The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?

Meurisse, Guillaume M.; Bastien, Guillaume; Schepens, Bénédicte

doi:10.1371/journal.pone.0220791

Cited by 8 publications

(11 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 1 shows the primary outcome and the secondary outcomes with the expected result at the end of the treatment. The expected improvement was derived from the analysis of similar studies [29], collected for the evaluation of the sample size for each outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…The Performance-Oriented Mobility Assessment (POMA) [27], a test widely used to assess walking ability and associated with equilibrium, is used to calculate the sample size [28]. Assuming a small effect size of 10% [29], it is estimated that the overall sample size needed to capture this effect size is of 153 subjects, assuming a statistical power of 80%, a significance level of 0.05, three groups and 5 repeated assessments (a baseline and 4 follow-ups) in an ANOVA model within-between interactions. Even assuming a 25% drop out rate, the total number required would be 195 subjects (65 for each arm).…”

Section: Sample Sizementioning

confidence: 99%

See 1 more Smart Citation

Rehabilitation of older people with Parkinson’s disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies

et al. 2020

View full text Add to dashboard Cite

Background: Parkinson's disease is one of the most frequent causes of disability among the older adults. It is a chronic-progressive neuro-degenerative disease, characterized by several motor disorders. Balance disorders are a symptom that involves the body axis and do not respond to dopaminergic therapy used in Parkinson's disease. Therefore, physiotherapy becomes an important intervention for the management of motor disorders. Originally, these rehabilitative approaches were based on empirical experiences, but several scientific evidences suggests that neuronal plasticity is exercise-dependent. In this context, robotic rehabilitation plays an important role because it allows to perform task-oriented exercises and to increase the number of repetitions and their intensity. This protocol study aims to evaluate the effectiveness of robotic-based intervention of the older adults with Parkinson's disease, designed to improve the gait and to reduce the risk of falling. Methods: This study is a single-blinded randomized controlled trial. The primary outcomes are: risk of falling, gait performance and fear of falling measured through Performance-Oriented Mobility Assessment (POMA), instrumental gait analysis and Short Falls Efficacy Scale-International (FES-I), respectively. One hundred ninety-five patients with PD will be recruited and randomly divided into three groups, to receive a traditional rehabilitation program or a robotic rehabilitation using Tymo system or Walker View in addition to the traditional therapy. Assessments will be performed at baseline, at the end of treatment and 6 months, 1 year and 2 years from the end of the treatment. A 10-treatment session will be conducted, divided into 2 training sessions per week, for 5 weeks. The control group will perform traditional therapy sessions lasting 50 min. The technological intervention group will carry out 30 min of traditional therapy and 20 min of treatment with a robotic system. Discussion: The final goals of the present study are to propose a new approach in the PD rehabilitation, focused on the use of robotic device, and to check the results not only at the end of the treatment but also in the long term.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Sample Sizementioning

confidence: 99%

Rehabilitation of older people with Parkinson’s disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Table 1 shows the primary outcome and secondary outcomes with the expected result at the end of the treatment. The expected improvement is derived from the analysis of similar studies, 20 collected for the evaluation of the sample size for each outcome.…”

Section: Discussionmentioning

confidence: 99%

“…The POMA, 18 a test widely used to assess walking ability and associated with equilibrium, was used to calculate the sample size. 19 Assuming a small effect size of 10%, 20 it is estimated that the overall sample size needed to capture this effect size is of 153 subjects, assuming a statistical power of 80%, a significance level of 0.05, three groups and five repeated assessments (a baseline and four follow-ups) in an analysis of variance (ANOVA) model within-between interactions. Even assuming a 25% drop-out rate, the total number required would be 195 subjects (65 for each arm).…”

