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IRCT20150721023277N6 IRCT 2018-07-29 Iran University of Medical Sciences The Investigation of the Effect of Mental Practice on Fear Of Falling in the Community-Dwelling Elderly . The Investigation of the Effect of Mental Practice on Fear Of Falling during n Activity of Daily Living and Satisfaction in the Community-Dwelling Elderly 2018-07-31 anticipated 40 Complete https://irct.ir/trial/28359 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, a simple randomization method will be used in which a table of random number will be used, Blinding description: This study is designed as single-blind in which participants are not aware of being in control or intervention group. N/A old age - fear of falling. Intervention 1: Intervention group: First the researcher becomes familiar with the physical condition of the participants' home by observing the video which recorded by care giver and visiting their homes. This is done to increase the researchers awareness about the layout of the objects and the type of architecture of the home environment to facilitate the preparation and presentation of mental practice program specifically. According to SAFFE questionnaire, activities which participants have fear of falling facing them, will be selected and exercises will be provided in form of these activities and tailored to the circumstances of each participant's home. They will be asked to imagine their selected activities as kinetic imagery in their minds. Intervention takes place 3 days per week (Sunday, Tuesday, Thursday), which lasts for 4 weeks. Each treatment session will be held between 8 -12 in the morning. The participants will attend in a therapeutic program for intervention in a calm and well-prepared room. Each intervention session lasts 15 minutes. The first 5 minutes are relaxation exercises, such as breathing relaxation techniques to increase comfort and concentration of participants, as well as readiness for doing mental practice. The participant is placed on an appropriate bed and then closes his/her eyes. He/She is asked to think about the chosen activity based on the SAFFE questionnaire step by step with researcher guidance. In the following, he/she is asked to try to do this with more speed and skill at any period of intervention sessions. Duration of mental practice is calculated by stopwatch. Additionally, the traditional rehabilitation program in the form of balance exercises will also be provided to the intervention group by written instructions and consultation for exercising at home. These exercises will be performed at home in form of activities of daily living to increase balance for 4 weeks, three days per week about half an hour a day. Every 4 sessions, home interventions will be monitored by researcher through a video check of each session recorded by caregivers. Intervention 2: Control group: The traditional rehabilitation program in the form of balance exercises will also be provided to the control group by written instructions and consultation for exercising at home. These exercises will be performed at home in form of activities of daily living to increase balance about half an hour a day, three days per week for 4 weeks. Every 4 sessions, home interventions will be monitored by researcher through a video check of each session recorded by caregivers. No - There is not a plan to make this available Justification or reason for not sharing IPD is playgerism
public Laleh Lajevardi
School of Rehabilitation, Shahid Shahnazari Street, Madar Square, Mirdamad Blvd, Tehran
Tehran Iran (Islamic Republic of) 15459-13487 +98 21 2222 8051 lajevardi.l@iums.ac.ir Iran University of Medical Sciences scientific Ghorban Taghizade
School of Rehabilitation, Shahid Shahnazari Street, Madar Square, Mirdamad Blvd, Tehran
Tehran Iran (Islamic Republic of) 15459-13487 +98 21 2222 8051 gh_taghizade@yahoo.com Iran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Having a score 21 or higher from MMSE cognitive test being at the age of 80-60 years Having a minimum score of 24 from the Efficiency Scale, International Form (FES-I). Having a score less than 33 in the internal visual imagery subscale, less than 20 in the external visual imagery subscale , and less than 21 in the kinesthetic imagery subscale of the VMIQ-2 questionnaire. Having fear of falling at least in one of the activities listed in the SAFFE Test. absence of specific visual or hearing impairment , if present, being modifiable with adaptable equipment (based on medical records of the center). Reading and writing skills. 60 years 80 years Both Using disruptive equilibrium drugs. Having neurological diseases such as dementia, Alzheimer's, stroke, Parkinson's and MS that causes cognitive or balance impairment (geriatric physician confirmation). Rehabilitation Rehabilitation Intervention group: First the researcher becomes familiar with the physical condition of the participants' home by observing the video which recorded by care giver and visiting their homes. This is done to increase the researchers awareness about the layout of the objects and the type of architecture of the home environment to facilitate the preparation and presentation of mental practice program specifically. According to SAFFE questionnaire, activities which participants have fear of falling facing them, will be selected and exercises will be provided in form of these activities and tailored to the circumstances of each participant's home. They will be asked to imagine their selected activities as kinetic imagery in their minds. Intervention takes place 3 days per week (Sunday, Tuesday, Thursday), which lasts for 4 weeks. Each treatment session will be held between 8 -12 in the morning. The participants will attend in a therapeutic program for intervention in a calm and well-prepared room. Each intervention session lasts 15 minutes. The first 5 minutes are relaxation exercises, such as breathing relaxation techniques to increase comfort and concentration of participants, as well as readiness for doing mental practice. The participant is placed on an appropriate bed and then closes his/her eyes. He/She is asked to think about the chosen activity based on the SAFFE questionnaire step by step with researcher guidance. In the following, he/she is asked to try to do this with more speed and skill at any period of intervention sessions. Duration of mental practice is calculated by stopwatch. Additionally, the traditional rehabilitation program in the form of balance exercises will also be provided to the intervention group by written instructions and consultation for exercising at home. These exercises will be performed at home in form of activities of daily living to increase balance for 4 weeks, three days per week about half an hour a day. Every 4 sessions, home interventions will be monitored by researcher through a video check of each session recorded by caregivers. Control group: The traditional rehabilitation program in the form of balance exercises will also be provided to the control group by written instructions and consultation for exercising at home. These exercises will be performed at home in form of activities of daily living to increase balance about half an hour a day, three days per week for 4 weeks. Every 4 sessions, home interventions will be monitored by researcher through a video check of each session recorded by caregivers. Score of fear of falling in activity of daily living in the Activities-specific Balance Confidence questionnaire. Timepoint: Measure fear of falling in activity of daily living at the beginning of the study (before the intervention) and 28 days (4 weeks) after the intervention. Method of measurement: Activities-specific Balance Confidence questionnaire. Satisfaction in activity of daily living, the score derived from the Canadian Occupational Performance Measure. Timepoint: Measuring satisfaction degree in activity of daily living at the beginning of the study (before the intervention) and 28 days (4 weeks) after the intervention. Method of measurement: Canadian Occupational Performance Measure Inventory. Balance Score in Berg Balance Scale and Functional Reach Test. Timepoint: Measurement of balance at the beginning of the study (before the intervention) and 28 days (4 weeks) after the intervention. Method of measurement: Berg Balance Scale and Functional Reach Test Questionnaire. Functional mobility score in Time UP and GO test. Timepoint: Measurement of functional mobility at the beginning of the study (before the intervention) and 28 days (4 weeks) after the intervention. Method of measurement: Time UP and GO test to measure functional mobility. Iran University of Medical Sciences Approved 2017-08-28 Ethics Committee of Iran University of Medical Sciences School of Rehabilitation, Shahid Shahnazari Street, Madar Square, Mirdamad Blvd, Tehran Tehran Tehran Iran (Islamic Republic of)