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Joint OsteoarthritisDETECACTINCT04368858

Towards the Use of Instrumented Tests for Screening the Risk of Falling in Patients With Chronic Illness.

A study testing Exploratory physiopathology study, including non-invasive functional explorations carried out in patients with chronic pathology. in people with Joint Osteoarthritis and Atherosclerosis of the Distal Arteries, Without Gangrene, run by University Hospital, Clermont-Ferrand at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

In patients with chronic illness, screening for falls and their health consequences are major public health issues. Muscle weakness, gait and balance disorders are among the most common risk factors for falling. Read more about this study

Who is it for?
Ages 18 to 90 years
What is being tested?
Exploratory physiopathology study, including non-invasive functional explorations carried out in patients with chronic pathology.
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteFrance
Study dates
28 Aug 2020to 16 Nov 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Man or woman aged 18 to 90.
  • Patients with chronic pathology contributing to impaired mobility.
  • Volunteers who have given their written consent.
  • Affiliated to French health care system (for France)

Who cannot join

  • Patients suffering from progressive psychiatric pathologies (active psychosis, hallucinations, etc.) or the presence of another serious unstabilized pathology (decompensated heart failure, progressive terminal cancer, etc.).
  • People with poorly controlled or unstable cardiovascular disease.
  • Major osteoarticular or neurological problems completely preventing the proper performance of the various tests.
  • Persons under guardianship, curatorship, deprived of liberty or safeguarding justice.
  • People refusing to participate.
  • Pregnant or lactating women.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Chu Clermont Ferrand

    Clermont-Ferrand, 63003

Other trials in France

About this study

In patients with chronic illness, screening for falls and their health consequences are major public health issues. Muscle weakness, gait and balance disorders are among the most common risk factors for falling. Assessing these parameters would thus be a crucial step in the evaluation of the risk of falling, allowing to more precisely orient the management strategy. Combining inertial unit sensors with clinically validated tests can provide additional information to improve the assessment of fall risks. We therefore propose to constitute a monocentric exploratory study, testing a prognostic screening tool, in patients suffering from a chronic pathology, in order to assess the risk of falling in this population.

Considering the relationship between muscle weakness and the risk of falling, we can assume that a deficit in muscle strength will result in less vertical acceleration which could point to a muscle cause of the balance disorder and thus allow a finer detection of the risk of falling. On the other hand, we hypothesize that spinal static disorders in chronic pathologies and in particular osteoarthritis, as well as balance disorders linked to impaired deep sensitivity lead to an increase in oscillations of the trunk when walking which can cause postural balance disorders thus increasing the risk of falling.

Read the detailed description

Investigators propose to constitute a prospective cohort of subjects carrying chronic disease. The main objective is to study the correlation between the vertical acceleration during the sit to stand phase of the instrumented Timed Up and Go test (TUG) and the isokinetic muscle strength of the quadriceps. In addition, as secondary objectives, we will study the potential correlations between the other parameters collected with the inertial sensors during instrumented tests (Timed-Up and Go test, and 6-Minute Walk Test) and the isokinetic muscle strength of the lower limb muscles, posturography parameters, gait parameters, apprehension of fall and others.

In the present protocol, parameters will be measured once at inclusion day (to). Only the falling incidences will be collected prospectively at 6 months and at 1 year from the inclusion day.

Statistical analyses will be carried out using Stata software (version 13, StataCorp, College Station, USA). Qualitative variables will be described in terms of numbers and associated percentages. The quantitative variables will be described in terms of numbers, associated mean and standard deviation, median and interquartile range. Wherever is possible, graphic representations will be associated with these analyses. All tests will be performed for a bilateral hypothesis and a p-value <5% will be considered statistically significant. For the main outcome, the Pearson correlation coefficient (or Spearman if data are not normally distributed) will be calculated with its 95% confidence interval. The analysis of the relationships between the continuous criteria will be carried out using Pearson correlation coefficients (or Spearman if data are not normally distributed).

The search for fall risk factors (at 6 months / 1 year) will be carried out using standard tests:

  • Chi-square test (or exact Fisher test when appropriate) for the categorical criteria.
  • Student test (or Mann and Whitney test if data not normally distributed) for continuous criteria.

These analyses will be completed using a logistic regression model by adjusting to the clinically relevant criteria or highlighted in the univariate analysis. Results will be presented as an odd ratio with their 95% confidence interval

Little or no missing data is expected on the main criteria, however if a rate of missing data> 5% is observed, a sensitivity analysis for missing data will be carried out in order to characterize their nature (MCAR, MAR, MNAR) in order to propose the most suitable imputation method.

