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Analysis of Postural Control of COPD Patients (ATTRACTION) (ATTRACTION)

2022년 1월 14일 업데이트: Graziella Brinchault, University of Rennes 2

Quantified Analysis of Postural Control of COPD Patients During Tasks of Daily Living

Chronic Obstructive Pulmonary Disease (COPD) is a common chronic respiratory disease, causing disabling respiratory symptoms and impairing patients' quality of life. Currently one of the leading causes of death worldwide, COPD is a major socio-economic concern. It is also accompanied by extremely frequent extra-respiratory manifestations (or co-morbidities). Among these secondary manifestations, the equilibrium of these patients is subject to modifications: thus, numerous studies have shown that the equilibrium of COPD patients was altered compared to healthy age-matched subjects. This alteration is associated with a greater functional limitation and a higher risk of falling. Although this impairment has been demonstrated clinically, the balance of these patients has never been analysed using quantified movement analysis tools during tasks similar to those performed in daily life. Moreover, the underlying mechanisms remain unknown and the possible associations with several clinical factors of interest (pain, dyspnea, muscle function...) have not yet been assessed. The hypotheses of this project are that (1) the postural control of COPD patients is altered compared to healthy subjects during tasks of daily living and these changes can be characterised. (2) Several clinical factors are associated with these changes.

연구 개요

연구 유형

관찰

등록 (예상)

32

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

연구 연락처 백업

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 어린이
  • 성인
  • 고령자

건강한 자원 봉사자를 받아들입니다

예

연구 대상 성별

모두

샘플링 방법

비확률 샘플

연구 인구

COPD patients that realize their medical follow-up at University Hospital of Rennes

설명

Inclusion Criteria:

  • COPD patients GOLD stage 2 and 3 (A-D)
  • In accordance with Article L1121-8-1 of the Public Health Code, participants must be affiliated to a social security scheme or benefit from such a scheme.

Exclusion Criteria:

  1. the presence of long-term or exercise-based oxygen therapy,
  2. the presence of a medically diagnosed pathology causing manifest disorders of balance,
  3. the inability to walk 150 m without stopping and to climb or descend stairs,
  4. a history of pneumonectomy or lobectomy within the last six months,
  5. the existence of an acute respiratory exacerbation within the last two months,
  6. the presence of obvious cognitive impairment that impairs comprehension of instructions,
  7. body mass index less than 21 or more than 35 kg/m².
  8. Person referred to in articles L. 1121-5 to L. 1121-8 and L. 1121-12 of the public health code:

    • Pregnant woman, woman in labour or nursing mother
    • Person deprived of liberty by judicial or administrative decision
    • Person hospitalised without consent and not subject to a legal protection measure, and person admitted to a health or social establishment for purposes other than research
    • Minor
    • Person subject to a period of exclusion for other research
    • Person of full age subject to a legal protection measure (guardianship, curatorship or safeguard of justice), person of full age unable to express their consent and not subject to a protection measure
  9. Person under psychiatric care

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

코호트 및 개입

그룹/코호트
개입 / 치료
건강한 통제
functional tests that reproduce tasks of daily living (timed up and go test with and without dual cognitive task, modified Glittre ADL test)
COPD 환자
functional tests that reproduce tasks of daily living (timed up and go test with and without dual cognitive task, modified Glittre ADL test)

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Margins of stability
기간: Clinical assessment at baseline
Postural control parameter related to the centre of mass (CoM) and the base of support of the participant, assessed during the functional tests
Clinical assessment at baseline
Margins of stability variability
기간: Clinical assessment at baseline
Coefficient of variation of a postural control parameter related to the centre of mass (CoM) and the base of support of the participant, assessed during the functional tests
Clinical assessment at baseline
Center of Mass velocity
기간: Clinical assessment at baseline
Parameter of participant's Centre of Mass (CoM) during the functional tests
Clinical assessment at baseline
Center of mass displacement
기간: Clinical assessment at baseline
Parameter of participant's Centre of Mass (CoM) during the functional tests
Clinical assessment at baseline

2차 결과 측정

결과 측정
측정값 설명
기간
Evolution of articular angulations
기간: Clinical assessment at baseline
Articular angulations assessed at the ankle, knee, hip, spine and thoracic level during the functional tests
Clinical assessment at baseline
Centre of pressure (CoP) Area
기간: Clinical assessment at baseline
Parameter of participant's Centre of Pressure (CoP) during the sit to stand and stand to sit tasks of the Glittre-ADL test
Clinical assessment at baseline
Centre of pressure (CoP) velocity
기간: Clinical assessment at baseline
Parameter of participant's Centre of Pressure (CoP) during the sit to stand and stand to sit tasks of the Glittre-ADL test
Clinical assessment at baseline
Centre of pressure (CoP) variability
기간: Clinical assessment at baseline
Coefficient of variation of participant's Centre of Pressure (CoP) during the sit to stand and stand to sit tasks of the Glittre-ADL test
Clinical assessment at baseline
Gait Cadence
기간: Clinical assessment at baseline
spatio-temporal parameter of gait assessed during the walking part of the Glittre-ADL test
Clinical assessment at baseline
Gait velocity
기간: Clinical assessment at baseline
spatio-temporal parameter of gait assessed during the walking part of the Glittre-ADL test
Clinical assessment at baseline
Gait phases duration
기간: Clinical assessment at baseline
spatio-temporal parameter of gait assessed during the walking part of the Glittre-ADL test
Clinical assessment at baseline
Step width
기간: Clinical assessment at baseline
spatio-temporal parameter of gait assessed during the walking part of the Glittre-ADL test
Clinical assessment at baseline
Step length
기간: Clinical assessment at baseline
spatio-temporal parameter of gait assessed during the walking part of the Glittre-ADL test
Clinical assessment at baseline
Completion time of the Modified Glittre ADL
기간: Clinical assessment at baseline
Time to complete the modified Glittre-ADL test
Clinical assessment at baseline
Completion time of the timed up and go test
기간: Clinical assessment at baseline
Time to complete the timed up and go test test
Clinical assessment at baseline

