Introduction : Covid-19 infection has particularly affected older adults. Clinical observations in this population highlight major respiratory impairment associated with development or aggravation of frailty state.Case Presentation : Mr P is a 93 years old frail patient, hospitalized after a COVID-19 infection. The assessment process of this patient has been supported by an innovative multi-systemic tool developed in view of the COVID-19 clinical consequences and a systemic evaluation of motor functions by the Frail BESTest. This process allowed presenting a mixed clinical picture associating an important respiratory distress (linked with the acute respiratory distress syndrome) and an evident motor frailty. The care plan was developed accordingly, and four assessment were done in the same manner until the return home of Mr PConclusion : This case report allows seeing holistically a COVID-19 clinical picture, showing the different axis of clinical reasoning to enhance the rehabilitation process. Furthermore, this case report illustrate the importance of rehabilitation in the Covid-19 context.

Introduction: The Balance Evaluation System Test (BESTest) and the Mini-BESTest were developed to assess the complementary systems that contribute to balance function. These tests include functional tasks involving several high-level exercises to assess the balance function, which may be even more difficult in case of frailty. The Frail'BESTest has been developed to make it possible to include frail older adults in systemic assessment. In this first paper, the objective is to present the Frail'BESTest and to describe the usefulness and complementarity of each system and to test the inter-rater reliability of the score measurements in two health centers. Methods: In the first center, 192 frail and non-frail older patients were enrolled to test I) the contribution of each system, II) internal consistency, and III) the threshold and ceiling effects. The scores of 32 patients from center 1 and 32 patients recruited in another center (center 2) were used to measure the inter-rater reliability of the measurements by means of Kendall's tau coefficients. Results: The internal consistency was moderate to good for five systems and limited for "biomechanical constraints". The distribution of the Frail'BESTest was more centered than that of the Tinetti and Mini-Motor tests. The Kendall's tau showed strong concordance in center 1 for all systems and only for 4 on 6 systems in center 2. Discussion: Completing a systemic evaluation, the therapist may prioritize the patient's needs identifying the most challenging systems. This paper presents the Frail'BESTest and confirms the psychometric properties at a first step level.

Introduction : les chutes chez les personnes âgées fragiles hospitalisées sont un phénomène majeur et préoccupant au quotidien. Contexte : les chaussages inadéquats, fréquemment observés au sein de cette population, constituent l’un des principaux facteurs de risques. Plusieurs hôpitaux utilisent des chaussettes antidérapantes comme moyen préventif. Dans le contexte de la médecine basée sur les preuves, il semble nécessaire de vérifier l’existence de données probantes concernant leur efficacité. Objectif : cet article vise à statuer sur l’efficacité préventive des chaussettes antidérapantes. Méthode : cinq bases de données ont été investiguées (PubMed, PEDro, Cochrane, ScienceDirect et Google Scholar). Les critères d’éligibilité (PICO) incluent les patients âgés hospitalisés. Résultats : sept études ont été incluses. Les chaussettes antidérapantes montrent un effet préventif pour diminuer les récidives de chutes ( p = 0.009) ou la prévalence des chutes en lien avec l’incontinence urinaire. Discussion : plusieurs études concluent sur la plus-value des chaussettes antidérapantes comparativement aux chaussettes classiques ou aux pantoufles. Les limites inhérentes aux études sélectionnées sont considérées dans l’élaboration des conclusions. Conclusion : un chaussage considéré comme sécuritaire par les thérapeutes et sécurisant par le patient constitue l’option la plus recommandée actuellement. Des études cliniques complémentaires sont nécessaires pour étayer notre conclusion.

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