Amputation causes somatic and psychological damage. Prognostic factors for postoperative gait recovery include the need for proprioceptive re-education for dynamic balance. Improved gait patterns and use of the prosthesis contribute to an overall improvement in the amputee's autonomy. Virtual reality coupled with movement analysis allows personalization of treatment with objective assessment of progress. The study authors hypothesize that a virtual reality protocol for the dynamic balance of a unilateral transtibial amputee in initial rehabilitation will improve the dynamic balance assessment criteria compared with a conventional rehabilitation protocol.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
20
A progressive rehabilitation protocol (different levels according to success scores) consisting of several exercises using virtual and augmented reality with mechanical perturbations (pitching of the treadmill), interaction with the virtual environment, interaction with the virtual environment and augmented reality (projection of obstacles on the treadmill), and modification of the gait pattern with visual and/or audio biofeedback
A treadmill walking protocol with virtual reality to immerse the patient in a 3 x 5-minute walking session, without visual, mechanical or auditory disturbances, and without prompting the patient to modify their walking pattern.
CHU de Nîmes, Hôpital du Grau du Roi
Le Grau-du-Roi, France
RECRUITINGCHU de Nimes
Nîmes, France
NOT_YET_RECRUITINGMediolateral instability during mediolateral external perturbation between groups
The number of gait cycles required to regain center of mass displacement (number of cycles \* cycle time), measured with the GRAIL rehabilitation and movement analysis platform
Time frame: Before rehabilitation (Day 1)
Mediolateral instability during mediolateral external perturbation between groups
The number of gait cycles required to regain center of mass displacement (number of cycles \* cycle time), measured with the GRAIL rehabilitation and movement analysis platform
Time frame: End of rehabilitation sessions (Day 45)
Step length variability between groups
Meters, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: Before rehabilitation (Day 1)
Step length variability between groups
Meters, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: End of rehabilitation sessions (Day 45)
Step width variability between groups
Meters, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: Before rehabilitation (Day 1)
Step width variability between groups
Meters, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: End of rehabilitation sessions (Day 45)
Cadence variability between groups
Steps/minute, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: Before rehabilitation (Day 1)
Cadence variability between groups
Steps/minute, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: End of rehabilitation sessions (Day 45)
Center of mass variability between groups
Meters, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: Before rehabilitation (Day 1)
Center of mass variability between groups
Meters, measured with the GRAIL rehabilitation and movement analysis platform
Time frame: End of rehabilitation sessions (Day 45)
Mobility and balance between groups
Time Up and Go test, seconds
Time frame: Before rehabilitation (Day 1)
Mobility and balance between groups
Time Up and Go test, seconds
Time frame: End of rehabilitation sessions (Day 45)
Aerobic endurance and functional capacity between groups
2-minute walk test, meters
Time frame: Before rehabilitation (Day 1)
Aerobic endurance and functional capacity between groups
2-minute walk test, meters
Time frame: End of rehabilitation sessions (Day 45)
Fall risk between groups
Berg scale, score between 0 and 56 (no fall risk)
Time frame: Before rehabilitation (Day 1)
Fall risk between groups
Berg scale, score between 0 and 56 (no fall risk)
Time frame: End of rehabilitation sessions (Day 45)
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