The post-fall syndrome or psychomotor disadaptation syndrome can be considered as a complication of a fall and can lead to a total loss of autonomy. This syndrome remains little studied, despite its important frequency in acute geriatric services or geriatric rehabilitation care, and despite its recognized seriousness. Decreased grip strength seems to be a risk factor for psychomotor disadaptation syndrome in after a fall, which is why we hypothesize that muscle strengthening adapted to the elderly subject would limit the appearance of this syndrome. By limiting this risk, it would reduce complications such as loss of functional independence, but also reduce the number and duration of hospitalization of elderly patients.
Subject over 70 years of age at the time of signing the consent, with no upper limit,
History of a fall,
Subject affiliated with a social health insurance plan, beneficiary or beneficiary's assistant
Subject able to understand the objectives and risks of the research and to give dated and signed informed consent.
Osteoarticular limitations compromising muscle strengthening,
Unstabilized cardiac pathologies,
Unstabilized chronic pathologies,
Unstabilized ventricular and supraventricular rhythm disorders or ECG abnormalities at the inclusion visit,
Parallel
rehabilitation with muscle strengthening + Oral Nutritional Supplements
Dietary supplementCombination of protein intake and muscle strengthening exercises for the improvement of walking capacities, patients in the experimental group
rehabilitation with muscle strengthening
Other interventionPhysical activity with only muscle strengthening
Incidence of psychomotor disadaptation syndrome
The primary endpoint will be the incidence of psychomotor disadaptation syndrome after a fall in subjects over 70 years of age who are receiving or not receiving adapted muscle strengthening. The determination of the psychomotor disadaptation syndrome is clinical and includes retropulsion, fear of falling, fear of verticality, oppositional hypertonia or an abrupt break with the previous functional state without obvious organic cause. It can be identified after of a fall by the family, by the nurses and physiotherapists in charge of the participants, by the doctors and physiotherapists of the HDJ, by their GP, by the emergency physicians if the patient is referred to the emergency room, by the hospital doctors in case of hospitalization, and will be identified during the visits at 1 and 2 years and during the telephone calls every 4 months.
Incidence of psychomotor disadaptation syndrome complications following a fall
the number of falls, repeat falls (≥ 2 falls in a 12-month period)
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