기타 결과 측정

결과 측정
측정값 설명
기간
Dyspnea assessment scale
기간: Clinical assessment at baseline
assessed by the modified Borg Scale which is a 0 to 10 scale (0 representing no dyspnea, 10 representing the worst imaginable dyspnea). Dyspnea is assessed before, during and after the functional tests
Clinical assessment at baseline
Heart rate
기간: Clinical assessment at baseline
assessed before, during and after functional tests
Clinical assessment at baseline
Leg discomfort scale
기간: Clinical assessment at baseline
assessed on a 0 to 10 scale (0 representing no discomfort, 10 representing the worst imaginable discomfort).Leg discomfort is assessed before, during and after the functional tests
Clinical assessment at baseline
Visual analog scale for pain
기간: Clinical assessment at baseline
Pain is assessed by a visual analog scale which is a 100mm long horizontal line with verbal descriptors at each end to express the extremes of the feeling (Here no pain and the worst imaginable pain)
Clinical assessment at baseline
Pain Drawing scale
기간: Clinical assessment at baseline
participants are invited to identify on a body chart the location of experienced pain.
Clinical assessment at baseline
Multi-dimensional dyspnea profile (MDP)
기간: Clinical assessment at baseline
Dyspnea assessment tool which investigates sensory and affective dimensions of dyspnea
Clinical assessment at baseline
London chest activity of daily living questionnaire (LCADL)
기간: Clinical assessment at baseline
Dyspnea assessment tool which investigates the impact of dyspnea on 15 activities of daily living. A score from 0 to 5 is given for each activity, 5 representing an higher impact of dyspnea on the activity.
Clinical assessment at baseline
Modified Medical Research Council Scale (MMRC)
기간: Clinical assessment at baseline
Dyspnea assessment tool which investigates impact of dyspnea in participants life. This is a 0 to 4 scale with descriptors associated to each number. 4 representing the most severe impact of dyspnea.
Clinical assessment at baseline
Charlson Index
기간: Clinical assessment at baseline
Comorbidities assessment tool which list 19 potential comorbidities associated with a weighted score. The points are attributed when the comorbidity is present. A total score is then calculated. An higher score indicates an higher severity.
Clinical assessment at baseline
Body composition
기간: Clinical assessment at baseline
Determination of fat free mass and fat mass by bioelectrical impedance analysis.
Clinical assessment at baseline
Maximal inspiratory pressure
기간: Clinical assessment at baseline
inspiratory muscles strength assessment
Clinical assessment at baseline
Falls Efficacy Scale - International
기간: Clinical assessment at baseline
Fear of falling assessment tool which investigates fear of falling in 16 different activities. Each activity is scored from 0 to 4 (4 representing an higher fear of falling in this activity). The total score range from 16 to 64 (an higher score indicating a most severe fear of falling)
Clinical assessment at baseline
Number of anterior falls
기간: Clinical assessment at baseline
assessment of fall occurence in the last 12 months
Clinical assessment at baseline
General Practioner assessment of Cognition (GP-COG)
기간: Clinical assessment at baseline
assessment of cognitive function. GP-COG gives a score from 0 to 9 (9 indicating a better cognitive function)
Clinical assessment at baseline
International Physical Activity Questionnaire (IPAQ short-form)
기간: Clinical assessment at baseline
assessment of daily physical activity and sedentarity
Clinical assessment at baseline
COPD assessment test (CAT)
기간: Clinical assessment at baseline
quality of life assessment tool
Clinical assessment at baseline

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

수사관

  • 수석 연구원: Graziella Brinchault, MD, University Hospital of Rennes

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (예상)

2022년 2월 1일

기본 완료 (예상)

2022년 9월 1일

연구 완료 (예상)

2023년 4월 1일

연구 등록 날짜

최초 제출

2021년 11월 23일

QC 기준을 충족하는 최초 제출

2022년 1월 14일

처음 게시됨 (실제)

2022년 1월 27일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2022년 1월 27일

QC 기준을 충족하는 마지막 업데이트 제출

2022년 1월 14일

마지막으로 확인됨

2022년 1월 1일

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