Understanding the Measurement of Girdle Dissociation in the Fall of the Older People Subject. (EPAD-C2)

Centre Hospitalier Universitaire de Saint Etienne

Status: Completed

Conditions: Frailty; Fall Patients

Treatments: Device: GAITRite Device; Device: Dissociation measure of pelvic and scapular girdles by inertial sensors of accelerometer

Study type: Interventional

Funder types: Other

Identifiers

NCT05574309

21CH030

ANSM (Other Identifier)

Details and patient eligibility

About

Falls, especially in the older people, are frequent with potential serious consequences. The strategy for preventing falls involves detecting the fall risk. Current tests to determine the risk of falling are too late indicators of gait disorder. Loss of gait dissociation is an element associated with the mechanism of the fall and appears earlier. Its diagnosis is particularly important as it is a reversible impairment if rehabilitation interventions can be proposed to correct this anomaly.

Full description

The purpose of this study is to validate the device's measurement of belt dissociation in a discriminating manner between fallers and nonfallers.

Enrollment: 112 patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Informed and signed a written consent form.
• Affiliated or eligible to a health insurance system.
• Being able to give their consent to participate.
• For fallers: had at least one fall in the previous year.
• For non fallers: not had a fall in the previous year.

Exclusion criteria

• Patients suffering from a neurological or articular pathology responsible for gait disorders (Parkinson's disease, hemiplegia, narrow lumbar canal, peripheral neuropathy, vestibular pathology, chronic inflammatory rheumatism...).
• Patients who have undergone joint surgery of the lower limbs during the year.
• Patients walking with a walker.
• Patients with an internal electronic device (pacemaker, neurostimulator, insulin pump...).
• Patients taking long-term neuroleptics.
• Patients with advanced major cognitive impairment (according to the Clinical Dementia Rating Protocol >1).

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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112 participants in 2 patient groups

Fallers

Sham Comparator group

Description:

population of patients who have fallen from the clinical gerontology department of the CHU of Saint-Etienne and from the PROOF cohort and subjects of the Office Stéphanois pour les Ainés (OSAP)

Treatment:

Device: Dissociation measure of pelvic and scapular girdles by inertial sensors of accelerometer

Device: GAITRite Device

non fallers

Other group

Description:

population of patients who did not fall from the clinical gerontology department of the CHU of Saint-Etienne and from the PROOF cohort and subjects of the Office Stéphanois pour les Ainés (OSAP)

Treatment:

Device: Dissociation measure of pelvic and scapular girdles by inertial sensors of accelerometer

Device: GAITRite Device