Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine (WALKSPINE)

Assistance Publique - Hôpitaux de Paris

Status

Enrolling

Conditions

Static Spinal Disorder

Treatments

Other: Walking sticks

Study type

Interventional

Funder types

Other

Identifiers

NCT07127250

APHP250475

IDRCB (Other Identifier)

Details and patient eligibility

About

The purpose of this pilot study is to assess the impact of using walking sticks on walking perimeter in people with anterior spinal imbalance.

Full description

Aging is associated with a number of highly prevalent spinal pathologies, characterized by static disorders affecting spinal balance in the sagittal plane especially. These postural disorders are a source of pain, activity limitation and reduced quality of life. Treatment of spinal static disorders is essentially symptomatic based on medical care and rehabilitation and includes the use of spinal orthosis. Adherence to spinal orthosis is poor.

Walking requires dynamic stabilization capacities, which are affected by static disorders of the spine. In the case of walking difficulties associated with sagittal imbalance of spine, the walking aid most frequently assessed in the literature is the rollator. Using a rollator promotes anterior flexion of the spine and prevents physiological dissociation of the scapular and pelvic girdles.

Walking sticks help maintain sagittal alignment of the spine, improving the subject's dynamic stability while respecting the physiological gait pattern (dissociation of the scapular and pelvic belts).

To date, no study has assessed the impact of using walking sticks to increase walking activity in a population of people with sagittal imbalance of spine.

Deterioration in overall spinal balance and reduced stabilization capabilities are associated with increased risk of falls.

Enrollment

35 estimated patients

Sex

All

Ages

50+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult ≥ 50 years
VAS (Sagittal Vertical Axis, C7-S1, EoS (clinical follow-up)) > 5cm
Able to do transfers alone
Able to walk 10 minutes or 400 meters in a row
Self-reported Walking difficulties
Person living at home
Person willing and consenting to participate in the study
Health insurance

Exclusion criteria

Current use of walking sticks
Advanced and symptomatic osteoarthritis of the lower limbs
Static disorder of the fixed spine
Introduction of a straightening brace in the 3 months preceding the start of the study
Static disorder explained by infectious, tumoral, congenital or neurodegenerative pathologies
Uncompensated lower-limb length inequality (> 2cm)
Lower limb motor deficit
Upper limb pathology preventing cane use
Proprioceptive or vestibular pathology
Inability to write, speak or read French
Cognitive and/or behavioral disorders
Participation in other research on spinal balance and/or gait, or that could influence these factors during the study period
People under tutorship or curatorship
Free state medical assistance