilities, the exercise will be done with physical assistance or not.
Sponsors
University Hospital, Angers
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Being 65 years old and older * Being hospitalized in geriatric acute care unit of Angers University Hospital. * No contraindications to physical activity practice. * No contraindications to standing station and sitting station. * Participants having given and signed an informed participation consent. If the participant is unable to answer, we will retain the disagreement expressed by a trusted person. * Being affiliated to French social security
Exclusion criteria
* Refusal of participation * Persons aged under 65. * Topics including hospitalization at the entrance should not exceed 3 days. * Participation in concomitant clinical trial. * Civil Protection Measures such as trusteeship, guardianship or backup justice underway.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants in each category of fall risk having realized 75% and more of the exercises of at least one of the three difficulty levels of the physical activity program | up to 15 months | The feasibility of the interventions of each fall risk category is defined as at least 80% of the participants of a category having completed 75% and more of the exercises. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of number of patients having realized the Five Time Sit and Stand (FTSS) test. | up to 15 months | — |
| For the patients having achieved FTSS test, the realization time (in seconds). | up to 60 seconds | — |
| Measure (by the medical team) of the difficulty to set up and carry out the exercises | up to 20 days | This measure will be assessed with a scale : very easy ; easy ; feasible ; difficult ; impossible |
| Time needed by the paramedical team to achieve the exercises | up to 20 days | — |
Countries
France
Outcome results
None listed