Gait Parameters Analysis in Post-stroke Patients and in Elderly Fallers

NCT01443052 | Completed

• 1 other identifier: UC1002
• Study Type: observational
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

A large proportion of falls in older people occurs when walking. Most studies have recently demonstrated correlation between the variations in spatiotemporal gait parameters and fall risk in elderly and in several diseases. The investigators objective is to analyse this parameters in population with gait stability disorders (post-stroke patients and fallers) to identify the most valuable and to develop/test a conglomerate stability score.

Conditions

Healthy; Thalamic Pain Syndrome; Fallers

Keywords

Gait stability; Spatiotemporal parameters; Walking; Elderly people; Stroke; Fallers

Outcome Measures

Primary Outcomes (1)

• GAIT parameters

  Spatiotemporal gait parameters registered by a GAITRite walkway system, including mean and coefficient of variation for step and cycle length and time, base of support, speed, cadence, single and double support phase, stance and swing phase.

  at inclusion

Secondary Outcomes (3)

• Functional Ambulation Performance Score

  at inclusion

• Rivermead Motricity Index

  at inclusion

• Berg Balance Scale

  at inclusion

Study Arms (3)

post-stroke patients

Stroke patients who had only one cerebrovascular accident, at least one year before inclusion and Able to walk without using assisting devices or ambulatory aids

Other: Gait analysis

healthy subjects

Aged 65 to 80 years

Other: Gait analysis

fallers

Reported 2 or more falls within 6 months prior to the beginning of the study and Able to walk without using assisting devices or ambulatory aids

Other: Gait analysis

Interventions

Gait analysis OTHER

walking on an electronic walkway GAITRite® at self-selected speed

fallers; healthy subjects; post-stroke patients

Eligibility Criteria

• Age: 65 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

subjects aged 65-80 years : 30 healthy people, 30 patients at least one year post-stroke, and 30 fallers

1. For healthy subjects * Aged 65 to 80 years (included) ; * Patient has been informed and has signed the consent form. 2. For post-stroke patients * Aged 65 to 80 years (included) ; * Stroke patients who had only one cerebrovascular accident, at least one year before inclusion ; * Able to walk without using assisting devices or ambulatory aids ; * No cardiovascular contraindication ; * No history of neurological diseases with influence on walking capacities (excepted stroke) ; * No history of vestibular or orthopaedic (lower limb) disorders ; * No amblyopia ; * Patient has been informed and has signed the consent form. 3. For fallers * Aged 65 to 80 years (included) ; * Reported 2 or more falls within 6 months prior to the beginning of the study ; * Able to walk without using assisting devices or ambulatory aids ; * No cardiovascular contraindication ; * No history of neurological diseases with influence on walking capacities ; * No history of vestibular or orthopaedic (lower limb) disorders ; * No amblyopia ; * Patient has been informed and has signed the consent form.

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

PRM Department - Lariboisiere Hospital

Paris, 75010, France

Location

Related Publications (6)

• Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001 Aug;82(8):1050-6. doi: 10.1053/apmr.2001.24893.

  PMID: 11494184 BACKGROUND

• Hausdorff JM, Nelson ME, Kaliton D, Layne JE, Bernstein MJ, Nuernberger A, Singh MA. Etiology and modification of gait instability in older adults: a randomized controlled trial of exercise. J Appl Physiol (1985). 2001 Jun;90(6):2117-29. doi: 10.1152/jappl.2001.90.6.2117.

  PMID: 11356774 BACKGROUND

• Bilney B, Morris M, Webster K. Concurrent related validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait. Gait Posture. 2003 Feb;17(1):68-74. doi: 10.1016/s0966-6362(02)00053-x.

  PMID: 12535728 BACKGROUND

• Menz HB, Latt MD, Tiedemann A, Mun San Kwan M, Lord SR. Reliability of the GAITRite walkway system for the quantification of temporo-spatial parameters of gait in young and older people. Gait Posture. 2004 Aug;20(1):20-5. doi: 10.1016/S0966-6362(03)00068-7.

  PMID: 15196515 BACKGROUND

• Balasubramanian CK, Neptune RR, Kautz SA. Variability in spatiotemporal step characteristics and its relationship to walking performance post-stroke. Gait Posture. 2009 Apr;29(3):408-14. doi: 10.1016/j.gaitpost.2008.10.061. Epub 2008 Dec 3.

  PMID: 19056272 BACKGROUND

• Gouelle A, Megrot F, Presedo A, Pennecot GF, Yelnik A. Validity of Functional Ambulation Performance Score for the evaluation of spatiotemporal parameters of children's gait. J Mot Behav. 2011;43(2):95-100. doi: 10.1080/00222895.2010.538768.

  PMID: 21298587 BACKGROUND

MeSH Terms

Conditions

Thalamic Diseases; Stroke

Interventions

Gait Analysis

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Cerebrovascular Disorders; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Gait; Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Physical Functional Performance; Physical Fitness; Health; Population Characteristics

Study Officials

• Alain Yelnik

  PRM department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2011
• First Posted: September 29, 2011
• Study Start: November 1, 2010
• Primary Completion: July 1, 2015
• Study Completion: July 1, 2015
• Last Updated: June 15, 2021

Record last verified: 2021-06

Locations

FR (1)