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Synergic Control of Posture in Peripheral Neuropathies' Patients (NEUPER)

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ClinicalTrials.gov Identifier: NCT05088681
Recruitment Status : Recruiting
First Posted : October 22, 2021
Last Update Posted : January 2, 2024
Sponsor:
Information provided by (Responsible Party):
University of Milano Bicocca

Tracking Information
First Submitted Date September 11, 2021
First Posted Date October 22, 2021
Last Update Posted Date January 2, 2024
Actual Study Start Date September 3, 2021
Estimated Primary Completion Date April 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: October 8, 2021)
  • Evaluation of multi-muscle synergy organization using Synergy Index (SI) [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Multi-muscle Synergy Index (SI) are new measurements of postural stability and a proxy of multi-muscle coordination. Synergy has been defined as a neural organization of a large set of effectors (e.g., muscles) providing stability of salient performance variables (e.g., center of pressure, COP). Within this framework, SI has been introduced, reflecting the relative amount of inter-trial variance that does not affect a performance variable.
  • Evaluation of change in Anticipatory Synergy Adjustments (ASA) [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    ASAs represent changes in an index of a multi-muscle synergy stabilizing the coordinate of the center of pressure (COP). Such changes may be seen in young, healthy persons about 200-300 ms prior to the action initiation.
  • Evaluation of balance [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of balance using Mini Balance Evaluation System Test (MiniBESTest). Each item is scored on a 0-4 scale; the scores are summed to obtain a total score of 28. The item are divided in four sessions: anticipatory, reactive postural control, sensory orientation, dynamic gait.
  • Evaluation of balance [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of balance using Timed Up and Go test (TUG). It is a measure of the time taken by the patient for rising from a chair, walking three meters, turning and walking back to the chair to sit down.
  • Evaluation of mobility [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of mobility using Six Minute Walking Test (6MWT). The 6MWT assesses distance walked over six minutes as a sub-maximal test of endurance/aerobic capacity.
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: October 8, 2021)
  • Severity of chemotherapy induced-peripheral neuropathy [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Total Neuropathy Score-clinical version (TNSc©)
  • Evaluation of change in electromyography (EMG) parameters [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of sensory conduction velocity of ulnar, radial and sural nerves.
  • Evaluation of change in electromyography (EMG) parameters [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of motory conduction velocity of ulnar, radial and peroneal nerves.
  • Impact of PN on patients' quality of life [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of quality of life using the Short Form Health Survey 36 (SF-36). It is a self-report measure of functional health and well-being. The SF-36 questionnaire consists of eight scales yielding two summary measures: physical and mental health. The physical health measure includes four scales of physical functioning (10 items), role-physical (4 items), bodily pain (2 items), and general health (5 items). The mental health measure is composed of vitality (4 items), social functioning (2 items), role-emotional (3 items), and mental health (5 items).
  • Evaluation of change in level of disability [ Time Frame: At baseline, after the 20th session of the rehabilitation program, follow up at 3 months ]
    Evaluation of level of disability using Functional Independence Measure (FIM). It is an 18-item, seven-level, ordinal scale intended to be sensitive to changes over the course of a comprehensive inpatient medical rehabilitation program.It includes measures of independence for self-care, including sphincter control, transfers, locomotion, communication, and social cognition.
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Synergic Control of Posture in Peripheral Neuropathies' Patients
Official Title Synergic Control of Posture in Peripheral Neuropathies' Patients
Brief Summary This is a multicenter observational study aimed to characterize multi-muscle synergy organization in relation to postural stability in individuals with Peripheral Neuropathies (PN) compared to healthy age-matched subjects and to assess the effectiveness of a rehabilitation program driven by multi-muscle synergy organization.
Detailed Description

This is a multicenter observational study of peripheral neuropathies patients aiming at characterizing multi-muscle synergy and at assessing the effectiveness of a rehabilitation program driven by multi-muscle synergy organization.

The study can be divided in two phases:

Phase 1 will included peripheral neuropathies patients and healthy age-matched subjects.

