Balance Rehabilitation Using Modified Visual Input for Adults with Chronic Acquired Demyelinating Neuropathy and Proprioceptive Problems

What this Trial Is About

This research investigates balance rehabilitation in patients with acquired chronic demyelinating neuropathy who experience walking instability due to sensitivity disorders. The study aims to evaluate how modifying visual input during rehabilitation might reduce visual dependence and strengthen proprioceptive input, potentially improving balance and walking ability in these patients. This multicenter study is conducted in the Paris area and plans to include 40 participants. Participants are randomly assigned to one of two groups. The experimental group undergoes 20 rehabilitation sessions with a Physical Therapist, performing balance exercises while keeping their eyes closed or with vision obstructed or disturbed by visual effects in a dark room. The control group also receives 20 rehabilitation sessions but performs balance exercises with their eyes open and no visual modification. Both groups have three assessments during the study. Participants will undergo evaluations including timed U-turns at comfortable and fast speeds, number of steps, double stance phase while walking, global movement amounts, walking times and steps over 10 meters, various sensory and balance tests, and balance confidence scales. Assessments occur just after rehabilitation completion and again two months later. The primary outcome is the U-turn completion time measured shortly after the last session. The rehabilitation program spans 20 sessions with follow-up evaluations up to two months post-treatment.

Balance Rehabilitation With Modified Visual Input in Patients With Neuropathy