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New Clinical Rehabilitation Approach for the Management of Falls Risks

Parkinson Disease | Chronic Disease | Fall Patients | Aging Problems | Postural Low Back Pain | Musculoskeletal Diseases

Accidental falls in older adults are one of the world's major pubic health problem, because of their strong association with injuries and mortality rates. In Quebec, falls are responsible for a high rate of hospitalization (more than 1800 emergency department visits every day) and deaths (more than 10,000 in recent years). Preventing falls is therefore a key mission for health professionals. This research program aims to develop a new clinical approach to the rehabilitation management of the older with a neuro-musculoskeletal disorder and a risk of falling. This program is part of a new partnership project between UQAC and specialized geriatric services at the CIUSSS Saguenay-Lac-St-Jean (La Baie site). These geriatric services admit more than 400 new patients per year, representing a large pool of participants for the new program's development. Specifically, this program has 4 phases: 1) Create a clinical profile of patients in rehabilitation care from specialized geriatric services (ex: reasons for consultation, neuro-musculoskeletal disorders, rates and causes of falls, etc.); 2) to diagnose functional deficits of these patients on different dimensions of functional and physical evaluations, using standardized tests and high-tech instruments (ex: platform of force); 3) determine the effectiveness of a new exercise intervention program (OTAGO) for falls prevention; and 4) Measure client and professional team satisfaction as well as long-term impact of this new approach used to prevent falls. The most significant impact of this new program will be to reduce public health expenditure for care of older adults with balance disorder and risk for falls; and therefore, be implanted in other CIUSSS institutions from Quebec.

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Conditions de participation

  • Sexe:

    ALL
  • Âges admissibles:

    65 and up

Critères de participation

Inclusion Criteria:

* Admitted to La Baie Hospital rehabilitation services; or
* Admitted to the waiting list for geriatric services at La Baie Hospital; or
* Older adults from the communityé
* Age 65 and over
* Able-bodied adult with minimal autonomy to perform fall-prevention tests and exercises.
* Have at least one neuro-musculo-skeletal disorders and risk of falls

Exclusion Criteria:

* Cancer
* Red flags (infection, tumor, etc.)
* Severe psychiatric disorders
* Palliative care
* Congenital spinal deformity (spondylolysis, intervertebral fusions)
* Severe systemic syndromes or diseases that may prevent tests and exercises from being performed.
* Stroke - very acute phase (1 week) and this until medial hemodynamic stability.

Lieu de l'étude

Rubens da Silva
Rubens da Silva
Saguenay, Quebec
Canada

Contactez l'équipe d'étude

Primary Contact

Rubens da Silva, PhD

[email protected]
4185455011
Étude parrainée par
Université du Québec à Chicoutimi
Participants recherchés
Plus d'informations
ID de l'étude: NCT06175871