Position Sense Disorders
Conditions
Brief summary
The aim of this clinical investigation is to develop a reliable and valid device to instantly measure the subject's sitting posture in a wheelchair, without using the MCPAA scale.
Detailed description
Each subject will be invited to a single experimental session lasting approximately one hour, during which all assessments will be performed. During the visit, the patient will complete an autonomy questionnaire and assess wheelchair fatigue. A spirometry test will be performed. The measurements will then be recorded by the BePoW software and the occupational therapist.
Interventions
14 measurements taken with the device
MCPAA : measurement of seated postural control in adults in French 12 measurements taken with the goniometer
Sponsors
Study design
Intervention model description
exploratory, monocentric, reliability-validity clinical investigation
Eligibility
Inclusion criteria
* Over 18 years of age, * Having freely consented to participate in the study (or their legal representative in the case of guardianship, in agreement with the patient), * In the case of a guardianship, the legal representative having read the information document intended for the legal guardian of an adult under legal protection (under guardianship) and given his/her free and informed consent for the person for whom he/she is responsible to participate in the study (in agreement with the patient). * Temporarily or permanently wheelchair-bound, * Affiliated with a social security scheme or beneficiary of such a scheme.
Exclusion criteria
* Has comprehension problems that prevent him/her from giving free and informed consent and from completing the investigation (following instructions, answering questionnaires), * Suffering from a pathology (Huntington's disease, Sydenham's Chorea) preventing stable sitting posture during participation in the investigation, * Have undergone an amputation that prevents the BePoW device from taking measurements, * having undergone a tracheotomy preventing spirometry. * Pregnant, parturient or breast-feeding women, * Person deprived of liberty by a judicial decision (except guardianship or curatorship) or or administrative decision, a person under psychiatric care or admitted to a or social establishment for purposes other than research, * Minors, * Person in an emergency situation unable to give prior consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reliability assessment: intraclass correlation coefficient (ICC) between BePoW measurements | Immediately after inclusion | 12 data records for each measurement for intra ICC |
| Validity assessment: correlation coefficient r between raw goniometric measurements and BePoW measurements, | Immediately after inclusion | kappa coefficient between recoded measurements : BePow / MCPAA |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessing the validity of BePoW measurements in relation to respiratory capacity | Immediately after inclusion | assessed by the ratio of forced expiratory volume in one second (FEV1) to FEV1 at 6 seconds (FEV 6). Spirometry will be performed 3 times, with the highest value retained. |
| Assess the validity of BePoW measurements in relation to fatigability. | Immediately after inclusion | assessment using a visual numerical scale, from 0 to 10 |
| Determining the minimum detectable change (MDC) on angular measurements taken by BePoW | Immediately after inclusion | Calculation of the minimum detectable change (MDC) of each measurement taken by the device. |
| Determine the standard error measurement (SEM) on angular measurements taken by BePoW | Immediately after inclusion | Calculation of the standard error measurement (SEM) of each measurement taken by the device. |
| Assess the validity of BePoW measurements in relation to autonomy. | Immediately after inclusion | assessment by the MIF (Measure of Functional Independence) questionnaire from 21 (total dependence) to 47 (completely independent) |
Countries
France