Is it feasible to deliver a training program to reduce falls risk in adults 65 years and over with cognitive impairment and high level gait disorders?

St Vincent's Hospital, Sydney0 个研究点目标入组 30 人开始时间: 2015年12月1日最近更新: 2020年1月13日

适应症

试验速览

暂无简介。

•* age 65 years or over admitted under geriatric medicine at SVH with a variety of medical conditions or community dwelling adults aged 65 years and over who are managed by the SVH Geriatric team
•* history of falls within the last 12 months
•* higher-level gait disorders: wide-based, short-step, shuffling gait and able to mobilise with or without walking aid independently
•* timed Up & Go: equal or less than 30 seconds
•* Cognitive screening:
•- All participants will be screened with RUDAS, a score of 15-26 out of 30 is for inclusion.
•- If RUDAS score is equal to or greater than 27 out of 30 (normal range), a more sensitive tool MoCA will be used and a score of less than 26 out of 30 is for inclusion.
•- Participant will need to pass spaced retrieval screen.
•* Informed consent obtained from patient or primary carer/person responsible. A person responsible is required if RUDAS is equal or less than 20 out of 30.

•* Unstable medical conditions
•* Impaired ability to engage in intervention: inability to comprehend or follow simple task instructions, acute confusional state (e.g. delirium), active depression or other psychiatric disorders, severe behavioural disturbances
•* Gait disorders with known neurological causes, e.g. Parkinson's Disease, cerebellar ataxia, hemiparetic gait, etc.
•* Residents at Aged Care facilities who receive high level care
•* Cognitively intact patients, that is, MoCA equal or greater than 26 out of 30

发起方

St Vincent's Hospital, Sydney