It is well documented that aging impairs balance and functional mobility. The objective of this study was to compare the efficacy of multisensory versus strength exercises on these parameters. We performed a simple blinded randomized controlled trial with 46 community-dwelling elderly allocated to strength ([GST], N = 23, 70.2-years-old ± 4.8 years) or multisensory ([GMS], N = 23, 68.8-years-old ± 5.9 years) exercises twice a week for 12 weeks. Subjects were evaluated by blinded raters using the timed ‘up and go’ test (TUG), the Guralnik test battery, and a force platform. By the end of the treatment, the GMS group showed a significant improvement in TUG (9.1 ± 1.9 seconds (s) to 8.0 ± 1.0 s, P = 0.002); Guralnik test battery (10.6 ± 1.2 to 11.3 ± 0.8 P = 0.009); lateromedial (6.1 ± 11.7 cm to 3.1 ± 1.6 cm, P = 0.02) and anteroposterior displacement (4.7 ± 4.2 cm to 3.4 ± 1.0 cm, P = 0.03), which were not observed in the GST group. These results reproduce previous findings in the literature and mean that the stimulus to sensibility results in better achievements for the control of balance and dynamic activities. Multisensory exercises were shown to be more efficacious than strength exercises to improve functional mobility.

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Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre -including this research content -immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. S63 CARO 2021to ensure the sustainability of teleconsultation in radio-oncology. Materials and Methods:A case study was carried out in the radiooncology department. A total of 15 semi-structured interviews were conducted in the fall of 2020, 13 with doctors, one with the head of service and one with the administrative The length of the interviews ranged from 30 to 40 minutes, and all but one interview were recorded and then transcribed. In addition, reports presenting usage statistics for each modality (face-to-face, telephone and Reacts videoconferencing) were also analyzed. Results:The relevance of teleconsultation in radiation oncology was found to depend on three main factors. First, the patient care phase (pre-treatment, treatment or post-treatment). Secondly, the need to conduct a physical examination (yes or no). And finally, patient constraints (limited mobility, poor health, living far from the cancer centre, etc.) associated with their travelling to the hospital (high or low).Conclusions: Ultimately, in order to ensure the sustainability of teleconsultation in radiation oncology, there are main factors to consider. First, it is essential to define clear guidelines for the use of teleconsultation to guide medical practice. It is also important to use "success stories" to legitimize the change in practice with the medical profession and administrative staff. Also, an effective change management strategy has to be elaborated (project team, internal champions, training, support, communication, involvement, etc.) to maximize adoption and use with radiation oncologists, employee and patient. Finally, the careful selection of the video-consultation application and the offer of technological support (for doctors and patients) is essential to ensure sustainability of teleconsultation in the department.

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