Intelligent Electric Bicycle for Health (VELIS) to Optimize the Return to Physical Activity for Oncology Patients
- Conditions
- CancerOncology
- Interventions
- Other: Intelligent electric bicycle (VELIS) sessions
- Registration Number
- NCT03340857
- Lead Sponsor
- Fondation Audavie
- Brief Summary
The purpose of this pilot study is to encourage oncology patients to continue effort retraining after their release from rehabilitation and recuperative care facilities with physical activity sessions and therapeutic education using an intelligent electric bicycle (VELIS)
- Detailed Description
The benefit of physical activity in oncology is now clearly established. Physical activity has its place at all stages of the fight against cancer in primary, secondary and tertiary prevention.
Rehabilitation and recuperative care facilities may be a first step for patients with significant deconditioning, but long-term benefits are essential.
Nevertheless, the post rehabilitation and recuperative care facilities transition period is for these patients a temporary period during which they may loose part of the benefit of effort retraining and physical reconditioning.
The investigators believe that it is necessary to go beyond the "physiological" efficiency to identify and overcome the patient's stereotypes regarding physical activity, to customize and adapt the programs to each patient, and to bring quickly the notion of pleasure and success in the practice of physical activity. Electrically assisted bicycles can reach most of these goals provided that they are adapted.
The objective of this project is to set up and evaluate, thanks to a monocentric pilot study, a process of continuation of exercise retraining through physical activity and therapeutic education sessions for the promotion of physical activity, focusing on the use of electrically assisted bicycles, in continuation of an exercise retraining in rehabilitation and recuperative care facilities.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 14
- Patient aged 18 and over
- Patient who has followed a post-cancer effort retraining program in a rehabilitation facility at Rocheplane Medical Center
- Patient with the ability to pedal on an outdoor bicycle
- Patient with no restriction to moderate physical activity or bicycling (acute coronary disease of less than 2 years, locomotor problem of the spine or lower limbs incompatible with the practice of cycling)
- Weight less than 125 kg (maximum load for VELIS)
- Patient available for a 4 months follow-up
- Patient with a restriction to the practice of moderate physical activity or bicycle (acute coronary disease of less than 2 years, locomotor problem)
- Persons referred to in Articles L1121-5 to L1121-8 of the CSP (corresponds to all protected persons), pregnant, parturient, nursing mother, person deprived of liberty by judicial or administrative decision, a legal protection measure
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intelligent electric bicycle (VELIS) sessions Intelligent electric bicycle (VELIS) sessions Intelligent electric bicycle (VELIS) sessions with an instructor, twice a week for 6 weeks
- Primary Outcome Measures
Name Time Method Percentage of patients reaching the goal of 150 min equivalent of moderate physical activity per week (600 MET-min/week) 4 Months Evaluated with the IPAQ questionnaire short version (International Physical Activity Questionnaire)
- Secondary Outcome Measures
Name Time Method Evaluate the VELIS sessions feasibility n°1 4 Months Number of cancelled sessions
Evaluate the VELIS sessions feasibility n°2 4 Months Number of incomplete sessions
Evaluate the VELIS sessions feasibility n°3 4 Months Collection of the failure reasons by the instructor
Evaluate the impact on the physical capacities n°1 4 Months Progression of the patients physical activity (clinical exam weight)
Evaluate the impact on the physical capacities n°2 4 Months Progression of the patients physical activity (heart rate)
Quantitative analysis of kinetic physical activity evolution Enrollment and then once a month from Month 2 to Month 4, the last week of the month, velis sessions and effort retraining excluded Longitudinal continue quantitative data from IPAQ score
Evaluate the impact on the physical capacities n°3 4 Months Progression of the patients physical activity (analysis of physio-cardiological criteria)
Evaluate the impact on the physical capacities n°4 4 Months Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (initial gain in effort retraining)
Evaluate the impact on the physical capacities n°5 4 Months Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (age)
Evaluate the impact on the physical capacities n°6 4 Months Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (gender)
Evaluate the impact on the physical capacities n°7 4 Months Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (pathologies)
Evaluate the impact on the physical capacities n°8 4 Months Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (endurance test on ergocycle)
Evaluate the impact on the physical capacities n°9 4 Months Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (evaluation with the quantitative Borg scale (from Pr Gunnar BORG) from 0 to 10 (the goal score is 4 to 5)).
Evaluate the impact on the physical capacities n°10 4 Months Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (heart rate)
Evaluate the impact on the physical capacities n°11 4 Months Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (visual analogical scale from 0 (no pain) to 10 (maximal pain) for the lower limbs pain. Lower value is a better outcome)
Evaluate the impact on the physical capacities n°12 4 Months Measurement of the muscular power using a handgrip (physiological parameter). Higher value is a better outcome.
Improve quality of life 4 Months Euroquol 5 dimensions scale (from 0 to 100 : higher value is a better outcome)
Improve fatigue n°1 4 Months Analogic visual scale about fatigue once a month
Improve fatigue n°2 4 Months Fatigue Piper score
Improve chronic pain 4 Months Analogic visual scale about pain once a month
Improve self-esteem 4 Months Evaluation with Rosenberg score
Improve patient satisfaction 4 Months Satisfaction survey and wish to do again intelligent electric bicycle (VELIS) sessions or to continue electric bicycle sessions
Remove stereotypes that can lead to inhibition in the physical activity practice 4 Months Evaluation of the psychological representation of physical activity using the Cancer Exercise Stereotypes Scale (CESS) questionnaire from the SENS (sport and social environment laboratory) team from Grenoble.
The average value is calculated for each subscale.
Adherence to positive stereotypes if value is below 4 for the following subscale :
* Lack of interest in physical activity (items 1, 6, 11)
* Side effects related to treatment (items 3, 8, 13, 17)
* Risks related to physical activity (items 5, 10, 15) Adherence to positive stereotypes if value is greater than 4 for the subscale Benefits of physical activity (items 4, 9, 14, 18).Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°1 6 weeks Analysis of the parameters profiles recorded by the VELIS : heart rate monitor
Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°2 6 weeks Analysis of the parameters profiles recorded by the VELIS : speed
Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°3 6 weeks Analysis of the parameters profiles recorded by the VELIS : electric power provided by the engine
Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°4 6 weeks Analysis of the parameters profiles recorded by the VELIS : rate of pedaling for the reference itinerary
Trial Locations
- Locations (1)
Rocheplane Medical Center
🇫🇷Saint-Martin-d'Hères, Rhône-Alpes, France