L'atelier de relever du sol : une action préventive visant à lutter contre les complications des chutes chez le sujet âgé

In the old person who falls, long stay on floor is a recognised marker of severity, which can have serious consequences, both physically and psychologically. Falls can result in a real psychic trauma, especially when the person was unable to prepare for the event, was surprised by its violence, which undermines its ability to respond in an appropriate way, and was unable to get up. In consequence care for the elderly at risk of falling, should therefore prepare the subject to the possibility of a new fall and give response strategies to reduce the duration of the maintenance to the floor or, at least, the deleterious effects of prolonged floor station. In this objective, we designed collective training exercises to get up from the ground, included in a programme of therapeutic education of the elderly person who falls. For a duration of 1 h 30 min, the exercises are animated jointly by a kinesitherapist, an occupational therapist and a psychologist, in a room having adapted equipment (groundsheet, etc.). It proposes to put itself in a situation through exercises such as the mobilization on the ground, the passage of the reclining position with the sitting position or the work of verticalisation, associated with a regular verbal expression of its felt. Such that the participants testify, training exercises to get up from the ground takes part to break the insulated feel of each one and to make less dramatic the fall. It gives the elderly resources to better cope with recurrent falls, so as to limit the physical consequences and adverse effects on self-esteem.