Understanding the Measurement of Girdle Dissociation in the Fall of the Older People Subject. Case-control Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- measure of position of the pelvic and scapular girdles
Study Overview
Brief Summary
Falls, especially in the older people, are frequent with potential serious consequences. The strategy for preventing falls involves detecting the fall risk. Current tests to determine the risk of falling are too late indicators of gait disorder. Loss of gait dissociation is an element associated with the mechanism of the fall and appears earlier. Its diagnosis is particularly important as it is a reversible impairment if rehabilitation interventions can be proposed to correct this anomaly.
Detailed Description
The purpose of this study is to validate the device's measurement of belt dissociation in a discriminating manner between fallers and nonfallers.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 75 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Informed and signed a written consent form.
- •Affiliated or eligible to a health insurance system.
- •Being able to give their consent to participate.
- •For fallers: had at least one fall in the previous year.
- •For non fallers: not had a fall in the previous year.
Exclusion Criteria
- •Patients suffering from a neurological or articular pathology responsible for gait disorders (Parkinson's disease, hemiplegia, narrow lumbar canal, peripheral neuropathy, vestibular pathology, chronic inflammatory rheumatism…).
- •Patients who have undergone joint surgery of the lower limbs during the year.
- •Patients walking with a walker.
- •Patients with an internal electronic device (pacemaker, neurostimulator, insulin pump…).
- •Patients taking long-term neuroleptics.
- •Patients with advanced major cognitive impairment (according to the Clinical Dementia Rating Protocol >1).
Arms & Interventions
Fallers
population of patients who have fallen from the clinical gerontology department of the CHU of Saint-Etienne and from the PROOF cohort and subjects of the Office Stéphanois pour les Ainés (OSAP)
Intervention: Dissociation measure of pelvic and scapular girdles by inertial sensors of accelerometer (Device)
Fallers
population of patients who have fallen from the clinical gerontology department of the CHU of Saint-Etienne and from the PROOF cohort and subjects of the Office Stéphanois pour les Ainés (OSAP)
Intervention: GAITRite Device (Device)
non fallers
population of patients who did not fall from the clinical gerontology department of the CHU of Saint-Etienne and from the PROOF cohort and subjects of the Office Stéphanois pour les Ainés (OSAP)
Intervention: Dissociation measure of pelvic and scapular girdles by inertial sensors of accelerometer (Device)
non fallers
population of patients who did not fall from the clinical gerontology department of the CHU of Saint-Etienne and from the PROOF cohort and subjects of the Office Stéphanois pour les Ainés (OSAP)
Intervention: GAITRite Device (Device)
Outcomes
Primary Outcomes
measure of position of the pelvic and scapular girdles
Time Frame: During walking test
The position of the pelvic and scapular girdles will be measured by the angle (in degrees) between the two girdles C7 and L5 in the sagittal plane during a 10 meters walking test. The angle will be measured by two inertial sensors of accelerometer type (IMU BNO055).
Secondary Outcomes
- assessment of patients' frailty status(During walking test)
- Composite outcome : measurement of various walking quantitative parameters(During walking test)
- assessment of patients' frailty status(at the inclusion)
- Composite outcome : measurement of various walking quantitative parameters(at the inclusion)