Positioning in Wheelchair Bound Patients
AAPO'G
Evaluation of Actions to Improve Positioning in Wheelchaire Bound Patients at Risk of Slipping : Pilot Study
1 other identifier
interventional
30
1 country
1
Brief Summary
The choice of the most suitable chair as well as the improvement of the patient's positioning on this wheelchair is important to limit the discomfort, to prevent the risks of bedsores, the pains related to prolonged sitting and finally to support the interaction of the patient with its environment. The goal of this prospective, longitudinale, monocentric study is to evaluate the impact of standardized positioning in wheelchair-bound patients at risk of slipping. The main questions on the positioning actions are:
- their actions impact of positioning actions on shear forces
- their impact on sliding in the chair
- their impact on the feeling of discomfort in the chair
- their impact on the caregivers' feelings about the patient's difficulties (eating, transfers, sliding) Participation in this study will involve an increase in the number of transfers required for shear sheet placement and removal, as well as the time required for ischial measurement and the time to complete the (Tool for Assessing Wheelchair disComfort) TAWC questionnaire.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2023
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 10, 2022
CompletedFirst Posted
Study publicly available on registry
December 16, 2022
CompletedStudy Start
First participant enrolled
October 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 15, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 22, 2023
CompletedAugust 31, 2023
April 1, 2023
3 months
November 10, 2022
August 30, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Evolution of shear measurement with the Shear® sensor
Shear will be measured over a period of one hour (shear evolution over one hour), during which the patient will follow a standardized activity program.
Day 0 therefore before the implementation of the positioning actions then at Day 1 and Day 7
Secondary Outcomes (3)
Comparison of the sliding distance
Day 0 therefore before the implementation of the positioning actions then at Day 1 and Day 7
Evolution of the score on the TAWC scale
Day 0 therefore before the implementation of the positioning actions then at Day 7
Evolution of the caregiver questionnaire score (Likert scale)
Day 0 therefore before the implementation of the positioning actions then at Day 7
Study Arms (1)
All patients meeting the study eligibility criteria
EXPERIMENTALInterventions
After a personalized analysis of the patient and his needs, the occupational therapists define the equipment necessary for the good positioning of the patient: * Choice and adjustments of the wheelchair * Choice and adjustments of the wheelchair/patient interface
Eligibility Criteria
You may qualify if:
- Patient hospitalized for a minimum of 9 days (minimum 48-hour reflection period after information)
- Patient aged between 18 and 80 years,
- Patient with a sitting time in a wheelchair \> or equal to 1 hour,
- Patient with a neurological condition : multiple sclerosis, stroke, spinal cord injury, Parkinson disease, neurodegenerative diseases...
- Patient informed of the study and having given his written consent,
- Cognitive disorders that do not allow the understanding of instructions
- Patient with a pressure sore
- Pregnant or breastfeeding woman
- Patient under legal protection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- FondationbHopalelead
- GHICLcollaborator
Study Sites (1)
Julien PAGER
Berck, Hauts-de-France, 62608, France
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Jean Gabriel PREVINAIRE, MD
Fondation Hopale
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 10, 2022
First Posted
December 16, 2022
Study Start
October 1, 2023
Primary Completion
December 15, 2023
Study Completion
December 22, 2023
Last Updated
August 31, 2023
Record last verified: 2023-04
Data Sharing
- IPD Sharing
- Will not share