Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine: a Comparative Exploratory Study (Before-after) Using Mixed Methodology.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 35
- 试验地点
- 1
- 主要终点
- Walking perimeter
研究概览
简要总结
The purpose of this pilot study is to assess the impact of using walking sticks on walking perimeter in people with anterior spinal imbalance.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Walking sticks
干预措施: Walking sticks (Other)
结局指标
主要结局
Walking perimeter
时间窗: Day 0 and month 3 (+ 15 days, 13 to 15 weeks)
6-minute walk test at Day 0 without walking sticks and 3 months later with walking sticks
次要结局
- Number of falls in the last 3 months(Day 0 and Month 3)
- Activity limitation(Day 0 and Month 3)
- Number of daily steps(Periods Day 1-Day 7 and Day 8-Month 3)
- Postural stability parameters(Day 0 and month 3)
- Walking perimeter(Day 0 and month 3)
- Spatio-temporal walking parameters(Day 0 and Month 3)
- Mean spinal pain(Day 0 and Month 3)
- Participant's opinions on the use of sticks collected(Month 3)
- Quality of life(Day 0 and Month 3)