Interest of Walking Sticks to Increase Walking Activity of People With Sagittal Imbalance of Spine

NCT ID: NCT07127250

Last Updated: 2025-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-25

Study Completion Date

2028-02-29

Brief Summary

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The purpose of this pilot study is to assess the impact of using walking sticks on walking perimeter in people with anterior spinal imbalance.

Detailed Description

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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.

Conditions

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Static Spinal Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Walking sticks

Group Type EXPERIMENTAL

Walking sticks

Intervention Type OTHER

Walking with walking sticks and pedometer Daily walking activity recorded in a logbook

Interventions

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Walking sticks

Walking with walking sticks and pedometer Daily walking activity recorded in a logbook

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult ≥ 50 years
* VAS (Sagittal Vertical Axis, C7-S1, EoS (clinical follow-up)) \> 5cm
* Able to do transfers alone
* Able to walk 10 minutes or 400 meters in a row
* Self-reported Walking difficulties
* Person living at home
* Person willing and consenting to participate in the study
* Health insurance

Exclusion Criteria

* Current use of walking sticks
* Advanced and symptomatic osteoarthritis of the lower limbs
* Static disorder of the fixed spine
* Introduction of a straightening brace in the 3 months preceding the start of the study
* Static disorder explained by infectious, tumoral, congenital or neurodegenerative pathologies
* Uncompensated lower-limb length inequality (\> 2cm)
* Lower limb motor deficit
* Upper limb pathology preventing cane use
* Proprioceptive or vestibular pathology
* Inability to write, speak or read French
* Cognitive and/or behavioral disorders
* Participation in other research on spinal balance and/or gait, or that could influence these factors during the study period
* People under tutorship or curatorship
* Free state medical assistance
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alexandra ROREN

Role: STUDY_DIRECTOR

Assistance Publique - Hôpitaux de Paris

Rémy FLECHON

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis.Hôpital Cochin

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Rémy FLECHON

Role: CONTACT

01.58.41.41.41 Poste 18608 ext. +33

Laetitia PEAUDECERF, PhD

Role: CONTACT

01 71 76 07 99 ext. +33

Other Identifiers

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IDRCB

Identifier Type: REGISTRY

Identifier Source: secondary_id

APHP250475

Identifier Type: -

Identifier Source: org_study_id