[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"psychomotor-disadaptation-syndrome\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:psychomotor-disadaptation-syndrome":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,41,66],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100595010","the-benefits-of-virtual-reality-in-the-care-of-elderly-people-with-psychomotor-disadaptation-syndrome-100595010",false,"NCT07026890","The Benefits of Virtual Reality in the Care of Elderly People With Psychomotor Disadaptation Syndrome","The Value of Virtual Reality in the Care of Elderly People With Psychomotor Disadaptation Syndrome: a Randomised Controlled Trial of Mixed Efficacy and Implementation vs. Conventional Rehabilitative Care","VIR-AGE","Inclusion Criteria:\n\n* Person who has given written consent\n* Person aged ≥ 65 years;\n* With a proven diagnosis of motor maladjustment syndrome;\n* Hospitalised in a geriatric care unit;\n* Able to understand a simple instruction and answer a closed question;\n* Ability to perform the TUG within 7 days of arriving on site\n\nExclusion Criteria:\n\n* Person not affiliated to or not benefiting from a social security scheme\n* Person subject to a legal protection measure (curatorship, guardianship)\n* Person subject to a judicial protection measure\n* An adult who is incapable or unable to give consent\n* Persons with epilepsy, kinetosis or known claustrophobia Persons unable to understand simple instructions for carrying out tests\n* Anyone with a severe visual and\u002For hearing impairment\n* Any person with a behavioural disorder (agitation, aggressiveness)\n* Any person with a severe walking or balance problem that makes motor exercises unsuitable\n* Anyone with a pathology, injury, wound or severe deformity to the head or cervical spine\n* Any person suffering from severe vertigo, diagnosed at the discretion of the investigating doctor\n* Inability to use arm for pointing\n* Persons susceptible to migraines\n* Non-French speakers\n* Anyone with an inter-pupillary distance outside the range of possible helmet adjustments","ALL","65 Years",{"count":20,"type":21},50,"ESTIMATED","INTERVENTIONAL",[24],"NA","Psychomotor Disadaptation Syndrome (PMDS) is characterised by a deterioration in postural function, gait and psychomotor automatisms in the elderly. It is often associated with falls and can manifest itself as retropulsion, gait abnormalities, neurological disorders and psycho-behavioural problems. For the majority of these patients, a stay in a geriatric medical and rehabilitation centre is necessary, enabling an objective assessment of these disorders and multi-professional care, including physiotherapists, occupational therapists and adapted physical activity teachers, aimed at restoring safe movement and motor independence. However, rehabilitation relies on traditional exercises that are limited, repetitive and sometimes far removed from everyday activities. Technological innovations such as virtual reality (VR) offer opportunities to improve care by creating immersive environments that reproduce real-life situations. VR could thus help to rehabilitate the motor problems associated with MS.\n\nThe aim of the VIR-AGE project is to study the clinical benefits of VR in the rehabilitation of hospitalised elderly people suffering from PMDS in terms of functional deficits, particularly motor deficits.\n\nThe study will take place at the Centre gériatrique Champmaillot of the CHU Dijon Bourgogne. A total of 50 patients with SPDM will take part.\n\nThe total duration of your participation is 5 weeks.",[27],"Psychomotor Disadaptation Syndrome","RECRUITING","2026-04-20",{"date":31,"type":32},"2026-04-21","ACTUAL",{"date":34,"type":32},"2025-07-16",{"date":36,"type":21},"2027-09",{"name":38,"class":39},"Centre Hospitalier Universitaire Dijon","OTHER",1,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":46,"acronym":47,"eligibilityCriteria":48,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":49,"targetDuration":4,"studyType":22,"phases":51,"briefSummary":52,"conditions":53,"keywords":54,"overallStatus":56,"whyStopped":4,"lastUpdateSubmitDate":57,"lastUpdatePostDateStruct":58,"startDateStruct":60,"completionDateStruct":62,"leadSponsor":64,"locationsCount":40},"100584084","virtual-reality-exposure-therapy-vret-in-psychomotor-disadaptation-syndrome-100584084","NCT06884735","Virtual Reality Exposure Therapy (VRET) in Psychomotor Disadaptation Syndrome","Virtual Reality Exposure Therapy (VRET) for Balance in Patients Suffering From Psychomotor Disadaptation Syndrome","TERV-SDPM","Inclusion Criteria:\n\n* Patients diagnosed with PMDS\n* Ability to stand without human or technical assistance\n* Falls Efficacy Scale International Short (FES-I short) \\> 13\n* Functional Reach Test (FRT) score \\\u003C 26 cm\n* Mini-Mental State Examination (MMSE) score ≥ 20\n\nExclusion Criteria:\n\n* Patients with disorders that may interfere with immersion in virtual reality (e.g. cerebellar syndromes, Parkinsonian syndromes, hallucinations, sensory or neurocognitive disorders)\n* Cybermalaise or cyberkinetosis",{"count":50,"type":21},24,[24],"According to demographic projections, by 2040, a quarter of the French population will be over 65. In this age group, the quality and quantity of visual, somaesthetic and vestibular information decline. This weakening of the balancing and the recurrence of falls lead to a restriction of activities of daily living and give rise to a fear of falling.