Barriers to Physical Activity in Patients With Cognitive, Neuromotor or Sensory Impairments During Aging (NO-BARRIERS)

People with disabilities are less physically active than the general population. Their barriers to physical activity are multiple and include intrapersonal, organizational, societal and interpersonal reasons. Nevertheless, at present, the evolution of their barriers to physical activity and the short- and long-term impact of medical and medico-social treatments to limit them are unknown.

The aim of this study is to describe barriers to physical activity, or disability-related underperformance factors in competitive sports, in patients with cognitive, neuromotor or sensory impairments during aging.

Study Overview

• Status: Recruiting
• Conditions: Disability or Chronic Disease Leading to Disablement
• Intervention / Treatment: Other: standard of care for patients with cognitive impairments; Other: standard of care for patients with neuromotor impairments; Other: standard of care for patients with sensory impairments

Detailed Description

This is an ambispective, monocentric, cohort study of subjects with cognitive, neuromotor or sensory impairments followed in a Physical Medicine and Rehabilitation Department.

All consecutive eligible outpatient subjects consulting to the Parasport Health Unit of the Physical Medicine and Rehabilitation Department of our university hospital will be included. Clinical activities related to the Parasport Health Unit and performed outside the hospital will also be included.

Data will be collected from the patients' medical records, in particular data related to their clinical, radiological, biological and physiological examinations.

• Study Type: Observational
• Enrollment (Anticipated): 1000

Contacts and Locations

Study Locations

• France
  • Garches, France, 92380
    • Recruiting
    • Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Subjects with cognitive, neuromotor or sensory impairments.

Description

Inclusion Criteria:

• Patients >= 6 years old ;
• Consulting to the Parasport Health Unit of the Physical Medicine and Rehabilitation Department of our university hospital ;
• Having a neuromotor, cognitive or sensory impairment ;
• No opposition to be enrolled in the study from the patient, or from a legally authorized close relative if the patient's state of health does not allow it, or from each of the holders of parental authority if a minor ;
• Affiliation to a social security scheme.

Exclusion Criteria:

• Under court protection.

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
All subjects with cognitive impairments	Other: standard of care for patients with cognitive impairments; clinical examination, radiological, biological and physiological examinations.
All subjects with neuromotor impairments	Other: standard of care for patients with neuromotor impairments; clinical examination, radiological, biological and physiological examinations.
All subjects with sensory impairments	Other: standard of care for patients with sensory impairments; clinical examination, radiological, biological and physiological examinations.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes of barriers to physical activity during aging	Questionnaires assessing barriers and facilitators to physical activity (ex: BPAQ)	through study completion, an average of 1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes of physical activity level during aging	Questionnaires assessing physical activity levels (ex: PASPID)	through study completion, an average of 1 year
Characteristics of medical and medico-social therapies implemented to limit barriers to physical activity	Number and description of medical and medico-social therapies	through study completion, an average of 1 year
Characteristics of the medical and medico-social therapies implemented to limit disability-related underperformance factors for competitive sports	Number and description of medical and medico-social therapies	through study completion, an average of 1 year
Characteristics of devices (orthoses, prostheses, etc.) and technical aids used to facilitate the practice of physical activity	Number and description of devices (orthoses and prostheses) and technical aids	through study completion, an average of 1 year
Evolution of comorbidities during aging	Prevalence of comorbidities (e.g. obesity, diabetes, hypertension, sleep apnea, ...)	through study completion, an average of 1 year
Evolution of exercise stress tests results during aging	Stress tests results	through study completion, an average of 1 year

Collaborators and Investigators

• Sponsor: Institut de Sante Parasport Connecte Synergies
• Collaborators: Assistance Publique - Hôpitaux de Paris

Study record dates

Study Major Dates

• Study Start (Actual): April 1, 2022
• Primary Completion (Anticipated): February 1, 2032
• Study Completion (Anticipated): February 1, 2034

Study Registration Dates

• First Submitted: January 5, 2022
• First Submitted That Met QC Criteria: March 15, 2022
• First Posted (Actual): March 24, 2022

Study Record Updates

• Last Update Posted (Actual): April 19, 2023
• Last Update Submitted That Met QC Criteria: April 15, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Barriers; Disability; Physical activities
• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Chronic Disease
• Other Study ID Numbers: 2022-001

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No