The purpose of this pilot study is to assess the impact of using walking sticks on walking perimeter in people with anterior spinal imbalance.
Aging is associated with a number of highly prevalent spinal pathologies, characterized by static disorders affecting spinal balance in the sagittal plane especially. These postural disorders are a source of pain, activity limitation and reduced quality of life. Treatment of spinal static disorders is essentially symptomatic based on medical care and rehabilitation and includes the use of spinal orthosis. Adherence to spinal orthosis is poor. Walking requires dynamic stabilization capacities, which are affected by static disorders of the spine. In the case of walking difficulties associated with sagittal imbalance of spine, the walking aid most frequently assessed in the literature is the rollator. Using a rollator promotes anterior flexion of the spine and prevents physiological dissociation of the scapular and pelvic girdles. Walking sticks help maintain sagittal alignment of the spine, improving the subject's dynamic stability while respecting the physiological gait pattern (dissociation of the scapular and pelvic belts). To date, no study has assessed the impact of using walking sticks to increase walking activity in a population of people with sagittal imbalance of spine. Deterioration in overall spinal balance and reduced stabilization capabilities are associated with increased risk of falls.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
35
Walking with walking sticks and pedometer Daily walking activity recorded in a logbook
Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis.Hôpital Cochin
Paris, France
RECRUITINGWalking perimeter
6-minute walk test at Day 0 without walking sticks and 3 months later with walking sticks
Time frame: Day 0 and month 3 (+ 15 days, 13 to 15 weeks)
Number of daily steps
Daily steps measured by pedometer
Time frame: Periods Day 1-Day 7 and Day 8-Month 3
Walking perimeter
6-minute walk test at Day 0 without walking sticks and 3 months later without walking sticks
Time frame: Day 0 and month 3
Postural stability parameters
Postural stability parameters (measured on a stabilometry platform, Abilycare).
Time frame: Day 0 and month 3
Spatio-temporal walking parameters
Variation in spatio-temporal walking parameters (measured on a GaitRite treadmill
Time frame: Day 0 and Month 3
Number of falls in the last 3 months
Time frame: Day 0 and Month 3
Mean spinal pain
Variation in the average intensity of spinal pain (in the last 48 hours) (Numerical Scale, 0: no pain, 10: maximum imaginable pain)
Time frame: Day 0 and Month 3
Activity limitation
Variation in activity limitation assessed by the self-completed Oswestry Disability Index (ODI, 0-50, no activity limitation; 50 maximum limitation)
Time frame: Day 0 and Month 3
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Quality of life
Variation in specific quality of life assessed by the Scoliosis Research Society-22 revised self-assessment questionnaire (SRS-22r, for each of the 5 domains, score from 1: minimum quality of life to 5: maximum quality of life).
Time frame: Day 0 and Month 3
Participant's opinions on the use of sticks collected
Using open and closed questions
Time frame: Month 3