Clinical trial NCT04702828: The Influence Of Physiological And Psychological Factors On Fall Syndrome
Official title: Fall Syndrome: The Influence Of Physiological And Psychological Factors On Behavior After Falls Principal Investigator
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Fall
Keywords: Fall Syndrome, elderly,Physiological,Psychological
Lead sponsor: Taipei Medical University
Sponsor class: OTHER
First posted: 2021-01-11
Enrollment: 100
Sex: ALL
Minimum age (years): 65
Maximum age (years): 99
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Older participants with a history of fall within 2 months will be recruited from the emergency department in a regional hospital and older participants without a history of fall in the past year will be recruited from the community daycare centers.

Brief summary: Most of previous studies are cross-sectional studies, and rarely explore the changes in physical activity, mental state, cognitive and motor functions over time after a fall. Therefore, we hope to find out what changes in the elders' physiological and psychological functions after a fall.

Detailed description: Falls are the main cause of accidental injuries that are common among the elderly. In Taiwan, the incidence of falls is about 15% to 34%. Falling can cause subsequent serious injuries and post-fall syndromes. Post-fall syndrome is common after a fall. The symptoms of self-restricted activity for fear of falling again affect about one-fifth of older fallers. This syndrome develops within a short period of time after a fall, which not only causes serious problems but also affects psychological symptoms and dependence on daily life functions. All of these reduce the function of movement and increase the chance of falling again. However, most of the past studies are cross-sectional studies, and rarely explore the changes in physical activity, mental state, cognitive and motor functions over time after a fall. Therefore, the study will investigate the changes in physiological and psychological functions after a fall among older adults who experiences a recent fall within 2 months. Additionally, the physiological and psychological functions will be compared between older adults with and without a history of falls.

Eligibility criteria: Inclusion Criteria:

1.60 years to 99 years old 2.Fall experiences within two months 3.Can understand and answer the questions 4.Can give their informed consent

Exclusion Criteria:

1.Serious fracture or head trauma caused by a fall, 2.Unable to perform a walking test, 3. Neurological diseases

Primary outcomes:
measure: Visual acuity
timeFrame: Baseline
measure: Vertigo symptom
timeFrame: Baseline
measure: Medication history
timeFrame: Baseline
measure: Static balance
timeFrame: Baseline
measure: Dynamic balance
timeFrame: Baseline
measure: Walking ability
timeFrame: Baseline
measure: Hand grip
timeFrame: Baseline
measure: Lower limbs strength
timeFrame: Baseline
measure: Function ability
timeFrame: Baseline
measure: Cognitive function (mild cognitive impairment)
timeFrame: Baseline
measure: Cognitive function (dementia)
timeFrame: Baseline
measure: Fear of falling
timeFrame: Baseline
measure: The confidence of balance
timeFrame: Baseline
measure: Depression Anxiety and Stress
timeFrame: Baseline
measure: Sarcopenia
timeFrame: Baseline
measure: Frailty
timeFrame: Baseline
measure: Basic Activity of Daily Living
timeFrame: Baseline
measure: Instrumental Activity of Daily Living
timeFrame: Baseline
measure: Health-related quality of life
timeFrame: Baseline
measure: Physical Activity
timeFrame: Baseline
measure: Social function survey
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: Community Daycare Center
Study officials:
affiliation: School of Gerontology Health Management
name: Shu-Chun Lee, PhD
role: PRINCIPAL_INVESTIGATOR
References: