Fall Patients, Frailty
Conditions
Keywords
fall prevention, older, inertial sensors, dissociation of girdles
Brief summary
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.
Detailed description
The purpose of this study is to validate the device's measurement of belt dissociation in a discriminating manner between fallers and nonfallers.
Interventions
DEVICEDissociation measure of pelvic and scapular girdles by inertial sensors of accelerometer
Dissociation measure of pelvic and scapular girdles by 2 inertial sensors of accelerometer type (IMU BNO055) during a 10 m walking test
DEVICEGAITRite Device
Walking parameter measured during a 10 m walking test with GaitRite device
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Case-control study from the clinical gerontology service and the PROOF cohort. Cases: patients who fell (= at least one fall in the last 12 months) mainly from the clinical from the clinical gerontology department. Controls: patients/subjects who have not fallen, mainly from the PROOF cohort.
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
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).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| measure of position of the pelvic and scapular girdles | During walking test | The position of the pelvic and scapular girdles will be measured by the angle (in degrees) between the two girdles C7 and L5 in the sagittal plane during a 10 meters walking test. The angle will be measured by two inertial sensors of accelerometer type (IMU BNO055). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assessment of patients' frailty status | at the inclusion | Patients' frailty status will be assessed using the Fried score |
| Composite outcome : measurement of various walking quantitative parameters | at the inclusion | Composite outcome will be measured with the following quantitative parameters using the GAITRite device: the parameters of walking speed (m/s), variability (%), length (m), width (cm), symmetry (m), cadence (steps/min) and step cycle time (s). |
Countries
France
Outcome results
None listed