Rehabilitation for balance issues in patients with neuropathy

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research investigates the impact of rehabilitation on balance in patients suffering from chronic demyelinating neuropathy. Participants will undergo 20 rehabilitation sessions with a Physical Therapist, divided into two groups: one receiving standard balance rehabilitation with open eyes and the other with modified visual input, such as closed eyes or obstructed vision. The study aims to assess how these different approaches affect balance and walking stability in individuals with proprioceptive disorders. A total of 40 subjects will be included, and their progress will be evaluated through three assessments.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients with chronic demyelinating acquired neuropathy
* Age ≥ 18 years.
* Patients able to walk 20 meters without human assistance at least indoors with or without technical assistance.
* Patients with complaints such as discomfort, walking instability related to sensitivity disorders.
* Patients being clinically stable for at least 2 months, regardless of ongoing treatments.
* Patients who have provided consent.

Exclusion Criteria:

* Patients unable to walk 20 metres without technical and human assistance indoors.
* Patients with an ongoing hospitalization.
* Patients already included and participating in another intervention study.
* Patients with ongoing balance rehabilitation and continued during the REQ-PRO program in another rehabilitation centre or practice.
* Patients with ongoing acute treatment (related to polyneuropathy) started less than 2 months ago or stopped less than 2 months ago.
* Patients with scheduled surgery during the period of the patient's participation in the protocol, preventing the successful completion of the rehabilitation program and participation in assessments.
* Patients with recent surgery, in particular lower limb prosthesis (less than 1 year old) or equipment contraindicated for planned exercises such as standing kneeling positions.
* Patients with skin wounds on the foot that contraindicate rehabilitation.
* Patients with balance disorders of vestibular origin or central neurological pathology.
* Patients with a visual disability.
* Patients with a hearing impairment that prevents the patient from hearing and understanding instructions during the rehabilitation program or assessments.
* Patients with an inability to speak or understand the French language.
* Patients with cognitive or language impairments that prevent understanding of the protocol.
* Patients with a residence outside of the Paris Region (Ile de France).
* Patients with a known pregnancy.
* Patients not affiliated to a social security system (beneficiary or having a right), deprived of their right, under guardianship, curatorship, prisoner.

Where it's running

• Service de Médecine Physique et de Réadaptation (MPR)
  Paris, France Recruiting

Study contacts

• Principal investigator: Bénédicte PANIGOT GUERIN, PT — Assistance Publique - Hôpitaux de Paris
• Study coordinator: Bénédicte PANIGOT GUERIN, PT
• Email: benedicte.panigot@aphp.fr
• Phone: 01.40.05.41.73

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.