Impact of Telephone Coaching on Physical Performance in a Physical Exercise Maintenance Program for Fallers Elderly Patients Living at Home

At home, maintenance, physical performance declines more or less rapidly from 6 weeks depending advancing age and duration of the training period . It is feared that the advice or prescription of regular physical maintenance at the exit of the service, has only adherence to the 50% like the medication prescribed. A US study of 2000 on the observance of healthy living recommendations, despite the many messages promoting physical activity, shows that only 24% of Americans aged 65 to 74 were taking physical activity regular. There are no French-date data. If physical maintenance is routinely recommended for the elderly living at home, so the way to encourage these people to practice more often possible these recommendations remains therefore a problem of public health. The recent OSSEBO study (intervention for the prevention of injurious falls in elderly women: background and design) recalled the interest to propose a program of physical exercise to reduce trauma and falls in the elderly. It also shows the possibility to implement an effective program on a long-term and large scale in France. The study allowed patients to participate in collective sessions of physical exercises, within the framework of an association. Patients were invited to continue their home exercises they had learned. Also, the investigators hypothesize that the monthly telephone coaching , directed by the physical therapist following a physical fitness exercise program which they have been trained during their hospitalization in SSR , would allow older patients to maintain fallers their physical performance at home for at least 6 months after leaving

Inclusion Criteria: * patient aged 65 and over * Patient having a physiotherapy treatment * Faller patient ( a fall in the preceding 12 months) * patient leaving the service to return home or living at home * Patient with a score ≥ 24/30 in the Mini Mental Status (MMS ) * patient able to get up a seat and walk 6 meters without human assistance (corresponds to test TUG ) patient * informed of the study has given free and informed consent Exclusion Criteria: * Patient under judicial protection , under guardianship * patient with active disease , with degenerative impact on walking, * patient unable to use the phone * patient with visual impairments preventing reading the physical maintenance program * Refusal of patient participation * Patient not wishing to stop his liberal physiotherapy care to driving * Patient included in another interventional research protocol