Multidisciplinary management in geriatric day-hospital is beneficial for elderly fallers: a prospective study of 28 cases.
We determined whether management including medical, psychological, and physiotherapeutic approaches, over a period of 6 weeks, has a beneficial effect on motor abilities, psychological status, and independence of elderly fallers with psychomotor disadaptation syndrome (PDS). We included 28 subjects (mean age 81.4 years). They were assessed from a medical, motor, and psychological point of view at both the inclusion and the end of the multidisciplinary intervention. A follow-up was conducted with multidisciplinary assessment at 6 and 9 months after the beginning of the study in order to evaluate duration of benefits of the management. The statistical analysis concerned only subjects who took part in the total multidisciplinary program, i.e., 14 subjects. The multidisciplinary intervention had an overall positive impact on motor abilities as shown by the increase in the mini-motor test scores, the rate of success in rising from the floor and decrease of time for the dual task. This study also showed a reduction in the fear of falling and a decrease in the rate of fallers. This positive effect on motor abilities, fear of falling and rate of fallers was sustained until 9 months after the beginning of the multidisciplinary management. This study shows the importance of a multidisciplinary management of elderly fallers with PDS.
Manckoundia
Patrick
P
Service de Médecine Interne Gériatrique Hôpital de Champmaillot CHU, BP 87 909, 2, rue Jules Violle, F-21 079 Dijon Cedex, France. patrick.manckoundia@chu-dijon.fr
Gerbault
Nathalie
N
Mourey
France
F
d'Athis
Philippe
P
Nourdin
Christiane
C
Monin
Marie-Pierre
MP
Camus
Agnès
A
Pfitzenmeyer
Pierre
P
D000058:Accidental Falls / Q000517:prevention & control*; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D015928:Cognitive Behavioral Therapy; D005081:Exercise Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010348:Patient Care Team / Q000458:organization & administration*; D011446:Prospective Studies; D011596:Psychomotor Disorders / Q000150:complications / Q000523:psychology / Q000628:therapy*; D013577:Syndrome