Intelligent Electric Bicycle for Health (VELIS) to Optimize the Return to Physical Activity for Oncology Patients

Study Overview
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Brief Summary
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The purpose of this pilot study is to encourage oncology patients to continue effort retraining after their release from rehabilitation and recuperative care facilities with physical activity sessions and therapeutic education using an intelligent electric bicycle (VELIS)

Detailed Description
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The benefit of physical activity in oncology is now clearly established. Physical activity has its place at all stages of the fight against cancer in primary, secondary and tertiary prevention. Rehabilitation and recuperative care facilities may be a first step for patients with significant deconditioning, but long-term benefits are essential. Nevertheless, the post rehabilitation and recuperative care facilities transition period is for these patients a temporary period during which they may loose part of the benefit of effort retraining and physical reconditioning. The investigators believe that it is necessary to go beyond the physiological efficiency to identify and overcome the patient's stereotypes regarding physical activity, to customize and adapt the programs to each patient, and to bring quickly the notion of pleasure and success in the practice of physical activity. Electrically assisted bicycles can reach most of these goals provided that they are adapted. The objective of this project is to set up and evaluate, thanks to a monocentric pilot study, a process of continuation of exercise retraining through physical activity and therapeutic education sessions for the promotion of physical activity, focusing on the use of electrically assisted bicycles, in continuation of an exercise retraining in rehabilitation and recuperative care facilities.

Official Title
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Evaluation of the Use of an Intelligent Electric Bicycle for Health (VELIS) to Optimize the Return to Physical Activity After a Stay for Effort Retraining in Rehabilitation and Recuperative Care Facilities for Oncology Patients

Conditions
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Cancer, Oncology

Intervention / Treatment
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* Other: Intelligent electric bicycle (VELIS) sessions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient aged 18 and over Patient who has followed a post-cancer effort retraining program in a rehabilitation facility at Rocheplane Medical Center Patient with the ability to pedal on an outdoor bicycle Patient with no restriction to moderate physical activity or bicycling (acute coronary disease of less than 2 years, locomotor problem of the spine or lower limbs incompatible with the practice of cycling) Weight less than 125 kg (maximum load for VELIS) Patient available for a 4 months follow-up Exclusion Criteria: Patient with a restriction to the practice of moderate physical activity or bicycle (acute coronary disease of less than 2 years, locomotor problem) Persons referred to in Articles L1121-5 to L1121-8 of the CSP (corresponds to all protected persons), pregnant, parturient, nursing mother, person deprived of liberty by judicial or administrative decision, a legal protection measure

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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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intelligent electric bicycle (VELIS) sessions<br>Intelligent electric bicycle (VELIS) sessions with an instructor, twice a week for 6 weeks | Other: Intelligent electric bicycle (VELIS) sessions<br>* Oncology patients will participate in intelligent electric bicycle (VELIS) sessions twice a week for 6 weeks after their release from a rehabilitation and recuperative care facility<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of patients reaching the goal of 150 min equivalent of moderate physical activity per week (600 MET-min/week) | Evaluated with the IPAQ questionnaire short version (International Physical Activity Questionnaire) | 4 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quantitative analysis of kinetic physical activity evolution | Longitudinal continue quantitative data from IPAQ score | Enrollment and then once a month from Month 2 to Month 4, the last week of the month, velis sessions and effort retraining excluded | 
| Evaluate the VELIS sessions feasibility n°1 | Number of cancelled sessions | 4 Months | 
| Evaluate the VELIS sessions feasibility n°2 | Number of incomplete sessions | 4 Months | 
| Evaluate the VELIS sessions feasibility n°3 | Collection of the failure reasons by the instructor | 4 Months | 
| Evaluate the impact on the physical capacities n°1 | Progression of the patients physical activity (clinical exam weight) | 4 Months | 
| Evaluate the impact on the physical capacities n°2 | Progression of the patients physical activity (heart rate) | 4 Months | 
| Evaluate the impact on the physical capacities n°3 | Progression of the patients physical activity (analysis of physio-cardiological criteria) | 4 Months | 
| Evaluate the impact on the physical capacities n°4 | Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (initial gain in effort retraining) | 4 Months | 
| Evaluate the impact on the physical capacities n°5 | Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (age) | 4 Months | 
| Evaluate the impact on the physical capacities n°6 | Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (gender) | 4 Months | 
| Evaluate the impact on the physical capacities n°7 | Analysis of the progression during intelligent electric bicycle (VELIS) sessions with associated factors (pathologies) | 4 Months | 
| Evaluate the impact on the physical capacities n°8 | Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (endurance test on ergocycle) | 4 Months | 
| Evaluate the impact on the physical capacities n°9 | Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (evaluation with the quantitative Borg scale (from Pr Gunnar BORG) from 0 to 10 (the goal score is 4 to 5)). | 4 Months | 
| Evaluate the impact on the physical capacities n°10 | Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (heart rate) | 4 Months | 
| Evaluate the impact on the physical capacities n°11 | Constant-Load Exercise Test at 80% MAP (Maximum Aerobic Power) (visual analogical scale from 0 (no pain) to 10 (maximal pain) for the lower limbs pain. Lower value is a better outcome) | 4 Months | 
| Evaluate the impact on the physical capacities n°12 | Measurement of the muscular power using a handgrip (physiological parameter). Higher value is a better outcome. | 4 Months | 
| Improve quality of life | Euroquol 5 dimensions scale (from 0 to 100 : higher value is a better outcome) | 4 Months | 
| Improve fatigue n°1 | Analogic visual scale about fatigue once a month | 4 Months | 
| Improve fatigue n°2 | Fatigue Piper score | 4 Months | 
| Improve chronic pain | Analogic visual scale about pain once a month | 4 Months | 
| Improve self-esteem | Evaluation with Rosenberg score | 4 Months | 
| Improve patient satisfaction | Satisfaction survey and wish to do again intelligent electric bicycle (VELIS) sessions or to continue electric bicycle sessions | 4 Months | 
| Remove stereotypes that can lead to inhibition in the physical activity practice | Evaluation of the psychological representation of physical activity using the Cancer Exercise Stereotypes Scale (CESS) questionnaire from the SENS (sport and social environment laboratory) team from Grenoble. The average value is calculated for each subscale. Adherence to positive stereotypes if value is below 4 for the following subscale : Lack of interest in physical activity (items 1, 6, 11) Side effects related to treatment (items 3, 8, 13, 17) Risks related to physical activity (items 5, 10, 15) Adherence to positive stereotypes if value is greater than 4 for the subscale Benefits of physical activity (items 4, 9, 14, 18). | 4 Months | 
| Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°1 | Analysis of the parameters profiles recorded by the VELIS : heart rate monitor | 6 weeks | 
| Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°2 | Analysis of the parameters profiles recorded by the VELIS : speed | 6 weeks | 
| Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°3 | Analysis of the parameters profiles recorded by the VELIS : electric power provided by the engine | 6 weeks | 
| Evolution of uses and performances during bicycle sessions at the beginning and the end of the intervention n°4 | Analysis of the parameters profiles recorded by the VELIS : rate of pedaling for the reference itinerary | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Post-cancer retraining, Physical activity, Intelligent electric bicycle