Physical Activity and Fall Prevention in Geriatric Inpatients in Acute caRe: Feasibility Study

Study Overview
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Brief Summary
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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
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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.

Official Title
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Activité Physique et prévention de la Chute du Patient âGé hospItalisé en Court séjouR: Etude de faisabilité (AGIR)

Conditions
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Elderly

Intervention / Treatment
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* Procedure: Simple physical exercises


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Low fall risk<br>low fall risk patients | Procedure: Simple physical exercises<br>* 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. 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. 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.<br>|
| Experimental: Medium fall risk<br>medium fall risk patients | Procedure: Simple physical exercises<br>* 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. 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. 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.<br>|
| Experimental: High fall risk<br>high fall risk patients | Procedure: Simple physical exercises<br>* 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. 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. 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 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. | up to 15 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | This measure will be assessed with a scale : very easy ; easy ; feasible ; difficult ; impossible | up to 20 days | 
| Time needed by the paramedical team to achieve the exercises |  | up to 20 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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65 years old or older, hospitalized in, geriatrics