Preventive Effect of Proprioceptive Stimulation on Muscle Atrophy

NCT ID: NCT01641627

Last Updated: 2015-04-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2015-03-31

Brief Summary

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Confinement to bed, which occurs in many pathological situations, induces a muscle atrophy and a loss of muscle strength. Muscle atrophy is associated to impaired performance in motor tasks, such as posture and locomotion, and is therefore a major cause of loss of autonomy. It requires a stay in follow-up and rehabilitation service, and thus lengthens the duration of hospitalisation.

Data underline the importance of afferent input integrity in the maintenance of muscle characteristics and postural control, and suggest that countermeasure programs based on the stimulation of proprioceptive inputs could be efficient to prevent muscle atrophy and falls. In particular, fundamental studies performed in rodents by the investigators laboratory have demonstrated that the adverse structural and functional adaptations which occur during muscle deconditioning can be counteracted through adequate physiological stimuli such as activation of proprioceptors. Based on this scientific expertise, the investigators aim is thus to prevent muscle atrophy and its functional consequences on posture and locomotion, following a surgical intervention in humans .

The investigators will develop a device allowing stimulation of foot and ankle proprioceptors. In order to facilitate the evaluation of its efficiency, the device will be tested on a selected population confined to bed during a post-operative period (knee replacement). It efficiency will be evaluated by means of three parameters: muscle force of ankle plantar flexor, muscle volume of lower limb muscles, functional outcome (gait and balance analysis).

The technique developed in the present project could bring benefits to patients confined to bed, or in elderly. Preventing or retarding development of muscle atrophy will beneficiate to health and quality of life of these patients. In addition, this device might allow to consider therapeutic strategies for prevention of atrophy in neuromuscular pathologies.

Detailed Description

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The aim of the study is to study the efficacy of a proprioceptive stimulation device on prevention of calf muscle atrophy after a total knee replacement.

The investigators developped a safe vibration and pressure stimulation device for le lower limb. The investigators want to carry out a RCT in order to demonstrate the efficacy of the stimulation device, compared to a not stimulated controle group.

Conditions

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Knee Arthritis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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vibration

proprioceptive stimulation of the lower limb using vibration and plantar pressure boots

Group Type EXPERIMENTAL

proprioceptive stimulation

Intervention Type PROCEDURE

tendon vibrations and plantar stimulation with a therapeuthic orthosis, 4x30 min/day during 14 days

Interventions

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proprioceptive stimulation

tendon vibrations and plantar stimulation with a therapeuthic orthosis, 4x30 min/day during 14 days

Intervention Type PROCEDURE

Other Intervention Names

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therapeutic boots, vibration boots

Eligibility Criteria

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Inclusion Criteria

* patients waiting for knee replacement

Exclusion Criteria

* neurologic disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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vincent TIFFREAU, MD-PhD

Role: PRINCIPAL_INVESTIGATOR

Univerity Hospital Lille 2

Locations

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CHRU de Lille

Lille, Nord, France

Site Status

Countries

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France

Other Identifiers

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2011-A0031-40

Identifier Type: OTHER

Identifier Source: secondary_id

2010_05

Identifier Type: -

Identifier Source: org_study_id

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