Chronic obstructive pulmonary disease (COPD), Parkinson’s disease (PD), multiple sclerosis (MS), proximal femoral fracture (PFF), congestive heart failure (CHF) Other
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All groups: 1. Able to walk 4 meters independently with or without walking aids 2. Able to give informed consent 3. Willingness to wear the sensor set-ups during the study 4. Shoe size 36 (3 UK) or above 5. Able to read and write in first language in the respective country 6. MoCA >154 7. Available for home visit/office during study period Each disease cohort has specific inclusion criteria: COPD: 1. =45 years of age 2. Diagnosis of COPD (post-bronchodilator forced expiratory volume in the first second (FEV1) to forced vital capacity (FVC) ratio <0.70) 3. Clinical stability, defined as at least 4 weeks without antibiotics and/or oral corticosteroids to treat either a moderate or severe exacerbation 4. Current or ex-smokers with a smoking history equivalent to at least 10 pack years (1 pack year = 20 cigarettes smoked per day for 1 year) PD: 1. Aged 18+ years 2. Diagnosis of PD according to the Movement Disorders Society criteria MS: 1. Aged 18+ years 2. Diagnosis of MS based on the revised McDonald’s criteria PFF: 1. 65+ years of age 2. Surgical treatment (fixation or arthroplasty) for a low-energy fracture of the proximal femur (ICD-10 diagnosis S72.0, S72.1, S72.2) as diagnosed on X-rays of the hip and pelvis within last 12 months CHF: 1. =45 years of age 2. Diagnosis of chronic heart failure NYHA class II-IV HA: 1. 65+ years of age
Exclusion criteria
Exclusion criteria: All groups: 1. The occurrence of any of the following with 3 months prior to inclusion: myocardial infarction, hospitalization for unstable angina, stroke, coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), implantation of a cardiac resynchronization therapy device (CRTD) 2. Current medical condition that could interfere with the patient’s compliance COPD: 1. Having undergone major lung surgery (e.g. lung volume reduction, lung transplant) 2. Having a lung tumor 3. Primary respiratory diseases other than COPD 4. Impaired mobility related to non-COPD causes, as judged by the investigator PD: 1. Impaired mobility related to non-PD causes, as judged by the investigator MS: 1. Impaired mobility related to non-MS causes, as judged by the investigator PFF: 1. Impaired mobility related to non-PFF causes, as judged by the investigator CHF: 1. History of COPD =GOLD III 2. Impaired mobility related to non-CHF causes, as judged by the investigator HA: 1. Neurological, respiratory, cardiac or musculoskeletal conditions affecting the ability to walk independently without a walking aid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 01/11/2022: Walking speed data in the real-world measured using a single sensor in comparison to walking speed data collected using multi-sensor reference systems in the lab and in the home. The laboratory tasks (45 minutes) and the home environment measurement (2.5 hours unsupervised) take place within 9 days of each other. _____ Previous primary outcome measure: Walking speed in real-world settings, collected via the sensor during a 7-day continual recording of free-living activities in the home environment | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 01/11/2022: Right and left step, stride, turning angle, cadence, distance walked, gait variability and symmetry, and other gait-related outcomes relevant in the real-world measured using a single sensor in comparison to multi-sensor reference systems in the lab and in the home. The laboratory tasks (45 minutes) and the home environment measurement (2.5 hours unsupervised) take place within 9 days of each other. _____ Previous secondary outcome measures: Right and left step, stride, turning angle, cadence, distance walked, gait variability and symmetry, and other gait-related outcomes relevant for assessments in real-world settings, collected via the sensor during a 7-day continual recording of free-living activities in the home environment | — |
Countries
England, Germany, Israel, United Kingdom