In the field of geriatrics, the Standardized Geriatric Approach (SGA) which is the benchmark for assessing elderly patients, consists of evaluating the medical, psychological and functional capacity dimensions of the elderly subject, among others.
After a review of the literature, investigators were unable to find any scales that could study the ability to perform basic movements in a comprehensive and graded manner.
Scores that do assess certain aspects of motor abilities are not comprehensive, and are often based on self-reporting by the elderly or their relatives :
* The AGGIR grid assesses dependency on the basis of activities performed or not performed. In addition, all basic movements are grouped together in a single item, which does not provide detailed information on the capabilities of elderly people. * The ADL score assesses activities of daily living, based on what patients declare. Only one item concerns basic movements, without detailing them. * The Tinetti score and Time up and go do not assess all basic movements, and require the patient to be able to stand to provide relevant information, whereas many geriatrics patients are unable to stand.
Thus, investigators created a score to assess motor abilities more comprehensively that will include the following basic movements:
* Getting up in bed * Turning on one side in bed * Sitting at the edge of the bed * Stand up * Move around a small perimeter (bedroom) * Sitting up * Return to bed
The main objective is to evaluate of this study is to determine the inter-rater reliability of the GRAMPA score in elderly patients hospitalized in a geriatrics department.
Age ≥ 75 years
Patients hospitalized in the geriatrics department of the Grenoble Mutualist Hospital Group
Comprehension of the French language (understanding of instructions)
Signature of free and informed consent
Patients whose sensory and/or mental capacities do not allow them to understand the instructions for carrying out transfers.
Patients with medical or surgical contraindications making it impossible to carry out transfers.
Patients under legal protection or unable to express their consent.
Single group
GRAMPA scale
Other interventionThe GRAMPA scale will be carried out for every patient. The patient will be asked to do the following basic movement, in an order defined by the physiotherapist: * Get back into bed * Turn on the side in bed * Sit on the edge of the bed * Stand up * Move around the room * Sitting up * Getting back into bed It takes around 5 to 10 minutes to complete the scale
Assess the inter-rater reliability of the Motor Autonomy Assessment for the Elderly (GRAMPA) score.
Intra-class correlation coefficient (ICC). The score will therefore be calculated by 2 different professionals on the same patient during hospitalisation. Score total GRAMPA \[0;14\] , Score \[0-5\] significant help, Score \[6-11\] = partial assistance, Score \[12-14\] = unaided
Assess the convergent validity of the GRAMPA score against two established scales: Mini Moteur Test and Activities of Daily Living.
Correlation coefficient calculated between the GRAMPA score and each of the two scales Total TMM score \[0;20\] A high score means good physical; ADL Score 6=independent, 4=moderate impairment, 0= very dependent
Assess the convergent validity of the GRAMPA score against two established scales: Mini Moteur Test and Activities of Daily Living.
Correlation coefficient calculated between the GRAMPA score and each of the two scales Total TMM score \[0;20\] A high score means good physical; ADL Score 6=independent, 4=moderate impairment, 0= very dependent
Click on the lead sponsor to view all of their trials.
