Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Walking sticks.
- Who it may be relevant to
- Registry conditions: Static Spinal Disorder. Basic parameters: from 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine: a Comparative Exploratory Study (Before-after) Using Mixed Methodology.
Overview
The purpose of this pilot study is to assess the impact of using walking sticks on walking perimeter in people with anterior spinal imbalance.
Detailed description
Aging is associated with a number of highly prevalent spinal pathologies, characterized by static disorders affecting spinal balance in the sagittal plane especially. These postural disorders are a source of pain, activity limitation and reduced quality of life. Treatment of spinal static disorders is essentially symptomatic based on medical care and rehabilitation and includes the use of spinal orthosis. Adherence to spinal orthosis is poor.
Walking requires dynamic stabilization capacities, which are affected by static disorders of the spine. In the case of walking difficulties associated with sagittal imbalance of spine, the walking aid most frequently assessed in the literature is the rollator. Using a rollator promotes anterior flexion of the spine and prevents physiological dissociation of the scapular and pelvic girdles.
Walking sticks help maintain sagittal alignment of the spine, improving the subject's dynamic stability while respecting the physiological gait pattern (dissociation of the scapular and pelvic belts).
To date, no study has assessed the impact of using walking sticks to increase walking activity in a population of people with sagittal imbalance of spine.
Deterioration in overall spinal balance and reduced stabilization capabilities are associated with increased risk of falls.
Interventions
- Other Walking sticks
Walking with walking sticks and pedometer Daily walking activity recorded in a logbook
Primary outcome measures
- Walking perimeter [Time frame: Day 0 and month 3 (+ 15 days, 13 to 15 weeks)]
Secondary outcome measures (9)
- Number of daily steps [Time frame: Periods Day 1-Day 7 and Day 8-Month 3]
- Walking perimeter [Time frame: Day 0 and month 3]
- Postural stability parameters [Time frame: Day 0 and month 3]
- Spatio-temporal walking parameters [Time frame: Day 0 and Month 3]
- Number of falls in the last 3 months [Time frame: Day 0 and Month 3]
- Mean spinal pain [Time frame: Day 0 and Month 3]
- Activity limitation [Time frame: Day 0 and Month 3]
- Quality of life [Time frame: Day 0 and Month 3]
- Participant's opinions on the use of sticks collected [Time frame: Month 3]
Eligibility criteria
Inclusion criteria
- Adult ≥ 50 years
- VAS (Sagittal Vertical Axis, C7-S1, EoS (clinical follow-up)) > 5cm
- Able to do transfers alone
- Able to walk 10 minutes or 400 meters in a row
- Self-reported Walking difficulties
- Person living at home
- Person willing and consenting to participate in the study
- Health insurance
Exclusion criteria
- Current use of walking sticks
- Advanced and symptomatic osteoarthritis of the lower limbs
- Static disorder of the fixed spine
- Introduction of a straightening brace in the 3 months preceding the start of the study
- Static disorder explained by infectious, tumoral, congenital or neurodegenerative pathologies
- Uncompensated lower-limb length inequality (> 2cm)
- Lower limb motor deficit
- Upper limb pathology preventing cane use
- Proprioceptive or vestibular pathology
- Inability to write, speak or read French
- Cognitive and/or behavioral disorders
- Participation in other research on spinal balance and/or gait, or that could influence these factors during the study period
- People under tutorship or curatorship
- Free state medical assistance
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
France · 1 center
- Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du r — Paris
Identifiers
NCT: NCT07127250 · APHP250475 · IDRCB