Fall Patients
Conditions
Brief summary
Falls in the elderly are the cause of considerable morbidity and mortality and constitute a public health problem with more than 9000 deaths in France among the over 65s following an accidental fall. Many scientific data suggest that regular physical activity has significant and long-lasting beneficial effects on the health of the elderly and is associated with better functional status, a lower risk of falls and improved cognitive functions. However, the attraction to physical activity fades over the years and the reasons mentioned by the elderly for a low practice of physical activity are multiple, the main one being the worsening of their state of health. The objective of this study is therefore to evaluate the impact of playful, motivating mobility training, stimulating both mobility and cognition, for 8 weeks, on the balance and mobility of elderly people in EHPAD, in particular in conditions of dual-task well known to be at high risk of falling, as well as on the prevention of falls.
Interventions
BEHAVIORALtraining with Cycléo device (COTTOS ®),
8 weeks of training
OTHERnon intervention
non intervention
Sponsors
University Hospital, Caen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Subjects aged over 60, residing in nursing homes * Subjects able to walk 15 meters unaided * MMSE \> 10 * Visual acuity in both eyes \> 6/10 * Affiliated subject or beneficiary of a social security scheme * Subject having given and signed an informed consent to participate in the study, or his/her guardian * Subject having a sedentary activity or practicing a usual light to moderate physical activity (physical activities \< 6 METs)
Exclusion criteria
* Subject with a parkinsonian syndrome, any impairment of the motor neuron, pain limiting the practice of physical activity * Subject with a modification of less than 3 months of psychotropic drugs * Subject practicing high intensity physical activity (\> 6 METs)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Timed Up and Go (TUG) | change between baseline and 6 month |
| MMSE globale cognitive assesment | change between baseline and 6 month |
| Attention assessed by WAIS digit spans | change between baseline and 6 month |
| Executive functions assessed by the TMT A AND B | change between baseline and 6 month |
Countries
France
Outcome results
None listed