The impact of therapeutic patient education and physical activity programs on the fall risk of elderly people

A. Perrot, Amir Ayad, M. Gernigon, Pauline Maillot
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Abstract

Objective: The objective of this study is to evaluate the effectiveness of a combined therapeutic education/physical activity program on risk factors for falls in elderly fall patients hospitalized in a rehabilitation healthcare service. This combined program is compared to a control program, which offers physical activity only. Method: Thirty fall patients are evaluated on the TUG, Tinetti, and FES-I tests and randomly assigned either to the group consisting of 24 sessions of physical activity alone, with endurance, stretching, balance and muscle strengthening exercises, or to the physical activity group combined with four therapeutic fall prevention education sessions. Results: For both programs, results reveal significant differences between the pre-tests and post-tests on each balance score and equally on fear of falling. An interaction effect (group × time) is observed on the FES only, which means that fear of falling decreases significantly more in the Physical Activity and Patient Education group than in the Physical Activity alone group. Conclusion: Therapeutic patient education seems to reduce fear of falling. This highlights the potential impact that such programs could have on elderly people who have had a previous fall/falls in terms of regaining self-confidence when going about their daily activities.
治疗性患者教育和体育活动计划对老年人跌倒风险的影响
目的:本研究的目的是评估综合治疗教育/身体活动计划对康复保健服务住院的老年跌倒患者跌倒危险因素的有效性。这个组合程序与只提供体力活动的控制程序相比较。方法:对30例跌倒患者进行TUG、Tinetti和FES-I测试,随机分为24次体育锻炼组,包括耐力、拉伸、平衡和肌肉强化训练,或体育锻炼组,结合4次治疗性预防跌倒教育。结果:在这两个项目中,测试前和测试后在每个平衡分数上的结果都有显著差异,对摔倒的恐惧程度也有显著差异。相互作用效应(组×时间)仅在FES上观察到,这意味着体育活动和患者教育组比单独体育活动组更明显地减少了对跌倒的恐惧。结论:治疗性患者教育似乎可以减少对跌倒的恐惧。这凸显了此类项目对有过跌倒经历的老年人在日常活动中恢复自信的潜在影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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