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IRCT20211201053248N1 IRCT 2022-01-19 Mashhad University of Medical Sciences The effect of cognitive-behavioral therapy on the elderly with fear of falling The effect of cognitive-behavioral therapy on the stages of planning and predicting the time of movement in the elderly with fear of falling 2022-01-21 anticipated 36 Complete https://irct.ir/trial/60416 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Envelopes are prepared for the number of participants in the study (36 people) which are placed inside 18 envelopes of odd numbers and in the remaining 18 envelopes of even numbers and then we combine the envelopes by chance and from this random combination Sample people select one of the envelopes and are divided into intervention and control groups, respectively, being even or odd, Blinding description: This is a one-way blind study in which the statistician is an independent person who analyzes data and is unaware of the allocation of groups. And the evaluator is an independent person and evaluates the consequences and is unaware of the allocation of groups. N/A Fear of falling. Intervention 1: The "intervention group" is treated with a combination of routine walking rehabilitation as well as cognitive-behavioral therapy to reduce the fear of falling. Common walking rehabilitation includes a number of active range-of-motion exercises for all joints of the body, progressive strengthening exercises to guide the hip extensor and abductor, knee and dorsal extensors and flexors, and plantar flexors of the ankle, as well as other skills including transition from sitting to sitting. Conversely, knee squats, standing on one foot, standing back and walking, walking on heels, walking on and off, spinning, stepping on, picking up objects while walking, and on stairs. And go down. These exercises are performed twice a week for 45 minutes for 12 weeks. Cognitive-behavioral therapy in this group aims to reduce the fear of falling and improve self-efficacy. This treatment has different parts, including the use of positive words before and after performing a skill move to build a negative attitude and reassurance in performing the skill. This positivity starts as part of simple skills and progresses to more complex motor skills over distances and less support. Another part of this method is visualizing the correct pattern of a skill before doing it. For example, a correct gait pattern in the face of an environmental disturbance is taught by the therapist and the therapist is asked to visualize the ability to do so before doing so. Another part of this treatment is to improve the self-efficacy of the individual. In this case, the person discusses in his mind these questions, 'what a great success it would be if I walked in any place of fear as in the past', how he reacts to those around me against this without progress. This treatment is done in groups (6 to 8 people in each group) once a week for 2 hours for 12 weeks. Intervention 2: Control group: Conventional gait rehabilitation is performed exactly the same as the intervention group twice a week for 45 minutes for 12 weeks. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Roghaye Dive
Seyedniaz village
Gonbad Ghabos Iran (Islamic Republic of) 4977184669 +98 17 3324 9324 Divehroghaye@gmail.com Mashhad University of Medical Sciences scientific Hossein Asghar Hosseini
Faculty of Paramedical Sciences، ‏University Campus، ‏East Door of Ferdowsi University of Mashhad، ‏Azadi Square
Mashhad Iran (Islamic Republic of) 9177948964 051 38846710_20 hosseiniha@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Fear of falling without cognitive impairment Independence in daily activities Able to walk at least 20 meters without aids Ability to participate in treatment sessions Age between 60 and 80 years 60 years 80 years Both Any acute or chronic illness that affects balance and gait control Existence of cognitive disorders Acute psychiatric illness with psychosis Rehabilitation Rehabilitation The "intervention group" is treated with a combination of routine walking rehabilitation as well as cognitive-behavioral therapy to reduce the fear of falling. Common walking rehabilitation includes a number of active range-of-motion exercises for all joints of the body, progressive strengthening exercises to guide the hip extensor and abductor, knee and dorsal extensors and flexors, and plantar flexors of the ankle, as well as other skills including transition from sitting to sitting. Conversely, knee squats, standing on one foot, standing back and walking, walking on heels, walking on and off, spinning, stepping on, picking up objects while walking, and on stairs. And go down. These exercises are performed twice a week for 45 minutes for 12 weeks. Cognitive-behavioral therapy in this group aims to reduce the fear of falling and improve self-efficacy. This treatment has different parts, including the use of positive words before and after performing a skill move to build a negative attitude and reassurance in performing the skill. This positivity starts as part of simple skills and progresses to more complex motor skills over distances and less support. Another part of this method is visualizing the correct pattern of a skill before doing it. For example, a correct gait pattern in the face of an environmental disturbance is taught by the therapist and the therapist is asked to visualize the ability to do so before doing so. Another part of this treatment is to improve the self-efficacy of the individual. In this case, the person discusses in his mind these questions, 'what a great success it would be if I walked in any place of fear as in the past', how he reacts to those around me against this without progress. This treatment is done in groups (6 to 8 people in each group) once a week for 2 hours for 12 weeks. Control group: Conventional gait rehabilitation is performed exactly the same as the intervention group twice a week for 45 minutes for 12 weeks. The time difference between the mental imagination of doing movement and the actual doing of movement. Timepoint: Before the intervention and 12 weeks after the intervention. Method of measurement: Timed Up and Go Test. Level of fear of falling. Timepoint: Before the intervention and 12 weeks after the intervention. Method of measurement: Falls Efficacy Scale International. The risk of falling. Timepoint: Before the intervention and 12 weeks after the intervention. Method of measurement: Dynamic Gait Index. Mashhad University of Medical Sciences Approved 2021-12-11 Ethics Committee of School of Paramedical Sciences and Health School of mashhad Mashhad University o Mashhad, Azadi St., East Door of Ferdowsi University of Mashhad, University Campus, Faculty of Paramedical Sciences Mashhad Razavi Khorasan Iran (Islamic Republic of)