Backward Chaining Training After Falls in Older Adults
Abstract
Falls can lead to serious consequences, such as the metabolic complications of prolonged immobilization on the ground or fear of falling (FOF) syndrome. We aimed to determine whether learning how to rise from the ground using the backward chaining method (BCM) can help to prevent these consequences. This was a non-randomized interventional study in real-life conditions that included patients aged 75 and over, hospitalized following a fall with prolonged immobilization on the floor. The assessment included physical and individual characteristics and ability to rise from the ground using the BCM. Each participant returned home with a prescription for physiotherapy sessions using BCM and a second evaluation was carried out after hospital discharge. Twenty-two patients participated. At baseline, more than two-thirds had moderate or high FOF. There was a trend toward improvement in patients able to rise from the ground at baseline and in those who received physiotherapy. Patients who received physiotherapy fell significantly less often than those who did not. Learning to rise from the ground using BCM, combined with physiotherapy, may reduce complications from prolonged immobilization and decrease the occurrence of FOF syndrome.
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BibTeX
@article{devisscher2026backward,
title = {{Backward Chaining Training After Falls in Older Adults}},
author = {Thomas Devisscher and Valentin Feraux and François-Régis Sarhan and Cyrille Capel and Frédéric Bloch and Julien Moyet},
journal = {Activities, Adaptation and Aging},
year = {2026},
month = sep,
doi = {10.1080/01924788.2026.2728789},
url = {https://u-picardie.hal.science/hal-05749141v1},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Backward Chaining Training After Falls in Older Adults
AU - Thomas Devisscher
AU - Valentin Feraux
AU - François-Régis Sarhan
AU - Cyrille Capel
AU - Frédéric Bloch
AU - Julien Moyet
PY - 2026
DA - 2026/09/08
JO - Activities, Adaptation and Aging
DO - 10.1080/01924788.2026.2728789
UR - https://u-picardie.hal.science/hal-05749141v1
AB - Falls can lead to serious consequences, such as the metabolic complications of prolonged immobilization on the ground or fear of falling (FOF) syndrome. We aimed to determine whether learning how to rise from the ground using the backward chaining method (BCM) can help to prevent these consequences. This was a non-randomized interventional study in real-life conditions that included patients aged 75 and over, hospitalized following a fall with prolonged immobilization on the floor. The assessment included physical and individual characteristics and ability to rise from the ground using the BCM. Each participant returned home with a prescription for physiotherapy sessions using BCM and a second evaluation was carried out after hospital discharge. Twenty-two patients participated. At baseline, more than two-thirds had moderate or high FOF. There was a trend toward improvement in patients able to rise from the ground at baseline and in those who received physiotherapy. Patients who received physiotherapy fell significantly less often than those who did not. Learning to rise from the ground using BCM, combined with physiotherapy, may reduce complications from prolonged immobilization and decrease the occurrence of FOF syndrome.
SN - 0192-4788
SN - 1544-4368
ER -