Comparison of a Classical Rehabilitation Method and a Specific Rehabilitation Method of the Cervical Spine

NCT03286322 | Completed

• 1 other identifier: 2016-A00521-50
• Study Type: interventional
• Target: 86
• Locations: 1 country
• Sites: 1

Brief Summary

In more than 90% of cases, victims of fall are elderly people over 65. Nearly the third of those people fall at least 1 time by year. The incidence substantially increases for people over 80 and women are at higher risk than men. The value of balance rehabilitation no longer needs to be demonstrated in Gerontology. Nevertheless, a more specific therapy based on the aged-related cervical problems seems to be essential. Indeed, those problems are numerous (arthrosis-like pains, joint stiffness, muscular contractures…) and often lessen vestibular and/or proprioceptive afferents. The cervical spine is a link between different systems which regulate balance, as the visual, vestibular and cervical systems (muscular, articular afferents…), and this role is key to balance control. Indeed, the cervical spine owns an exceptional function thanks to Ruffinian corpuscles, muscle and neurotendinal spindles. Many studies point up the importance of the relation between balance, cervical spine and vestibular system, and others between tissue changes and postural adaptations in elderly people. Nevertheless, the take into consideration of all these data and their impacts in rehabilitation has not been reported yet. This brings us to question the added-value of a cervical mobility management in balance rehabilitation in Gerontology.

Conditions

Loss of Balance

Outcome Measures

Primary Outcomes (1)

• Percentage decrease of the wobbling surface eyes open on steady ground, on a posturology platform

  To compare the balance improvement, thanks to a posturology platform, between 2 groups of elderly patients hospitalized for balance disorders, in order to highlight the way of manual therapy in physiotherapy, focused on the cervical spine, can increase these parameters and contribute to lessen the risk of falls in elderly people.

  at 3 weeks

Study Arms (2)

manual therapy cervical spine

EXPERIMENTAL

Other: manuel therapy cervical spine

control group

SHAM COMPARATOR

Other: control group

Interventions

manuel therapy cervical spine OTHER

the manuel therapy in physiotherapy is focused on the cervival spine

manual therapy cervical spine

control group OTHER

the manuel therapy in physiotherapy is classic and not focused on the cervival spine

control group

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Patients over 75 hospitalized in rehabilitation department and long-term unit of Cimiez Hospital
• With MMSE \> 20
• In need of balance rehabilitation
• Who can stand Bipodal position for \>1 minute
• Who can walk for more than 10 meters without walking aid
• Having signed an informed consent
• Affiliated to a health insurance plan

You may not qualify if:

• Motor neurological deficit, specific vestibular pathologies
• Patient hospitalized for traumatological pathology or who has been hospitalized for traumatological pathology within 3 months
• Vulnerable people: adults under guardianship, deprived of freedom

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Nice: lead

Study Sites (1)

CHU de Nice

Nice, 06000, France

Location

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Sébastien GONFRIER, MD

  Centre Hospitalier Universitaire de Nice

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 15, 2017
• First Posted: September 18, 2017
• Study Start: December 16, 2016
• Primary Completion: October 15, 2019
• Study Completion: January 1, 2024
• Last Updated: March 18, 2024

Record last verified: 2024-03

Locations

FR (1)