Being tested
Exploratory physiopathology study, including non-invasive functional explorations carried out in patients with chronic pathology.
Keywords
Inertial sensors, Timed Up and Go test, 6-Minute Walk test, Fall, Risk of fall, Altered mobility, Chronic illness, Chronic pathologies, Physical capacities, Physical test, Activity limitations
Medical subject headings
Parkinson Disease, Pulmonary Disease, Chronic Obstructive, Obesity, Chronic Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Exploratory physiopathology study, including non-invasive functional explorations carried out in patients with chronic pathology.Diagnostic test

    In the Mobility Exploration Unit of the University Hospital of Clermont-Ferrand, patients with chronic illnesses undergo a complete assessment of their physical capacities as well as their nutritional status. For the purpose of this protocol, patients will have to perform 2 functional tests, namely the TM6 and the TUG, while being equipped with inertial sensor units (mTUG® and mGAIT®). The data of the gait analysis, posturography and strength analyses as well as the questionnaires' scores will be taken into account in this research. At 6 months and at 1 year, occurrence of a fall will be recorded in order to prospectively monitor this parameter.

Study groups in NCT04368858
Study groupRoleWhat they receive
Cohort 1 : experimental groupExperimentalParticipants will be involved in an evaluation program combining, body composition measures, physical tests as well as self-administered questionnaires. Participants will be followed for 1 year with evaluations (occurrence of fall) taking place at 6 months and at 1 year.
Receives: Diagnostic Test: Exploratory physiopathology study, including non-invasive functional explorations carried out in patients with chronic pathology.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Vertical acceleration in m/s² during the sit to stand phase of the Timed-Up and Go test.

    Vertical acceleration will be collected with the mTUG® inertial sensor unit.

    Measured: Day 0

  2. Maximum voluntary isokinetic strength (Nm) of the quadriceps muscles in slow speed (60°/s) concentric contraction.

    : Maximum voluntary isokinetic strength of the quadriceps muscles will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

Secondary outcomes (54)
  1. Demographics information

    Demographics information will be obtained using a single questionnaire including questions on age, gender, qualification, personal work status, ethnicity, life and occupational events.

    Measured: day 0

  2. Weight (Kg).

    Weight will be measured with the medical body weight scale SECA® and according to the ISAK recommendations.

    Measured: day 0

  3. Height (cm).

    Height will be measured with a wall mounted tape measure and according to the ISAK recommendations.

    Measured: day 0

  4. Waist circumference (cm).

    Waist circumference will be measured with a medical body tape measure and according to the ISAK recommendations.

    Measured: day 0

  5. Hip circumference (cm).

    Hip circumference will be measured with a medical body tape measure and according to the ISAK recommendations.

    Measured: day 0

  6. Brachial circumference (cm).

    Brachial circumference will be measured with a medical body tape measure and according to the ISAK recommendations.

    Measured: day 0

  7. Calf circumference (cm).

    Calf circumference will be measured with a medical body tape measure and according to the ISAK recommendations.

    Measured: day 0

  8. Body Mass Index (Kg/m²).

    Description: BMI will be calculated (weight in kilograms divided by height in meters squared).

    Measured: day 0

  9. Body composition.

    Body composition (muscle and fat) will be measured using he Bodystat® Impedance-meter.

    Measured: day 0

  10. Self-Reported Number of Falls during the previous year

    Number of falls will be evaluated with the Elderly Fall Screening Test (EFST).

    Measured: day 0

  11. Self-Reported Number of Falls during the previous year

    Number of falls will be evaluated with the Elderly Fall Screening Test (EFST).

    Measured: Month 6

  12. Self-Reported Number of Falls during the previous year

    Number of falls will be evaluated with the Elderly Fall Screening Test (EFST).

    Measured: Year 1

  13. Sarcopenia risk.

    Sarcopenia risk will be evaluated with the SARC-F Questionnaire.

    Measured: Day 0

  14. Balance confidence in performing various activities

    Self-report balance confidence will be evaluated with the Activities-specific Balance Confidence (ABC) Scale.

    Measured: Day 0

  15. Maximum voluntary isometric strength of the quadriceps muscles at 45° (Nm).

    : Maximum voluntary isometric strength of the quadriceps muscles will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  16. Maximum voluntary isokinetic strength of the quadriceps muscles at 60°/s (Nm).

    Maximum voluntary isokinetic strength of the quadriceps muscles at 60°/s will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  17. Maximum voluntary isokinetic strength of the quadriceps muscles at 240°/s (Nm).

    Maximum voluntary isokinetic strength of the quadriceps muscles at 240°/s will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  18. Maximum voluntary isokinetic strength of the quadriceps muscles at 30°/s (eccentric contraction) (Nm).

    Maximum voluntary isokinetic strength of the quadriceps muscles at 30°/s will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  19. Maximum voluntary isokinetic strength of the hamstring muscles at 60°/s (Nm).

    Maximum voluntary isokinetic strength of the hamstring muscles at 60°/s will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  20. Maximum voluntary isokinetic strength of the hamstring muscles at 240°/s (Nm).

    Maximum voluntary isokinetic strength of the hamstring muscles at 240°/s will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  21. Maximum voluntary isokinetic strength of the hamstring muscles at 30°/s (eccentric contraction) (Nm).

    Maximum voluntary isokinetic strength of the hamstring muscles at 30°/s will be measured with the HUMA® /NORM™ device.

