Comparison of Two Gait Re-training Modalities During a Cardiac Rehabilitation Stay: Benefit of Orienteering Walking

Recruiting

• Conditions: Cardiovascular Diseases (CVD); Coronary Heart Disease (CHD); Heart Failure; Congenital Heart Disease

• Registration Number: NCT06941597
• Lead Sponsor: Fondation Ildys

Brief Summary

Cardiovascular disease (CVD) is the leading cause of death in France for women and the second leading cause of death for men after cancer. They cause around 140,000 deaths every year, or almost 400 people every day throughout France. CVD also accounts for over a million hospital admissions a year, 160,000 of which are attributable to heart failure.

At present, cardiovascular rehabilitation centres mainly use exercise training methods based on sessions on cycloergometers and active walking (walking on a track and/or treadmill). Convinced of the added value of Orienteering, we have included it in our routine treatment as part of our Cardiac Rehabilitation programme, in addition to sessions on cycloergometers and active walking since 2021. As there is little literature on the subject in our population of interest, the aim of this study is to provide evidence of the relevance of orienteering in the cardiac rehabilitation programme.

We hypothesise that orienteering induces a similar cardiac response, amount of physical activity and perception of symptoms compared with an active walking session, while providing greater enjoyment of the activity.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-04
• Study First Submitted: 2025-04-16
• Study First Submitted QC: 2025-04-16
• Study First Posted: 2025-04-24
• Study Start: 2025-04-28
• Last Update Submitted: 2025-04-28
• Last Update Posted: 2025-04-30
• Primary Completion: 2025-08-28
• Study Completion: 2025-09-18

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients with stabilised heart disease, coronary artery disease, heart failure, post-operative stay after cardiac surgery, congenital heart disease, patients at high cardiovascular risk and obliterative arteritis of the lower limbs;
• Who have been informed and do not object to the study;
• Over 18 years of age;
• Participating in a cardiac rehabilitation programme;
• With a walking distance of less than 3,600 metres;
• Able to understand and comply with the requirements of the protocol.

Exclusion Criteria

• Pregnant or breast-feeding women
• Persons under guardianship or trusteeship

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the average heart rate between an active walking session and an orientation walking session during the cardiac rehabilitation stay.	once during the second and third week of cardiac rehabilitation	Average heart rate measured during the active walking session and the orienteering race.

Secondary Outcome Measures

Name	Time	Method
To compare the intensity of effort between the active walking, orienteering and cycloergometer sessions.	once during the second and third week of cardiac rehabilitation	The effort intensity score will be collected for each of the 3 sessions on a Borg scale (0-10). The modified Borg scale, also known as the CR10, is a simplified version of the original scale. It comprises 11 levels of perceived effort, ranging from 0 (no effort) to 10 (maximum effort).
Compare the performance of the physical activity performed during the active walking versus orienteering session.	once during the second and third week of cardiac rehabilitation	Physical activity performance will be measured for each session by the distance covered in kilometres.
Compare the perception of effort between the active walking, orienteering and cycloergometer sessions.	once during the second and third week of cardiac rehabilitation	Perceived motivation to carry out the activity using a Likert scale from 0 to 5. The Likert scale is a semantic scoring system, generally made up of 5 or 7 items, which is used in surveys to measure and evaluate perceptions, attitudes and opinions.
Compare the sensation of pleasure between the active walking, orienteering and cycloergometer sessions.	once during the second and third week of cardiac rehabilitation	The feeling of pleasure for the three activity sessions will be measured on a Likert scale from 0 to 5. The Likert scale is a semantic rating system, generally composed of 5 or 7 items, which is used in surveys to measure and evaluate perceptions, attitudes and opinions.
To compare the desire to continue physical activity between the active walking, orienteering and cycloergometer sessions.	once during the second and third week of cardiac rehabilitation	The desire to continue physical activity between the three physical activities will be measured by a Likert scale from 0 to 5. The Likert scale is a semantic rating system, generally composed of 5 or 7 items, which is used in surveys to measure and evaluate perceptions, attitudes and opinions.
Compare the heart rate kinetics during the three sessions (orienteering, active walking and cycloergometer).	once during the second and third week of cardiac rehabilitation	Changes in heart rate over the three sessions (recorded every 5 minutes for 50 minutes for each session)

Trial Locations

Locations (1)

Fondation ILDYS, Site de Ty Yann; 🇫🇷 Brest, France