Evidence map›Paper›PMID 39494368›Full record

Trial reportClinical interventions in aging2024

Effects on Physical Functioning and Fear of Falling of a 3-Week Balneotherapy Program Alone or Associated with a Physical Activity and Educational Program in Older Adult Fallers: A Randomized-Controlled Trial.

Pierre Louis Bernard, Xavier de la Tribonniere, Alessandra Pellecchia, Lucie Gamon, Fanchon Herman, Marie-Christine Picot, Nathalie J Raffort, Thierry Paillard, Jean-Baptiste Robiaud, Gregory Ninot and 2 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical interventions in aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pierre Louis BernardEuromov Digital Health in Motion, Université de Montpellier, IMT Mines d'Ales, France.
Xavier de la TribonniereTransversal Patient Education Unit (UTEP), University Hospital of Montpellier, Montpellier, France.
Alessandra PellecchiaTransversal Patient Education Unit (UTEP), University Hospital of Montpellier, Montpellier, France.
Lucie GamonCentre d'Investigation Clinique 1411, University Hospital of Montpellier, Montpellier, France.
Fanchon HermanCentre d'Investigation Clinique 1411, University Hospital of Montpellier, Montpellier, France.
Marie-Christine PicotCentre d'Investigation Clinique 1411, University Hospital of Montpellier, Montpellier, France.ORCID 0000-0003-4204-7299
Nathalie J RaffortBalaruc-les-bains balneotherapy centre, Balaruc-les-bains, France.
Thierry PaillardMovement, Balance, Performance and Health Laboratory, University of Pau and Pays de l'Adour, Tarbes, France.
Jean-Baptiste RobiaudDepartment of Geriatrics, University of Montpellier, Montpellier, France.
Gregory NinotDesbrest Institute of Epidemiology and Public Health UMR 1318 Inserm - University of Montpellier, Montpellier, France.
Jean BousquetInstitute of Allergology, Charite - Universitätsmedizin Berlin, Berlin, Germany.
Hubert BlainDepartment of Geriatrics, University of Montpellier, Montpellier, France.ORCID 0000-0002-0177-2470

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The effects on gait and posture of balneotherapy in fallers are unknown. We assessed the effects on physical functioning and fear of falling of a balneotherapy program alone or combined with a physical activity and educational program in older adult fallers. Methods: A multicenter randomized controlled trial enrolled patients aged 65 or older referred to a 3-week balneotherapy program, and screened for risk of falling (a history of falls in the last year and a timed up and go test or a five chair rising test >12 sec or a 4-meter walk test >4 sec). In addition to balneotherapy, patients had either no intervention (controls) or twelve 60-minute sessions of physical activity including 15 minutes of health education and three 90-minute sessions of an educational program (intervention). Results: There were 118 control and 105 intervention patients. The balneotherapy program alone had a clinically significant effect on (i) the grip strength, (ii) the five chair rising test, (iii) the 4-meter walk test, and (iv) the short physical performance battery (Cohen's d 0.29-0.46). It had no effect on (i) the maximum time stood on one foot, and (ii) the timed up and go test. Furthermore, it worsened the falls efficacy scale (d = 0.27). Adding a physical activity and educational program significantly improved (i) the time stood on one foot (Cohen's d =-0.34), and (ii) the timed up and go test (d=- 0.44), (iii) and reduced the concern about falling (Falls Efficacy scale, d=-0.25), and (iv) the fear of falling (d=-0.34). Conclusion: Older patients referred to a balneotherapy program and at high risk of falling when screened at the entrance of the center should be offered an additional physical and educational program to further improve the functional effects of balneotherapy on the timed up and go test, balance, and the fear of falling.

Indexed as

Accidental FallsBalneologyExerciseFearPostural BalanceAgedAged, 80 and overFemaleGaitHand StrengthHumansMalePatient Education as TopicWalk Testbalneotherapyeducational programfallsfear of fallingphysical activityphysical performances

Identifiers

PMID39494368
PMCPMC11531715

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.