    Measured: Day 0

  22. Statokinesigram surface area (mm²).

    Statokinesigram surface area will be measured with the STATIPRO® static posturography platform.

    Measured: Day 0

  23. Stabilogram length (mm).

    Stabilogram length will be measured with the STATIPRO® static posturography platform.

    Measured: Day 0

  24. Maximal deflection (forward, backward left and right).

    Maximal deflection will be measured with the STATIPRO® static posturography platform.

    Measured: Day 0

  25. Velocity variations (mm/s).

    Velocity variations will be measured with the STATIPRO® static posturography platform.

    Measured: Day 0

  26. Romberg ratio according to sway area

    Romberg ratio will be measured with the STATIPRO® static posturography platform

    Measured: day 0

  27. Romberg ratio according to center of pressure path length.

    Romberg ratio will be measured with the STATIPRO® static posturography platform.

    Measured: day 0

  28. Plantar pressure ratio sway area.

    : Plantar pressure ratio sway area will be measured with the STATIPRO® static posturography platform

    Measured: day 0

  29. Plantar pressure ratio length

    Plantar pressure ratio length will be measured with the STATIPRO® static posturography platform.

    Measured: day 0

  30. Walking velocity (cm/s).

    Walking velocity will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  31. Cadence (steps/min).

    Cadence will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  32. Step length (left and right foot) (cm)

    : Step length will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  33. Stride length (cm).

    Stride length will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  34. : Single support time left and right foot (% of walking cycle)

    Single support time will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  35. Double support time (% of walking cycle).

    Double support time will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  36. Swing time (% of walking cycle).

    : Swing time will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  37. Swing phase (% of walking cycle).

    Swing phase will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  38. Stance phase (% of walking cycle).

    : Stance phase will be measured with the GAITRite® Electronic Walkway.

    Measured: day 0

  39. Functional capacity Timed-Up and Go

    Functional capacity will be evaluated using the Timed-Up and Go test.

    Measured: day 0

  40. Functional capacity TDM6

    Functional capacity will be evaluated using the 6-minute walk test.

    Measured: day 0

  41. Vertical acceleration (m/s²) during the sit to stand phase of the Timed-Up and Go test (TUG).

    Vertical acceleration will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  42. Time (s) to complete the Timed-Up and Go test.

    Time will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  43. Anteroposterior acceleration (m/s2) during stand to walk phase of the Timed-Up and Go test

    Anteroposterior acceleration will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  44. Vertical angular speed (m/s) during the TUG test.

    Vertical angular speed will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  45. Medio-lateral angular velocity (m/s) during the TUG test.

    Medio-lateral angular velocity (m/s) will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  46. Time (s) of the 180° rotation phase during the TUG test.

    Time of the rotation phase will be measured with the mTUG® inertial sensor unit

    Measured: day 0

  47. Time (s) to pass from the sitting position to the first step during the TUG test.

    Time will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  48. Duration (s) of the turn to sit phase during the TUG test.

    Time will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  49. Total number of steps during the TUG test.

    Steps will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  50. Average length of steps (m) during the TUG test.

    Steps will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  51. Average walking speed (m/s) during the TUG test.

    Walking speed will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  52. Number of steps during the 180° rotation phase of the TUG test.

    Steps will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  53. Standard deviation of the duration of the step (s) during the TUG test.

    Standard deviation will be measured with the mTUG® inertial sensor unit.

    Measured: day 0

  54. Spatio-temporal gait parameters (Average walking speed, step and stride length (right and left), cadence variability, variability in stride length, stance and swing phase, …) during the 6-minute Walk Test (6MWT).

    Spatio-temporal gait parameters will be measured with the mGAIT® inertial unit sensors

    Measured: day 0

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2020
  2. Study start28 Aug 2020
  3. Primary completion16 Nov 2022
  4. Study completion16 Nov 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04368858
Sponsor's protocol ID
RBHP 2020 REYNAUD
Other IDs
2020-A00290-39
Acronym
DETECACTI
Status last verified
Aug 2026
First submitted
27 Apr 2020
Last updated
5 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Pelletier Visa M, Dobija L, Verdilos A, Mullez A, Reynaud V, Gignoux P, Costes F, Coudeyre E. Correlation Between Instrumented Timed Up and Go Test Performance and Muscle Strength in Knee and Hip Osteoarthritis: An Exploratory, Cross-Sectional Study. Sensors (Basel). 2025 Dec 25;26(1):142. doi: 10.3390/s26010142.

    PubMed 41516576

Questions about this trial

What is this clinical trial studying?

A study testing Exploratory physiopathology study, including non-invasive functional explorations carried out in patients with chronic pathology. in people with Joint Osteoarthritis and Atherosclerosis of the Distal Arteries, Without Gangrene, run by University Hospital, Clermont-Ferrand at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Vertical acceleration in m/s² during the sit to stand phase of the Timed-Up and Go test. (time frame: Day 0). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04368858, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2026.

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