Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Walking sticks.
- Кому может быть актуально
- Состояния в реестре: Static Spinal Disorder. Базовые параметры: от 50 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine: a Comparative Exploratory Study (Before-after) Using Mixed Methodology.
Обзор
The purpose of this pilot study is to assess the impact of using walking sticks on walking perimeter in people with anterior spinal imbalance.
Подробное описание
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.
Вмешательства
- Другое Walking sticks
Walking with walking sticks and pedometer Daily walking activity recorded in a logbook
Первичные конечные точки
- Walking perimeter [Срок оценки: Day 0 and month 3 (+ 15 days, 13 to 15 weeks)]
Вторичные конечные точки (9)
- Number of daily steps [Срок оценки: Periods Day 1-Day 7 and Day 8-Month 3]
- Walking perimeter [Срок оценки: Day 0 and month 3]
- Postural stability parameters [Срок оценки: Day 0 and month 3]
- Spatio-temporal walking parameters [Срок оценки: Day 0 and Month 3]
- Number of falls in the last 3 months [Срок оценки: Day 0 and Month 3]
- Mean spinal pain [Срок оценки: Day 0 and Month 3]
- Activity limitation [Срок оценки: Day 0 and Month 3]
- Quality of life [Срок оценки: Day 0 and Month 3]
- Participant's opinions on the use of sticks collected [Срок оценки: Month 3]
Критерии участия
Критерии включения
- 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
Критерии исключения
- 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
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Франция · 1 центр
- Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du r — Paris
Идентификаторы
NCT: NCT07127250 · APHP250475 · IDRCB