Comparison of Two Gait Re-training Modalities During a Cardiac Rehabilitation Stay: Benefit of Orienteering Walking (CAMCO)

December 17, 2025 updated by: Fondation Ildys

Cardiovascular disease (CVD) is the leading cause of death in France for women and the second leading cause of death for men after cancer. They cause around 140,000 deaths every year, or almost 400 people every day throughout France. CVD also accounts for over a million hospital admissions a year, 160,000 of which are attributable to heart failure.

At present, cardiovascular rehabilitation centres mainly use exercise training methods based on sessions on cycloergometers and active walking (walking on a track and/or treadmill). Convinced of the added value of Orienteering, we have included it in our routine treatment as part of our Cardiac Rehabilitation programme, in addition to sessions on cycloergometers and active walking since 2021. As there is little literature on the subject in our population of interest, the aim of this study is to provide evidence of the relevance of orienteering in the cardiac rehabilitation programme.

We hypothesise that orienteering induces a similar cardiac response, amount of physical activity and perception of symptoms compared with an active walking session, while providing greater enjoyment of the activity.

Study Overview

Status

Completed

Conditions

Study Type

Observational

Enrollment (Actual)

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

France
- - Brest, France
    - Fondation ILDYS, Site de Ty Yann

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

Adult
Older Adult

Accepts Healthy Volunteers

Sampling Method

Non-Probability Sample

Study Population

The participants are patients undergoing cardiac rehabilitation in the SSR cardiology department of the Ildys Foundation on the Ty Yann site.

Description

Inclusion Criteria:

Patients with stabilised heart disease, coronary artery disease, heart failure, post-operative stay after cardiac surgery, congenital heart disease, patients at high cardiovascular risk and obliterative arteritis of the lower limbs;
Who have been informed and do not object to the study;
Over 18 years of age;
Participating in a cardiac rehabilitation programme;
With a walking distance of less than 3,600 metres;
Able to understand and comply with the requirements of the protocol.

Exclusion Criteria:

Pregnant or breast-feeding women
Persons under guardianship or trusteeship

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Number of groups / cohorts

Cohorts and Interventions

Group / Cohort
cardiac rehabilitation group The management of patients included in this study is unchanged from that usually recommended. The patients included in the study will undergo the same rehabilitation sessions during their stay as patients coming to the centre as a matter of routine. In total, 3 sessions of active walking, 3 sessions of orienteering and 7 sessions of ergocycles were carried out during the stay. The cardiac rehabilitation programme lasted 3 weeks, and all the sessions evaluated as part of the study (active walking, orienteering and ergocycles) were carried out during the last two weeks of the rehabilitation course. For each activity (active walking and orienteering), a familiarisation session will be carried out before the session evaluated as part of the study. The order in which the orientation walking and active walking sessions are carried out will depend on the weeks in which the subjects are included, and may vary according to the organisation of the centre.

Group / Cohort

cardiac rehabilitation group

The management of patients included in this study is unchanged from that usually recommended. The patients included in the study will undergo the same rehabilitation sessions during their stay as patients coming to the centre as a matter of routine. In total, 3 sessions of active walking, 3 sessions of orienteering and 7 sessions of ergocycles were carried out during the stay. The cardiac rehabilitation programme lasted 3 weeks, and all the sessions evaluated as part of the study (active walking, orienteering and ergocycles) were carried out during the last two weeks of the rehabilitation course. For each activity (active walking and orienteering), a familiarisation session will be carried out before the session evaluated as part of the study. The order in which the orientation walking and active walking sessions are carried out will depend on the weeks in which the subjects are included, and may vary according to the organisation of the centre.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To compare the average heart rate between an active walking session and an orientation walking session during the cardiac rehabilitation stay. Time Frame: once during the second and third week of cardiac rehabilitation	Average heart rate measured during the active walking session and the orienteering race.	once during the second and third week of cardiac rehabilitation

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To compare the intensity of effort between the active walking, orienteering and cycloergometer sessions. Time Frame: once during the second and third week of cardiac rehabilitation	The maximum heart rate (bpm) will be collected for each of the three sessions.	once during the second and third week of cardiac rehabilitation
To compare the intensity of effort between the active walking, orienteering and cycloergometer sessions. Time Frame: once during the second and third week of cardiac rehabilitation	The effort intensity score will be collected for each of the 3 sessions on a Borg scale (0-10). The modified Borg scale, also known as the CR10, is a simplified version of the original scale. It comprises 11 levels of perceived effort, ranging from 0 (no effort) to 10 (maximum effort).	once during the second and third week of cardiac rehabilitation
Compare the performance of the physical activity performed during the active walking versus orienteering session. Time Frame: once during the second and third week of cardiac rehabilitation	Physical activity performance will be measured for each session by the total number of steps taken during active walking and orienteering.	once during the second and third week of cardiac rehabilitation
Compare the performance of the physical activity performed during the active walking versus orienteering session. Time Frame: once during the second and third week of cardiac rehabilitation	Physical activity performance will be measured for each session by the time spent in the different intensity levels (light, moderate, vigorous) (in minutes and as a percentage).	once during the second and third week of cardiac rehabilitation
Compare the performance of the physical activity performed during the active walking versus orienteering session. Time Frame: once during the second and third week of cardiac rehabilitation	Physical activity performance will be measured for each session by the distance covered in kilometres.	once during the second and third week of cardiac rehabilitation
Compare the perception of effort between the active walking, orienteering and cycloergometer sessions. Time Frame: once during the second and third week of cardiac rehabilitation	Perceived motivation to carry out the activity using a Likert scale from 0 to 5. The Likert scale is a semantic scoring system, generally made up of 5 or 7 items, which is used in surveys to measure and evaluate perceptions, attitudes and opinions.	once during the second and third week of cardiac rehabilitation
Compare the sensation of pleasure between the active walking, orienteering and cycloergometer sessions. Time Frame: once during the second and third week of cardiac rehabilitation	The feeling of pleasure for the three activity sessions will be measured on a Likert scale from 0 to 5. The Likert scale is a semantic rating system, generally composed of 5 or 7 items, which is used in surveys to measure and evaluate perceptions, attitudes and opinions.	once during the second and third week of cardiac rehabilitation
To compare the desire to continue physical activity between the active walking, orienteering and cycloergometer sessions. Time Frame: once during the second and third week of cardiac rehabilitation	The desire to continue physical activity between the three physical activities will be measured by a Likert scale from 0 to 5. The Likert scale is a semantic rating system, generally composed of 5 or 7 items, which is used in surveys to measure and evaluate perceptions, attitudes and opinions.	once during the second and third week of cardiac rehabilitation
Compare the heart rate kinetics during the three sessions (orienteering, active walking and cycloergometer). Time Frame: once during the second and third week of cardiac rehabilitation	Changes in heart rate over the three sessions (recorded every 5 minutes for 50 minutes for each session)	once during the second and third week of cardiac rehabilitation

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Fondation Ildys

Collaborators

Univ Brest, Laboratory ORPHY, F-29200 Brest, France

Investigators

Principal Investigator: Klervie BAILLY, Fondation Ildys

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 28, 2025

Primary Completion (Actual)

October 5, 2025

Study Completion (Actual)

October 5, 2025

Study Registration Dates

First Submitted

April 16, 2025

First Submitted That Met QC Criteria