\n\nPsychomotor maladjustment syndrome (PMDS) is a serious consequence of falls. A significant retropulsion when sitting or standing, as well as hypertonia characterize the posturobehavioral component of PMDS. It coexists with a psychological component, marked by a fear of the anterior emptiness. A series of studies inducing fear and experimentally manipulating its intensity demonstrated a greater displacement of the center of pressure when subjects were exposed to elevated platforms. In addition to the subjective evaluation of fear, this emotion can be assessed by heart rate variability.\n\nDespite the existence of standards and metrics adapted to the clinical setting, only one study investigated the association between the number of falls and heart rate variability in patients with neurodegenerative disorders. In recent years, cognitive and behavioral therapies using virtual reality (TERV) have improved balance in patients with cardiovascular disease and Parkinson's disease. Virtual reality (VR) thus appears to be an interesting therapeutic approach to the treatment of psychological as well as postural-behavioral disorders of PDMS. Although the feasibility of a VR intervention has been tested in elderly people (APs) suffering from PMDS, its effect has never been evaluated.",[27],[55],"Virtual Reality Exposure Therapy","NOT_YET_RECRUITING","2026-02-24",{"date":59,"type":32},"2026-02-25",{"date":61,"type":21},"2026-04-01",{"date":63,"type":21},"2029-04-01",{"name":65,"class":39},"Hopital Nord Franche-Comte",{"id":67,"slug":68,"hasResults":11,"nctId":69,"briefTitle":70,"officialTitle":71,"acronym":72,"eligibilityCriteria":73,"healthyVolunteers":11,"sex":17,"minAge":74,"maxAge":4,"enrollmentInfo":75,"targetDuration":4,"studyType":22,"phases":77,"briefSummary":78,"conditions":79,"keywords":81,"overallStatus":56,"whyStopped":4,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":40},"100457516","effect-of-muscle-strengthening-on-the-incidence-of-psychomotor-disadaptation-syndrome-in-elderly-persons-100457516","NCT05237609","Effect of Muscle Strengthening on the Incidence of Psychomotor Disadaptation Syndrome in Elderly Persons","Effect of Muscle Strengthening on the Incidence of Psychomotor Disadaptation Syndrome After a Fall in Elderly Persons","RM-SDP","Inclusion criteria:\n\n* Subject over 70 years of age at the time of signing the consent, with no upper limit,\n* History of a fall,\n* Subject affiliated with a social health insurance plan, beneficiary or beneficiary's assistant\n* Subject able to understand the objectives and risks of the research and to give dated and signed informed consent.\n\nExclusion criteria:\n\n* Osteoarticular limitations compromising muscle strengthening,\n* Unstabilized cardiac pathologies,\n* Unstabilized chronic pathologies,\n* Unstabilized ventricular and supraventricular rhythm disorders or ECG abnormalities at the inclusion visit,\n* Swallowing disorders (CNO)\n* Acute coronary syndrome \\\u003C 1 month,\n* Unstabilized or oxygen-dependent respiratory failure,\n* Cognitive impairment compromising muscle strengthening achievement (MMSE\\\u003C22\u002F30),\n* Evolving cancers,\n* Subject under guardianship or curatorship,\n* Severe malnutrition,\n* Severe functional limitation.","70 Years",{"count":76,"type":21},200,[24],"The post-fall syndrome or psychomotor disadaptation syndrome can be considered as a complication of a fall and can lead to a total loss of autonomy. This syndrome remains little studied, despite its important frequency in acute geriatric services or geriatric rehabilitation care, and despite its recognized seriousness. Decreased grip strength seems to be a risk factor for psychomotor disadaptation syndrome in after a fall, which is why we hypothesize that muscle strengthening adapted to the elderly subject would limit the appearance of this syndrome. By limiting this risk, it would reduce complications such as loss of functional independence, but also reduce the number and duration of hospitalization of elderly patients.",[27,80],"Post-fall Syndrome",[82,83],"elderly person","muscle strengthening","2022-12-09",{"date":86,"type":32},"2022-12-12",{"date":88,"type":21},"2023-01",{"date":90,"type":21},"2027-01",{"name":92,"class":39},"University Hospital, Strasbourg, France"]