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

Fondation Ildys

Status: Completed

Conditions: Congenital Heart Disease; Heart Failure; Cardiovascular Diseases (CVD); Coronary Heart Disease (CHD)

Study type: Observational

Funder types: Other

Identifiers

NCT06941597

RI2024_018

Details and patient eligibility

About

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.

Enrollment: 40 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

40 participants in 1 patient group

cardiac rehabilitation group

Description:

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.