Section: Sample Sizementioning

confidence: 99%

Randomised controlled trial assessing the effect of a technology-assisted gait and balance training on mobility in older people after hip fracture: study protocol

et al. 2020

View full text Add to dashboard Cite

IntroductionDeficits in balance and walking ability are relevant risk factors for falls during ageing. Moreover, falls are a risk factor for future falls, strongly associated with adverse health outcomes, such as fear of falling or fractures, particularly, hip fracture. For this reason, the development of prevention tools and innovative rehabilitation strategies is one of the main objectives in geriatrics. Effective interventions to promote hip recovery after hip fracture are characterised by intensive and repetitive movements. One treatment approach is to increase the number of steps during the rehabilitation sessions and to improve the balance and the endurance of the patients in the use of technological devices.Methods and analysisThis randomised controlled trial aimed to evaluate an innovative rehabilitation treatment of elderly patients with hip fractures. A total of 195 patients with hip fractures will be recruited and randomly divided into three groups: traditional rehabilitation programme, traditional rehabilitation programme plus TYMO system and traditional rehabilitation programme plus Walker View. Assessments will be performed at baseline, at the end of treatment, at 6 months, and at 1 and 2 years after the end of the treatment. Only subjects hospitalised 4 weeks prior to the beginning of the study will be taken into consideration. Twenty treatment sessions will be conducted, divided into three training sessions per week, for 7 weeks. The technological intervention group will carry out 30 min sessions of traditional therapy and 20 min of treatment with a technological device. The control group will perform traditional therapy sessions, each lasting 50 min. The primary outcomes are risk of falling, gait performance and fear of falling.Ethics and disseminationThe study was approved by the Istituto di Ricerca e Cura a Carattere Scientifica, Istituto Nazionale Ricovero e Cura Anziani Ethics Committee, with identification code number 19 014. Trial results will be submitted for publication in journals and conferences.Trial registration numberNCT04095338.

show abstract

“…POMA [ 22 ], a test widely used to assess walking ability and associated with equilibrium, was used to calculate the sample size [ 23 ]. Assuming a small effect size of 10% [ 24 ], a statistical power of 80%, a significance level of 0.05, a correlation among repeated measures of 0.5, and that sphericity is exactly met, it is estimated that the overall sample size needed to capture this effect size is of 122 subjects, two groups, and 5 repeated assessments (a baseline and 4 follow-ups) in an ANOVA model within-between interactions. Even assuming a 20% drop-out rate, the total number required would be 152 subjects (76 for each arm).…”

Section: Methodsmentioning

confidence: 99%

An innovative training based on robotics for older people with subacute stroke: study protocol for a randomized controlled trial

Maranesi

Bevilacqua

Rosa

et al. 2021

Trials

View full text Add to dashboard Cite

Background Stroke is a leading cause of disability, injury, and death in elderly people and represents a major public health problem with substantial medical and economic consequences. The incidence of stroke rapidly increases with age, doubling for each decade after age 55 years. Gait impairment is one of the most important problems after stroke, and improving walking function is often a key component of any rehabilitation program. To achieve this goal, a robotic gait trainer seems to be promising. In fact, some studies underline the efficacy of robotic gait training based on end-effector technology, for different diseases, in particular in stroke patients. In this randomized controlled trial, we verify the efficacy of the robotic treatment in terms of improving the gait and reducing the risk of falling and its long-term effects. Methods In this single-blind randomized controlled trial, we will include 152 elderly subacute stroke patients divided in two groups to receive a traditional rehabilitation program or a robotic rehabilitation using G-EO system, an end-effector device for the gait rehabilitation, in addition to the traditional therapy. Twenty treatment sessions will be conducted, divided into 3 training sessions per week, for 7 weeks. The control group will perform traditional therapy sessions lasting 50 min. The technological intervention group, using the G-EO system, will carry out 30 min of traditional therapy and 20 min of treatment with a robotic system. The primary outcome of the study is the evaluation of the falling risk. Secondary outcomes are the assessment of the gait improvements and the fear of falling. Further evaluations, such as length and asymmetry of the step, walking and functional status, and acceptance of the technology, will be carried. Discussion The final goal of the present study is to propose a new approach and an innovative therapeutic plan in the post-stroke rehabilitation, focused on the use of a robotic device, in order to obtain the beneficial effects of this treatment. Trial registration ClinicalTrials.gov NCT04087083. Registered on September 12, 2019

show abstract

The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?

Cited by 8 publications

References 38 publications

Rehabilitation of older people with Parkinson’s disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies

Rehabilitation of older people with Parkinson’s disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies

Randomised controlled trial assessing the effect of a technology-assisted gait and balance training on mobility in older people after hip fracture: study protocol

An innovative training based on robotics for older people with subacute stroke: study protocol for a randomized controlled trial

Contact Info

Product

Resources

About