Comparison of a Classical Rehabilitation Method and a Specific Rehabilitation Method of the Cervical Spine (SATRACE)

Centre Hospitalier Universitaire de Nice

Status

Completed

Conditions

Loss of Balance

Treatments

Other: control group

Other: manuel therapy cervical spine

Study type

Interventional

Funder types

Other

Identifiers

NCT03286322

2016-A00521-50

Details and patient eligibility

About

In more than 90% of cases, victims of fall are elderly people over 65. Nearly the third of those people fall at least 1 time by year. The incidence substantially increases for people over 80 and women are at higher risk than men.

The value of balance rehabilitation no longer needs to be demonstrated in Gerontology. Nevertheless, a more specific therapy based on the aged-related cervical problems seems to be essential. Indeed, those problems are numerous (arthrosis-like pains, joint stiffness, muscular contractures...) and often lessen vestibular and/or proprioceptive afferents. The cervical spine is a link between different systems which regulate balance, as the visual, vestibular and cervical systems (muscular, articular afferents...), and this role is key to balance control. Indeed, the cervical spine owns an exceptional function thanks to Ruffinian corpuscles, muscle and neurotendinal spindles.

Many studies point up the importance of the relation between balance, cervical spine and vestibular system, and others between tissue changes and postural adaptations in elderly people. Nevertheless, the take into consideration of all these data and their impacts in rehabilitation has not been reported yet.

This brings us to question the added-value of a cervical mobility management in balance rehabilitation in Gerontology.

Enrollment

86 estimated patients

Sex

All

Ages

75+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients over 75 hospitalized in rehabilitation department and long-term unit of Cimiez Hospital
With MMSE > 20
In need of balance rehabilitation
Who can stand Bipodal position for >1 minute
Who can walk for more than 10 meters without walking aid
Having signed an informed consent
Affiliated to a health insurance plan

Exclusion criteria

Motor neurological deficit, specific vestibular pathologies
Patient hospitalized for traumatological pathology or who has been hospitalized for traumatological pathology within 3 months
Vulnerable people: adults under guardianship, deprived of freedom