Overview
While clinical assessment of locomotor function in this population is carried out using tasks involving walking in a straight line without any obstacles, it does not take into account ecological situations (i.e., situations comparable to real-life situations) in which the person interacts with their environment, such as walking down a street with other pedestrians, which is fundamental to everyday life. This research therefore aims to study the social navigation skills during locomotion of people who have suffered a moderate or severe head injury in the chronic phase in more ecological tasks. This will provide a better understanding of the difficulties encountered by these patients during locomotor interactions in everyday life.
Eligibility
Inclusion Criteria for Traumatic Brain Injury group :
- 18 ≤ Age ≤ 55 years old
- Male/female
- Having suffered a first non-penetrating head injury
- Moderate to severe severity with initial Glasgow Coma Scale score 5\<GCS\<13
- In the subacute or chronic phase (≥ 3 months at the date of the experiment, relative to the date of the injury)
- Able to walk (10WMT speed ≥ 0.8 m/s, able to walk at least 20 m without technical or human assistance, PM ≥ 300 m)
- Able to maintain dynamic balance while standing (TUG\<16s)
- Able to answer simple questionnaires, according to the investigator's judgment
- Having given their free, informed, expressed (written) consent
- Registered with a social security system
- Individuals under legal protection measures such as guardianship may be eligible
Inclusion Criteria for healthy control group :
- 18 ≤ Age ≤ 55 years old
- Male/female
- Able to walk (≥ 0.8 m/s, able to walk at least 20 m without technical or human assistance, PM ≥ 300 m)
- Able to answer simple questionnaires, according to the investigator's judgment
- Having given free, informed, expressed (written) consent
- Registered with a social security system
Exclusion Criteria specific to patients in the traumatic brain injury group :
\- Person under legal protection (excluding guardianship) or unable to express consent
Exclusion Criteria for both groups :
- Severe patho-psychiatric care underway, which may impact the conduct of the protocol, at the investigator's discretion
- Presence of neurological signs suggestive of a neurodegenerative disease responsible for gait disturbance (Parkinson's syndrome, Alzheimer's disease, etc.)
- Individuals with musculoskeletal disorders that impact their locomotor abilities
- Presence of uncontrolled epilepsy at the time of inclusion
- Presence of visual impairments that make experimentation impossible, at the discretion of the investigator
- Pregnant, parturient, or breastfeeding women
- Participants in another ongoing research protocol involving human subjects
Exclusion Criteria for healthy control group :
- Presence of fatigue, trauma, or a condition affecting mobility, posture, balance, or walking
- Persons deprived of their liberty by a judicial or administrative decision
- Persons deprived of their liberty by judicial or administrative decision
- Persons under legal protection (guardianship, curatorship, judicial protection) or unable to express their consent
- Persons undergoing severe psychiatric treatment or admitted to a health or social care facility for purposes other than research.