Implementation and Validation of Instrumented Stair Climb Test
Implementazione e Validazione di un Test Per l'Analisi Del Movimento Della Salita e Discesa Delle Scale Con Sensori Indossabili
IRCCS Eugenio Medea
64 participants
Apr 4, 2025
INTERVENTIONAL
Conditions
Summary
The aim of this study is to design an instrumented test for the evaluation of the climb of stairs. In particular, the main purpose is to characterize and compare the performance of subjects, both pediatrics and adults, with different pathologies (cerebral palsy, amputee, Parkinson's disease, stroke and arthroplasty) in carrying out the instrumented test of climbing and descending stairs. This would provide potentially useful information to complement the clinical assessment, including investigating the existence of correlations between the instrumental data obtained and the clinical scales collected. The secondary objective is to evaluate, in a first phase of the study, the feasibility and reliability of the test, analyzing the validity of the indices obtained in terms of intra- and inter-operator reliability on healthy subjects.
Eligibility
Inclusion Criteria16
- \- Ability to climb and descend 10 steps with supervision, even with handrail support.
- age 4-80 years (8 subjects 4-18 years; 8 subjects 19-65 years; 8 subjects 65-80 years);
- absence of diagnosis of neurological or orthopaedic pathologies, which impair the patient's mobility.
- age range 4-18 years;
- Diagnosis of Infantile Cerebral Palsy;
- right or left hemiparesis;
- ability motor skills in levels I - III according to the GMFCS (Gross Motor Function Classification System).
- Age 65-80 years;
- postoperative postoperative hip or knee arthroplasty (in election and post-fracture, any revisions will be excluded).
- age range from 19 to 80 years;
- Leg amputation (trans-tibial), fitted with limb prosthesis.
- age range from 65 years;
- diagnosis of Parkinson's disease or Parkinsonism also on a vascular basis.
- Age 65-80 years;
- Aftereffects of Ictus Cerebri;
- left or right hemiparesis.
Exclusion Criteria4
- Need for help from an operator or use of orthoses to make the stairs;
- Inability to dress the instrumentation (accelerometer/electromyograph);
- clinical condition that does not recommend the execution of scales (e.g. NYHA Class IV cardiovascular decompensation, epilepsy not controlled by drugs, serious visual disturbances...);
- inability to follow verbal instructions.
Interventions
Instrumented test of climbing and descending stairs for the evaluation of kinematic and electromyographic variables. The test consists of repeating the ascent and descent of a flight of 10-12 steps;
Assessment of climbing and walking skills through test series: Borg scale: An evaluation scale for measuring effort perception. The evaluation scale consists of answering some questions at the end of the exercise described above; 10-metre walk test (10MWT): Test to assess walking speed in metres per second over a short distance. Can be used to determine functional mobility, gait and vestibular function. The test consists of walking at a steady speed and safely for 10 metres; 30 second sit to stand test: test for the evaluation of strength and endurance of the legs in the elderly. The test consists in performing the movement of standing up and sitting down from a chair for 30 consecutive seconds; Timed Up \& Go test (TUG): test to assess the risk of falling and balance. During the test, patients wear normal footwear and may use a walking aid if necessary. The patient starts in a sitting position, gets up on the therapist's command, walks in a straight line for a distance of 3 m
Instrumented test of climbing and descending stairs for the evaluation of kinematic and electromyographic variables. The test consists of repeating the ascent and descent of a flight of 10-12 steps. In this case, the ascent and descent of the stairs must be repeated two times. Between the two trial the IMU units must be repositioned.
Locations(3)
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NCT06999850