Learning Disability Clinical Trial
Official title:
Investigation of Lycra Splinting Garments for Falls and Intellectual Disabilities
People with learning disabilities (LDs) experience high levels of health problems, including
cerebral palsy, other problems associated with posture, movement and function, and injury
(falls are the commonest cause of injury in this population, and poor balance/coordination
are a contributory factor). The aim of this project is to investigate the clinical and cost
effectiveness of lycra splinting garments (LSGs), worn to improve posture, movement and
function, for adults (16 years and over) with LDs who fall. This project aims to investigate
the clinical and cost effectiveness of LSGs to prevent future falls of adults with LDs, to
inform practice and guidelines within local and national (National Health Service - NHS)
adult services.
Falls and fall injury are a serious problem for people with LDs (people with LDs experience
similar rates of falls as the elderly in the general population but at a younger age),
whereby interventions are warranted. Lab based 3D movement analysis will be conducted with
adults with LDs who fall during two visits to perform simple tasks (e.g. walking) (once prior
to being provided with LSG, and once 6 weeks after wearing the LSGs at home).
Adults with Learning Disability who have capacity will be recruited to participate in the
Lycra splinting trial via their local physiotherapist. The eligibility criteria is an adult
with Learning Disability who has had a fall and who has problems with their balance and/or
gait as identified by their local physiotherapist.
The participants will be recruited via participant information sheets. The participants will
attend the Glasgow Caledonian University (GCU) gait laboratory to undertake three-dimensional
movement analysis; Gaitrite test (the Gaitrite is a commercially available instrumented
walkway); and Centre of Pressure testing.
This will take place before prescription of a Lycra splinting garment and a minimum of 6
weeks wear after receiving a Lycra splinting garment.
Analysis of data captured before and after wearing the Lycra splinting garment will take
place.
The use-ability of the Lycra splinting garment will also be determined by completion of a
user and carer questionnaire and by completion of a questionnaire by their local
physiotherapist.
The cost effectiveness of Lycra splinting garments will be analysed by a health statistician
within GCU.
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