Effect of Physiotherapy in Patients Presenting to the Emergency Department After a Fall. A Brief Intervention Focusing on Patient Reported Outcomes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fear of Falling
- Sponsor
- University Hospital, Basel, Switzerland
- Enrollment
- 104
- Locations
- 1
- Primary Endpoint
- Change in short International Falls efficacy scale (sFES-I)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this monocentric, block-randomized, controlled, open-label, parallel-group study is to assess whether patients presenting to the emergency department (ED) with a fall within the past 7 days would benefit from a physiotherapy intervention, as compared to patients without physiotherapy intervention at the time of ED presentation. Primary objective of this study is to assess "fear of falling" 7 days after ED presentation with versus without a physiotherapy intervention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Written informed consent
- •History of falls within the last 7 days
- •Presentation to the ED of the University Hospital Basel
Exclusion Criteria
- •Inpatient disposition after ED work-up
- •Immobilizing fractures of the lower extremities
- •Inability or contraindications to undergo the investigated intervention or follow the study procedures, e.g. due to certain neurological disorders (such as parkinsonism, hemiplegia, severe multiple sclerosis), language problems, psychological disorders, cognitive impairment
- •Prior enrolment in this trial
Outcomes
Primary Outcomes
Change in short International Falls efficacy scale (sFES-I)
Time Frame: At Day 0 and Day 7 ± 7 days
Change in the fear of falling between groups at day 7, measured by the short International Falls efficacy scale (sFES-I). It is a 7-item questionnaire where individuals are instructed to score their concern of falling during an activity on a 4 point Likert scale with 1 as not concerned at all and 4 as very concerned. The item scores are summed up to obtain a total, with a higher score indicating a higher fear of falling.
Secondary Outcomes
- Occurence of falls(Day 7 ± 7 days, Day 21 ± 3 days, Day 42 ± 3 days)
- Feasibility of the intervention(At Day 0)
- Change in short International Falls efficacy scale (sFES-I)(At Day 0, Day 7 ± 7 days, Day 21 ± 3 days, Day 42 ± 3 days)
- Utilization of medical resources(Day 7 ± 7 days, Day 21 ± 3 days, Day 42 ± 3 days)
- Satisfaction with ED work-up(Day 7 ± 7 days)
- Objective functional levels in the intervention group(At Day 0 and Day 7 ± 7 days)