Rehabilitation, Elderly Person, Teleconsultation
Conditions
Keywords
Five Time Sit To Stand, Teleconsultation
Brief summary
This study concerns elderly person aged more than 65 years with autonomous mobility. It is a multicentric randomized trial in two arms : Arm one : remote consultation then physical consultation Arm two : physical consultation then remote consultation Consultations consist to take a Five Times Sit To Stand test, in physical consultation with physiotherapist in the same room and in remote consultation with a physiotherapist in the next room to the patient.
Detailed description
This study concerns elderly person aged more than 65 years with autonomous mobility. It is a multicentric randomized trial in two arms : Arm one : remote consultation then physical consultation Arm two : physical consultation then remote consultation Consultations consist to take a Five Times Sit To Stand test, in physical consultation with physiotherapist in the same room and in remote consultation with a physiotherapist in the next room to the patient. Tests are realized at baseline after randomization. The test with best time will be considered for analysis. Once the 2 tests have been carried out, a satisfaction survey will evaluate the preference between the two tests for each patient. Patients will be re-contacted by telephone at 3, 6 and 12 months post-inclusion to collect the number of falls.
Interventions
The subject enters a room where the therapist is present. A chair is placed against a wall in the same room. Once again, the therapist suggests repeating the test. During the test, the therapist sits opposite the patient, at the same distance as the computer used during the teleconsultation.
OTHERTeleconsultation
Prior to the test, the investigator should carry out a mock test with a volunteer from the facility, for example, to ensure wifi, sound and image functionality. The patient enters a room where a computer equipped with a webcam is set up on a desk. The teleconsultation has already started when the patient enters the room. No recordings are made. A chair is placed at a distance from the desk, with the backrest against a wall. The chair faces the computer. The desk or table where the computer is located is about 3 meters from the participant, ensuring that the webcam can frame the patient's entire body during the test. With the consultation already underway, the investigator can direct the patient to sit in the chair against the wall. The investigator will make sure that the patient hears the instructions given. Once the patient is seated on the chair, the therapist explains the test procedure and shows it once to make sure the subject understands it.
Sponsors
University Hospital, Brest
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Intervention model description
Cross-sectional interventional multicenter study
Eligibility
Sex/Gender
ALL
Age
65 Years to 110 Years
Healthy volunteers
No
Inclusion criteria
* Volunteers over the age of 65. * Elderly people who can walk and move around independently. * Subjects capable of giving informed consent. * GIR 3,4,5,6. * Affiliated to a Social Security scheme.
Exclusion criteria
* GIR \< 3 * Major visual and/or hearing impairment (known pathology and not fitted with hearing aids) * Patient deprived of liberty by judicial or administrative decision, under guardianship or curatorship * Subject having refused to participate. * Subject at risk of syncope on rising (cardiac pathologies, orthostatic hypotension). * Subjects with known vestibular disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Five Time Sit To Stand test completion time in teleconsultation | At inclusion | The physiotherapist is present in a room at a distance from the patient's consultation room. The Five Time Sit to Stand (FTSS) is a functional assessment that requires a chair and a stopwatch. The patient is timed from start to finish. The time taken to complete the test is expressed in minutes. The patient performs two trials. The best result is retained for analysis. |
| Five Time Sit To Stand test completion time in face-to-face consultation | At inclusion | The physiotherapist is present in the same consulting room as the patient. The Five Time Sit to Stand (FTSS) is a functional assessment that requires a chair and a stopwatch. The patient is timed from start to finish. The time taken to complete the test is expressed in minutes. The patient performs two trials. The best result is retained for analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Five Time Sit To Stand test completion time in face-to-face consultation | At inclusion | The physiotherapist is present in the same consulting room as the patient. The Five Time Sit to Stand (FTSS) is a functional assessment that requires a chair and a stopwatch. The patient is timed from start to finish. The time taken to complete the test is expressed in minutes. The patient performs two trials. The best result is retained for analysis. |
| Satisfaction questionnaire | At inclusion | It is a questionnaire with 4 questions: Question n°1 : 3 answers Question n°2 : bimodal response (Yes /No) Question n°3 : 5 answers Question n°4 : 4 answers Moreover, the therapist completes the following question for each patient: \- Do you think this patient could benefit from a follow-up by performing the same test in teleconsultation at home? Yes/No |
| Number of falls | At Month 3, Month 6 and Month 12 | Phone calls to ask the number of falls. |
| Presence or absence of falls | At Month 3, Month 6 and Month 12 | Phone call to ask if patient has fallen (Yes/No) |
| Five Time Sit To Stand test completion time in teleconsultation | At inclusion | The physiotherapist is present in a room at a distance from the patient's consultation room. The Five Time Sit to Stand (FTSS) is a functional assessment that requires a chair and a stopwatch. The patient is timed from start to finish. The time taken to complete the test is expressed in minutes. The patient performs two trials. The best result is retained for analysis. |
Countries
France
Contacts
Primary ContactVincent CREAC'H
Outcome results
None listed