Benefits of Early Proprioceptive Re-education Without Visual Information After Total Knee Arthroplasty
Starting soon · Not applicable
Conditions studied: Unilateral Primary Osteoarthritis, Left Knee
In brief
Osteoarthritis is a common and disabling joint disease, affecting 4.7% of men and 6.6% of women in France. It causes pain and impaired joint mobility, as well as a reduction in proprioception due to damage to intra-articular mechanoreceptors. In the long term, gonarthrosis can lead to limitations in activities of daily living and increase the risk of falls and institutionalisation. Total knee arthroplasty is an effective treatment for reducing pain and improving functional capacity. However, 50% of patients operated on are not satisfied with the results obtained at 6 months, and between 37% and 55% experience no significant improvement in their functional mobility. It is therefore important to better define the modalities of rehabilitation interventions in order to improve their efficiency and the functional benefits for the patient. Proprioception, the visual system and the vestibular system are the three major systems involved in posture and balance. Rehabilitation interventions aimed at improving balance involve these three inputs and their interaction. Studies have shown that proprioceptive rehabilitation can significantly improve balance and gait in patients who have undergone total knee arthroplasty. However, visual feedback may hinder the development of balance skills by limiting the use of other sensorimotor systems.
Key facts
- Study ID
- NCT06936267
- Run by
- University Hospital, Rouen
- People needed
- 66
- Starts
- 2026-03-01
- Expected to finish
- 2027-04-01
- Last updated by the study team
- 2026-02-18
Who can join
Age: 60 and older, up to 85. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patient aged between 60 and 85 having undergone primary total knee arthroplasty for gonarthrosis
- Patient admitted to a Continuing Care and Rehabilitation (CCR) department and having received a maximum of 1 functional re-education session
- Patient able to remain in bipodal support with eyes closed for 30 seconds on inclusion
- Weight below the limit accepted by the posturography platform (100 kg)
- Patient having read and understood the information letter and having signed the consent form
- Affiliation with the social security system
You may not qualify if…
- Blindness
- Diabetes with peripheral neuropathy
- Central or peripheral nerve pathology (cerebellar syndrome, stroke sequelae, etc.)
- Previously known ataxia
- Alcoholism not withdrawn
- Pre-existing gait disorders making assessment impossible
- Disorders of the vestibular system
- Inflammatory rheumatism
- Length of stay in surgery > 7 days
- Person deprived of liberty by administrative or judicial decision or person placed under court protection / sub-guardianship or guardianship
Where it is running
- CRMPR - les herbiers — Bois-Guillaume, France
- Chu Rouen — Rouen, France
Full record on ClinicalTrials.gov
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