Background Cognitive functioning is an important dimension among the elderly. Cognitive maintenance is vital for aging due to its association with autonomy and independence. Considering the importance of preventive programs in older adults’ health, this study aims to share an intervention protocol of a falls prevention program for community-dwelling faller older adults with cognitive impairment. Methods This is the protocol of an experimental and longitudinal study, consisting of cognitive stimulation associated with physical exercise in a 16-week fall prevention program. For cognitive intervention, the APG Cognitive Training Protocol will be used. Participants will be assessed pre-and post-intervention and will be randomly allocated to experimental or control groups. The screening protocol is composed of the TUG, FES-I, LAWTON & BRODY, ACE-R, GAI and fall survey instruments, focusing on the assessment of balance and mobility, fear of falling, performance on IADL, cognitive and anxiety tracking, respectively. Discussion This study can determine the long-term effects of multimodal cognitive training, providing evidence for its replication in the provision of care for the elderly. The objective is to promote improvements in the cognitive performance, mobility and balance of the elderly, with a focus on reducing the number of falls, fractures, hospitalizations and institutionalization, serving as an alternative to interrupt the cycle of falls. Trial registration The research was approved by the Research Ethics Committee with Human Beings at the Federal University of São Carlos, CAAE: 3654240.9.0000.5504 and Brazilian Registry of Clinical Trials (REBEC) RBR—3t85fd, registered on the 25th of September, 2020.
INTRODUÇÃO: As quedas acidentais em idosos são cada vez mais frequentes e podem causar várias complicações de saúde e até mesmo levar ao óbito. Desta maneira, programas de prevenção de quedas se tornam cada vez mais necessários e conhecer o perfil dos idosos caidores auxilia na elaboração desses programas. OBJETIVO: Caracterizar a amostra inicial de um programa de prevenção de quedas para idosos caidores da comunidade MÉTODOS: O projeto deste estudo clínico randomizado, aprovado pelo Comitê de Ética e Pesquisa da Universidade Federal de São Carlos e no Registro Brasileiro de Ensaios Clínicos, incluiu idosos brasileiros de ambos os sexos, com 60 anos ou mais, que sofreram ao menos 2 quedas no último ano e com acesso a internet. Composta por questionamentos sociodemográficos e condições de saúde, a avaliação foi realizada totalmente online e individual, por meio da plataforma Google Meet. RESULTADOS: Embora o grupo controle (GC n=15) e o grupo intervenção (GI n=16), tenham apresentado características semelhantes com a predominância de indivíduos brancos do sexo feminino, com média de 11 anos de escolaridade, com convênio médico e que sofreram em média 2 quedas, o GC é composto por voluntários mais longevos com média de 74,0 anos, enquanto o GI possui idosos mais jovens com média de 70,5 anos. No entanto, no GI, 68,75% (n=11) dos voluntários sofreram fratura prévia, enquanto que este valor é de apenas 33,34% (n=5) entre os idosos do GC. CONCLUSÃO: Foi possível delinear o perfil da amostra inicial do estudo.
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