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Fear to fall has been proven to be a risk factor affecting those geriatric patients who have previously suffered a fall. In this work it is assessed the effectiveness of a physiotherapy and psychological combined intervention, aimed at reducing the fear to fall in the aforementioned patients
One of the main consequences of falling is the fear to fall again. This involves changes in the elderly behaviour which leads to a reduction of the physical activity, higher need of cares, reduction of the quality of life and risk of social isolation. In this framework, this works is aimed at performing a treatment to reduce the fear to fall in those geriatrics patients with previous falls, based on the combination of physical activity, health education and cognitive-behavioural psychological treatment targeted to this effect. The reason is that literature points at combined treatment use to present higher effectiveness
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EXPERIMENTAL | Experimental | Physiotherapy intervention, plus cognitive-behavioural intervention |
|
| CONTROL | Active Comparator | Physiotherapy intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physiotherapy intervention | Other | Physiotherapy intervention consists of conventional exercise program administered to this kind of patients at Hospital Clinico, including strengthening and balance exercises |
| Measure | Description | Time Frame |
|---|---|---|
| Fear Related Psychological Concerns (Falls) | Assessed in terms of the Falls Efficacy Scale International (FES-I) results | Prospective change from baseline to end of intervention (8 weeks) |
| Fear Related Psychological Concerns (Balance) | Assessed in terms of the Activities-Specific Balance Confidence (ABC) scale results | Prospective change from baseline to end of intervention (8 weeks) |
| Fear Related Psychological Concerns (Fear) | Assessed in terms of the Visual Analog Scale results (0-10) | Prospective change from baseline to end of intervention (8 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Risk of Falling | Assessed in terms of the Timed up & Go test | Prospective change from baseline to end of intervention (8 weeks) |
| Center Epidemiological Studies Depression Scale | This is a measurement scale of depression |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Celedonia Igual, Professor | University of Valencia | Principal Investigator |
| Jose M Blasco, PhD | University of Valencia | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Valencia | Valencia | 46010 | Spain |
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| Cognitive-behavioural Intervention | Behavioral | Psychological treatment consists of group talks to treat the fear to fall |
|
| Prospective change from baseline to end of intervention (8 weeks) |
| Ryff Scale | It is a scale for measuring psychological well-being | Prospective change from baseline to end of intervention (8 weeks) |