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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.
Temporal-spatial gait parameters will be recorded in subjects aged 65-80 years : 30 healthy people, 30 patients at least one year post-stroke, and 30 fallers while walking on an electronic walkway GAITRite® at self-selected speed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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 |
| |
| healthy subjects | Aged 65 to 80 years |
| |
| 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gait analysis | Other | walking on an electronic walkway GAITRite® at self-selected speed |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Ambulation Performance Score | a score which represents a quantification of patients' gait based on a selection of spatiotemporal parameters obtained at a self-selected speed. | at inclusion |
| Rivermead Motricity Index |
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For healthy subjects
For post-stroke patients
For fallers
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subjects aged 65-80 years : 30 healthy people, 30 patients at least one year post-stroke, and 30 fallers
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| Name | Affiliation | Role |
|---|---|---|
| Alain Yelnik | PRM department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRM Department - Lariboisiere Hospital | Paris | 75010 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11494184 | Background | 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. | |
| 11356774 | 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. |
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| ID | Term |
|---|---|
| D013786 | Thalamic Diseases |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D002561 | Cerebrovascular Disorders |
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| ID | Term |
|---|---|
| D000077107 | Gait Analysis |
| ID | Term |
|---|---|
| D005684 | Gait |
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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For post-stroke patients
| at inclusion |
| Berg Balance Scale | For post-stroke patients | at inclusion |
| 12535728 | 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. |
| 15196515 | 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. |
| 19056272 | 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. |
| 21298587 | 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. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000076604 |
| Physical Functional Performance |
| D010809 | Physical Fitness |
| D006262 | Health |
| D011154 | Population Characteristics |