Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
ID05627453

Helping Older People Recover Walking Abilities Through Arm-in-arm Gait Training: a Randomized Controlled Trial

Led by Philippe Terrier · Updated on 2024-02-29

132

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

P

Philippe Terrier

Lead Sponsor

S

Swiss National Science Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating an innovative walking exercise program called arm-in-arm gait training to help older adults at risk of falling improve their walking abilities. The trial focuses on healthy aging by testing whether walking while synchronizing steps with a younger partner can reduce fall risk, improve gait quality, balance, mood, and well-being. This is a randomized controlled trial comparing this approach to standard walking without step synchronization. Participants will be randomly assigned to one of two groups. One group will walk side-by-side without physical contact, choosing a comfortable pace, while the other group will walk arm-in-arm synchronizing their steps. Each training session lasts 30 minutes and is done three times a week for four weeks. Sessions may take place indoors to avoid bad weather. Gait quality assessments occur weekly during training and once more at week 7 after training ends. Participants will undergo evaluations including walking tests using sensors, functional assessments, and questionnaires measuring mood and physical activity. Falls will be tracked through online questionnaires every three months for 18 months after enrollment. The main outcome measured is walking speed at week 4, with additional measures of gait features, balance, mood, and fall frequency monitored throughout the study and follow-up period. The study also explores participant perceptions of the training.

CONDITIONS

Brief Title

Arm-in-Arm Gait Training Trial

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Older participant aged 70 years or above
  • Able to walk continuously for 15 minutes without walking aids
  • Experienced a fall in the past year
  • Have a health certificate stating no contraindication to walking
  • No severe gait disorders from orthopedic or neurologic causes
  • Younger participant aged between 18 and 40 years
  • No severe gait disorders from musculoskeletal or neurologic origin
Not Eligible

You will not qualify if you...

  • Unable to follow study procedures due to language, psychological disorders, or dementia
  • Unable or contraindicated to undergo the walking intervention
  • Vulnerable persons as defined by Swiss Human Research Act articles 21-24

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 4 weeks

Participants engage in gait training sessions either walking arm-in-arm synchronizing steps with a younger adult or walking side-by-side without contact or step synchronization. Sessions last 30 minutes, three times a week for four weeks. The last session each week includes an assessment of gait quality.

3 visits per week for 4 weeks, with gait quality assessments at the last session each week

Follow-up

Duration - Up to 18 months

Participants are monitored for gait quality, mood, physical activity, and fall occurrence. Gait assessments occur at week 7, and falls are tracked via online questionnaires every three months for up to 18 months after training.

1 visit at week 7 and online questionnaires every 3 months up to 18 months

Trial Site Locations

Total: 1 location

1

Haute-Ecole Arc Santé

Neuchâtel, Switzerland, 2000

Actively Recruiting

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Research Team

P

Philippe Terrier, PhD

J

Jeremy Torrent, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Published Research Related To This Trial

Maximum Lyapunov exponent revisited: Long-term attractor divergence of gait dynamics is highly sensitive to the noise structure of stride intervals.

Philippe Terrier, Fabienne Reynard

https://pubmed.ncbi.nlm.nih.gov/30212783

Restoring walking ability in older adults with arm-in-arm gait training: study protocol for the AAGaTT randomized controlled trial.

Mathilde Gigonzac, Philippe Terrier

https://pubmed.ncbi.nlm.nih.gov/37674129