Neuro-Orthopaedic Disorders During Aging in Patients With Neuromotor Disability

Study Overview
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Brief Summary
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People with neuromotor disability (i.e. following an inborn or acquired spinal cord, cerebral or peripheral neurological lesion) are at risk of worsening their neuro-orthopaedic disorders during aging, including fracture risk. Nevertheless, at the present time, the natural evolution of their neuro-orthopedic disorders and the long-term functional impact of their medical and surgical treatments is unknown. The aim of this study is to describe neuro-orthopedic disorders during aging of patients with neuromotor disability, their functional repercussions, their comorbidities and the therapeutic strategies used.

Detailed Description
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This is an ambispective, monocentric, cohort study of subjects with neuromotor disability followed in a Physical Medicine and Rehabilitation Department. All consecutive eligible inpatient and outpatient subjects treated in the Neuro Orthopaedic Unit (UPOH) of the Physical Medicine and Rehabilitation Department of our university hospital will 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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Neuro-Orthopaedic Disorders During Aging in Patients With Neuromotor Disability

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 neuromotor disability


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients >= 18 years old ; Treated in the Neuro Orthopaedic Unit (UPOH) of the Physical Medicine and Rehabilitation Department of our university hospital ; Having a neuromotor disability ; 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 ; Affiliation to a social security scheme. Exclusion Criteria: Under court protection.

Ages Eligible for Study
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Minimum Age: 18 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 neuromotor disability<br> | Other: standard of care for patients with neuromotor disability<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 |
| --- | --- | --- |
| Evolution of mobility during aging | Walking range | Through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of falls and fractures | Number and description of falls and fractures | Through study completion, an average of 1 year | 
| Characteristics of infiltrative procedures and surgeries | Number and description of infiltrative procedures and surgeries | Through study completion, an average of 1 year | 
| Changes of devices (orthoses and prostheses) and technical aids used during aging | Number and description of devices (orthoses and prostheses) and technical aids | Through study completion, an average of 1 year | 
| Changes of physical activity, as well as barriers and facilitators to physical activity, during aging | Questionnaires assessing physical activity levels (ex: PASPID) and barriers and facilitators to physical activity (ex: BPAQ) | 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 | 
| Medication | Medication list | Through study completion, an average of 1 year | 
| Prevalence of pressure sores | Number and description of pressure sores | 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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Neuromotor Disability, Neuro-Orthopaedics