Characterization of Fatigue From Data From Inertial Units: Gait Analysis in Hemiplegic Post-stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Relationships between fatigue measured by the Borg scale during 6-minute test and asymmetry determined by stride length ratio and single stance duration ratio
研究概览
简要总结
This is an experimental, observational, prospective study designed to develop medical knowledge.
The main objective of the study was to identify clinically significant, easily interpretable, quantitative indices of fatigue-related gait pattern changes in post-stroke hemiplegic patients.
This study is part of a usual framework of management of post-stroke hemiplegic patients with additional data collection, via the use of inertial measurement units, considered here as non-interventional.
To achieve this identification, 2 6-minute walk tests will be performed for each patient at the beginning and end of the same day. Patient-perceived fatigue will be recorded by the Borg scale every minute during the 6-minute test. The level of activity during the rehabilitation day is also part of the data collected (number of hours of physical and non-physical activity). At the end of the second 6-minute test, the patient's participation in the study ends.
In addition to the inertial measurement, two scores will be collected to assess the correlation between fatigability and the level of anxiety/depression and stroke severity :
- National Institutes of Health Stroke Scale (NIHSS)
- Hospital Anxiety and Depression Scale (HAD)
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient affiliated or entitled to a social security plan
- •Patient who has received informed information about the study and who has given his/her consent
- •Post-stroke patients (subacute or chronic)
- •1 single unilateral ischemic or hemorrhagic stroke (supratentorial or subtentorial) confirmed by CT or IRM with consecutive hemiparesis
- •No lower extremity surgery
- •Ability to walk for 6 minutes without human assistance
- •Ability to understand instructions in French
- •Non inclusion Criteria:
- •Patients with cognitive problems that prevent them from understanding instructions
- •Patent under guardianship or curatorship
- •Post-stroke hemiplegic patient (acute = < 6 months)
- •Cardiorespiratory pathology incompatible with CT6
- •Chronic decompensated pathology
- •Neurological pathology
- •Orthopedic pathology of the lower limbs or rheumatic conditions that may affect the ability to walk
排除标准
- 未提供
结局指标
主要结局
Relationships between fatigue measured by the Borg scale during 6-minute test and asymmetry determined by stride length ratio and single stance duration ratio
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and walk ratio (stride length / cadence (cm/(steps/min)))
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change cadence (number of steps per minute) in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change cycle phase: single and double support (second) in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change speed (meter per second) in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change postural control: step width (cm) and standard deviation (cm) in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change asymmetry: stride length ratio; single stance duration ratio in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and speed (meter per second)
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and cycles phases: single and double support (second)
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and postural control: step width (cm) and standard deviation (cm)
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change walk ratio (stride length / cadence (cm/(steps/min))) in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Change step length (cm) in fonction of the fatigue measured by the Borg scale recorded during the two 6-minute tests
时间窗: Change of the gait parameter between the beginning of the single day of inclusion (before the rehabilitation) and the end of the single day of inclusion (after the rehabilitation sessions).
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and cadence (number of steps per minute)
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and step length (cm)
时间窗: The 6-minute test takes place at the end of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
Relationships between fatigue measured by the Borg scale during 6-minute test and asymmetry dtermined by stride length ratio and single stance duration ratio
时间窗: The 6-minute test takes place at the beginning of the single day of inclusion.Recording of gait characteristics takes place during the entire 6-minute test. The Borg scale will be assessed every minute of the 6-minute test.
The 6-min walk test (TM6) measures the greatest distance covered in 6 min of walking around two studs separated by 30 meters. The Borg Scale is a quantitative measure of perceived exertion during exercise. The Borg scale is rated from 6 to 20. The highest value represents a maximum perception of effort. The Borg scale will be assessed every minute of the 6-minute test. Recording of gait characteristics takes place during the entire 6-minute test.
次要结局
- To assess the correlation between fatigability and the level of anxiety/depression(During the one day of patient assessment. Assessed only once for each patient before performing the first 6-minute test.)
- To assess the correlation between fatigability and stroke severity(During the one day of patient assessment. Assessed only once for each patient before performing the first 6-minute test.)