Effect of Observation Plus Imagination of Gait on Stride Variability in Young and Older Adults (OBI)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
JUSTIFICATION :
- In geriatric rehabilitation, gait reeducation, especially after a fall, is often encountered at the very beginning, to the inability to walk again. The main reasons are poorly controlled pain, immobilisations of a segment or the entire lower limb and adaptation to certain prostheses after fracture. This delay in walking recovery leads briefly to acute postural disadaptation that exposes to multiple decubitus complications such as infections, bedsores and muscular atrophy. Conventional rehabilitation techniques are then difficult to implement because they are poorly adapted to the geriatric patients.
- Today, many experimental data suggest a functional equivalence between making a movement, imagining and observing it. These data can be used to support the development of new rehabilitation techniques. For example, mental imagery is used in the learning of complex movements in order to improve motor performance.
- Stride variability, and more specifically stride time variability was identified as the best marker of the automatic walking, a low variability corresponding to an automatic and safety gait.
- We hypothesize that the combined effect of observation and imagination of a gait using an imposed cadency cadency may reduce stride time variability of stride time in healthy young and older adults.
The secondary objectives of the study are as follows:
- To examine the combined effect of observation and imagination of a gait on mean value of spatio-temporal parameters in healthy young and older adults.
- To study the influence of age on the combined effect of observation and imagination of gait on mean value and coefficient of variation of spatio-temporal parameters in healthy young and older adults
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Maine et Loire
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Angers, Maine et Loire, France, 49933 cedex 9
- Angers University hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 20 years
- Able to walk without walking aid on 15 metres
- Written informed consent to participate in the study (or trustworthy person)
- Being affiliated to a social security regime
Exclusion Criteria:
- Osteoarticular pathologies of the lower limbs and / or spine altering the biomechanical characteristics of the body members.
- Ataxia
- History and / or progressive neuropsychiatric disorders.
- Score in the 4-items Geriatric Depression Scale > 1.
- Enrolment in another simultaneous clinical trial (Participation in a concomitant clinical trial.)
- Civil defense measures underway (Measures civil protection type trusteeship / guardianship / safeguarding justice in progress.)
- Refusal to participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention
15 young patients (<65 years old) and 15 older patients (>64 years old) are submitted to an observation phase and an imagination phase of walking at a precise rythm for 10 minutes
|
It is a combination of an observation phase followed by an immediate imagination phase of a straight gait with an imposed cadency.
|
|
Active Comparator: Reading
15 young patients (<65 years old) and 15 older patients (>64 years old) are submitted to a reading phase on a computer for 10 minutes.
|
A 10 minutes reading phase of François Mauriac's "Therese Desqueyroux" on a computer
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean value of stride time variability
Time Frame: this outcome is assessed at baseline and 10 minutes later.
|
measured by the coefficient of variation (COV= standard deviation/Average) x 100.
|
this outcome is assessed at baseline and 10 minutes later.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Average value of all spatio-temporal gait parameters and age.
Time Frame: this outcome is assessed at baseline and 10 minutes later.
|
this outcome is assessed at baseline and 10 minutes later.
|
|
|
Clinical characteristics of participants
Time Frame: this outcome is assessed at baseline.
|
Age. Gender.
Medical and surgical history.
Age of acquisition of walking Practice of regular physical activity.
Practice of sport.
Personal characteristics: weight, size, height of the lower limbs.
Number of different therapeutic classes taken per day.
Proprioception of lower limb using a graduated diapason (normal maximum score of 8)
|
this outcome is assessed at baseline.
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 2013-A00829-36
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