The Art of Moving for Sustainable Health (ART-M2)

The Art of Moving for Sustainable Health: Influence of a Museum Visit on the Physical Demands and Well-being of Sedentary People

Sedentary behaviour is particularly high among the older and in the presence of a chronic pathology. Physical activity is limited mainly by the lack of accessibility to activities offered in the city and the lack of motivation. The objective is to study the physical solicitations and the well-being during the visit of a museum (free or guided visit). Our hypothesis is that this cultural activity induces a sufficient physical solicitation for sedentary people and for individuals with a post-stroke motor disability. All the tests will be carried out during the same day by experienced physiotherapists. Physical and well-being tests will be performed before and after the visits. The number of steps taken during the visit will be measured. This is a different approach to promote physical activity and this proposal is an original way to stimulate the physical, psychic and social health of sedentary people. If the results are beneficial, museums could become real health partners to stimulate the activity of sedentary people.

The persons with sedentary (healthy) in this group will have to visit the museum freely (without a guide) for a period of 75 minutes.

The persons with sedentary (healthy) in this group will have to visit the museum with a guide for a period of 75 minutes.

The persons with motor disability after stroke in this group will have to visit the museum with a guide for a period of 75 minutes.

Number of steps during visit in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

An activity tracker on the visitor's wrist will measure the number of steps taken while visiting the museum. Parameter: number of steps.

Change from baseline (pre-visit): Postural control in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The standing balance will be tested in bipedal with forceplate. Parameters: center of pressure displacement (mm).

Change from baseline (pre-visit): Postural control in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The standing balance will be tested in bipedal with forceplate. Parameters: center of pressure speed (mm/s).

Change from baseline (pre-visit): Postural control in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The standing balance will be tested in bipedal with forceplate. Parameters: center of pressure sway area (mm2).

Change from baseline (pre-visit): gait speed in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

Change from baseline (pre-visit): sit to stand transfert in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The sit to stand transfert will be tested with the five sit to stand test. Parameter: duration to realize five sit-to stand transferts (seconds)

Change from baseline (pre-visit): lower limb muscle strength in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The knee extensors muscle strength will be measured with an hand-held dynamometer. Parameter: maximal voluntary force in Newton (N).

Change from baseline (pre-visit): fatigue in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

Change from baseline (pre-visit): pain in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

Change from baseline (pre-visit): anxiety in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

Change from baseline (pre-visit): museum well-being in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The safety endpoint will be tested with the calculation of the number of subjects who completed the visit and the tests.

Cognitive status in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

The cognitive function will be tested with the Mini Mental State Evaluation. Parameter: score / 28 points.

Motor status in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)

Inclusion Criteria: Age > 50 years Sedentary condition (<150 minutes of physical activity per week) Medical stability Mini Mental State Evauation > 22 Walking independently with or without assistance MiniBESTest > 20/28 For individuals with stroke: chronic post-stroke condition. Exclusion Criteria: Refusal to participate; Person with other conditions affecting independent walking; Contraindications to prolonged standing; Pain greater than 4/10 on the NRS; Concomitant pathologies that may interfere with the results; Inability to follow the study procedure (cognitive disorders, dementia, psychological disorders, language problems...).

De-identified individual participant data for all primary and secondary outcome measure will be made available.

At the end of the project the data will be deposited in the Yareta repository developed by the University of Geneva OR in an institutional repository. This choice will ensure that data is archived and shared in accordance with FAIR principles.

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