Clinical trial NCT06941597: Comparison of Two Gait Re-training Modalities During a Cardiac Rehabilitation Stay: Benefit of Orienteering Walking
Official title: Comparison of Two Gait Re-training Modalities During a Cardiac Rehabilitation Stay: Benefit of Orienteering Walking
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Cardiovascular Diseases (CVD)
Coronary Heart Disease (CHD)
Heart Failure
Congenital Heart Disease
Keywords: cardiovascular diseases
cardiac rehabilitation
active walking
orienteering
heart rate
Lead sponsor: Fondation Ildys
Sponsor class: OTHER
Collaborators: name: Univ Brest, Laboratory ORPHY, F-29200 Brest, France
First posted: 2025-04-24
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The participants are patients undergoing cardiac rehabilitation in the SSR cardiology department of the Ildys Foundation on the Ty Yann site.

Brief summary: Cardiovascular disease (CVD) is the leading cause of death in France for women and the second leading cause of death for men after cancer. They cause around 140,000 deaths every year, or almost 400 people every day throughout France. CVD also accounts for over a million hospital admissions a year, 160,000 of which are attributable to heart failure.

At present, cardiovascular rehabilitation centres mainly use exercise training methods based on sessions on cycloergometers and active walking (walking on a track and/or treadmill). Convinced of the added value of Orienteering, we have included it in our routine treatment as part of our Cardiac Rehabilitation programme, in addition to sessions on cycloergometers and active walking since 2021. As there is little literature on the subject in our population of interest, the aim of this study is to provide evidence of the relevance of orienteering in the cardiac rehabilitation programme.

We hypothesise that orienteering induces a similar cardiac response, amount of physical activity and perception of symptoms compared with an active walking session, while providing greater enjoyment of the activity.


Eligibility criteria: Inclusion Criteria:

* Patients with stabilised heart disease, coronary artery disease, heart failure, post-operative stay after cardiac surgery, congenital heart disease, patients at high cardiovascular risk and obliterative arteritis of the lower limbs;
* Who have been informed and do not object to the study;
* Over 18 years of age;
* Participating in a cardiac rehabilitation programme;
* With a walking distance of less than 3,600 metres;
* Able to understand and comply with the requirements of the protocol.

Exclusion Criteria:

* Pregnant or breast-feeding women
* Persons under guardianship or trusteeship

Primary outcomes:
measure: To compare the average heart rate between an active walking session and an orientation walking session during the cardiac rehabilitation stay.
timeFrame: once during the second and third week of cardiac rehabilitation
Secondary outcomes:
measure: To compare the intensity of effort between the active walking, orienteering and cycloergometer sessions.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: To compare the intensity of effort between the active walking, orienteering and cycloergometer sessions.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: Compare the performance of the physical activity performed during the active walking versus orienteering session.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: Compare the performance of the physical activity performed during the active walking versus orienteering session.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: Compare the performance of the physical activity performed during the active walking versus orienteering session.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: Compare the perception of effort between the active walking, orienteering and cycloergometer sessions.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: Compare the sensation of pleasure between the active walking, orienteering and cycloergometer sessions.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: To compare the desire to continue physical activity between the active walking, orienteering and cycloergometer sessions.
timeFrame: once during the second and third week of cardiac rehabilitation
measure: Compare the heart rate kinetics during the three sessions (orienteering, active walking and cycloergometer).
timeFrame: once during the second and third week of cardiac rehabilitation
Other outcomes:
Locations:
city: Brest
country: France
facility: Fondation ILDYS, Site de Ty Yann
Study officials:
affiliation: Fondation Ildys
name: Klervie BAILLY
role: PRINCIPAL_INVESTIGATOR
References: