Barriers to Physical Activity in Patients With Cognitive, Neuromotor or Sensory Impairments During Aging

Study Overview
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Brief Summary
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People with disabilities are less physically active than the general population. Their barriers to physical activity are multiple and include intrapersonal, organizational, societal and interpersonal reasons. Nevertheless, at present, the evolution of their barriers to physical activity and the short- and long-term impact of medical and medico-social treatments to limit them are unknown. The aim of this study is to describe barriers to physical activity, or disability-related underperformance factors in competitive sports, in patients with cognitive, neuromotor or sensory impairments during aging.

Detailed Description
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This is an ambispective, monocentric, cohort study of subjects with cognitive, neuromotor or sensory impairments followed in a Physical Medicine and Rehabilitation Department. All consecutive eligible outpatient subjects consulting to the Parasport Health Unit of the Physical Medicine and Rehabilitation Department of our university hospital will be included. Clinical activities related to the Parasport Health Unit and performed outside the hospital will also be included. Data will be collected from the patients' medical records, in particular data related to their clinical, radiological, biological and physiological examinations.

Official Title
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Barriers to Physical Activity in Patients With Cognitive, Neuromotor or Sensory Impairments During Aging

Conditions
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Disability or Chronic Disease Leading to Disablement

Intervention / Treatment
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* Other: standard of care for patients with cognitive impairments
* Other: standard of care for patients with neuromotor impairments
* Other: standard of care for patients with sensory impairments


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients >= 6 years old ; Consulting to the Parasport Health Unit of the Physical Medicine and Rehabilitation Department of our university hospital ; Having a neuromotor, cognitive or sensory impairment ; No opposition to be enrolled in the study from the patient, or from a legally authorized close relative if the patient's state of health does not allow it, or from each of the holders of parental authority if a minor ; Affiliation to a social security scheme. Exclusion Criteria: Under court protection.

Ages Eligible for Study
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Minimum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| All subjects with cognitive impairments<br> | Other: standard of care for patients with cognitive impairments<br>* clinical examination, radiological, biological and physiological examinations.<br>|
| All subjects with neuromotor impairments<br> | Other: standard of care for patients with neuromotor impairments<br>* clinical examination, radiological, biological and physiological examinations.<br>|
| All subjects with sensory impairments<br> | Other: standard of care for patients with sensory impairments<br>* clinical examination, radiological, biological and physiological examinations.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes of barriers to physical activity during aging | Questionnaires assessing barriers and facilitators to physical activity (ex: BPAQ) | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes of physical activity level during aging | Questionnaires assessing physical activity levels (ex: PASPID) | through study completion, an average of 1 year | 
| Characteristics of medical and medico-social therapies implemented to limit barriers to physical activity | Number and description of medical and medico-social therapies | through study completion, an average of 1 year | 
| Characteristics of the medical and medico-social therapies implemented to limit disability-related underperformance factors for competitive sports | Number and description of medical and medico-social therapies | through study completion, an average of 1 year | 
| Characteristics of devices (orthoses, prostheses, etc.) and technical aids used to facilitate the practice of physical activity | Number and description of devices (orthoses and prostheses) and technical aids | through study completion, an average of 1 year | 
| Evolution of comorbidities during aging | Prevalence of comorbidities (e.g. obesity, diabetes, hypertension, sleep apnea, ...) | through study completion, an average of 1 year | 
| Evolution of exercise stress tests results during aging | Stress tests results | through study completion, an average of 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Physical activities, Barriers, Disability