Peripheral neuropathies patients will be assessed with:

  • Neurological assessment formalized via Total Neuropathy Score-clinical version (TNSc©)
  • Nerve conduction studies
  • Impact of PN on patients' quality of life using Short Form Health Survey 36 (SF-36)
  • Functional status using Functional Independence Measure (FIM)

Peripheral neuropathies patients and healthy age-matched subjects will receive a postural evaluation recording during three different postural tasks (quiet standing, voluntary sway and shoulder flexion):

  • centre of pressure (COP) displacement of force platform;
  • surface muscle activation using electromyography (EMG) of 13 muscle on the right side of the body (tibialis anterior, soleus,gastrocnemius lateralis-medialis, biceps femoris, semitendinosus, rectus femoris, vastus lateralis and medialis, tensor fasciae latae, lumbar and thoracic erector spinae and rectus abdominis).

Phase 2 will included only peripheral neuropathies patients. Participants will be assessed at baseline, after a 20 session 2-3/w program of physical therapy and at a follow up of 3 months.

The evaluations of the first phase will be implemented with evaluation of mobility and balance using Six Minute Walking Test (6MWT), Mini Balance Evaluation System Test (MiniBESTest) and Timed Up and Go test (TUG).

Study Type Observational
Study Design Observational Model: Case-Control
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Peripheral neuropathy patients sent for a neurologic evaluation
Condition Peripheral Neuropathies
Intervention Other: Rehabilitation program
The exercise intervention will consist of an individualized prescription of resistance training, balance training and cardiovascular exercises delivered for 20 session, one-hour, two/three times per week.
Study Groups/Cohorts
  • Peripheral neuropathies patients

    Peripheral neuropathies patients will be assessed at baseline, after a 20 session 2-3/w program of physical therapy and at a follow up of 3 months with:

    • Total Neuropathy Score-clinical version (TNSc©)
    • Nerve conduction studies
    • Short Form Health Survey 36 (SF-36)
    • Functional Independence Measure (FIM)
    • postural evaluation recording during three different postural tasks (quiet standing, voluntary sway and shoulder flexion):centre of pressure (COP) displacement of force platform; surface muscle activation using electromyography (EMG) of 13 muscle on the right side of the body (tibialis anterior, soleus,gastrocnemius lateralis-medialis, biceps femoris, semitendinosus, rectus femoris, vastus lateralis and medialis, tensor fasciae latae, lumbar and thoracic erector spinae and rectus abdominis)
    • Six Minute Walking Test (6MWT), Mini Balance Evaluation System Test (MiniBESTest) and Timed Up and Go test (TUG).
    Intervention: Other: Rehabilitation program
  • Healthy age-matched subjects

    Healthy age-matched subjects will receive a postural evaluation recording during three different postural tasks (quiet standing, voluntary sway and shoulder flexion):

    • centre of pressure (COP) displacement of force platform;
    • surface muscle activation using electromyography (EMG) of 13 muscle on the right side of the body (tibialis anterior, soleus,gastrocnemius lateralis-medialis, biceps femoris, semitendinosus, rectus femoris, vastus lateralis and medialis, tensor fasciae latae, lumbar and thoracic erector spinae and rectus abdominis).
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: October 8, 2021)
26
Original Estimated Enrollment Same as current
Estimated Study Completion Date April 2024
Estimated Primary Completion Date April 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Subject suffering from peripheral neuropathy with a TNSc© score more than 4
  • male and female subjects who are 18 years of age or older

Exclusion Criteria:

  • orthopedic or neurologic comorbidities that can influence postural control

A control group of healthy subjects with the same demographic features of peripheral neuropathy patients wil be also included.

Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers Not Provided
Contacts
Contact: Miryam Mazzucchelli, MD +39 0362 986201 m.mazzucchelli@campus.unimib.it
Listed Location Countries Italy
Removed Location Countries  
 
Administrative Information
NCT Number NCT05088681
Other Study ID Numbers NEUPER
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Current Responsible Party University of Milano Bicocca
Original Responsible Party Same as current
Current Study Sponsor University of Milano Bicocca
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators
Principal Investigator: Paola ALberti, MD, PhD Università degli Studi di Milano Bicocca
Principal Investigator: Cecilia Perin, MD Università degli Studi di Milano Bicocca
Study Director: Guido Cavaletti, MD Università degli Studi di Milano Bicocca
PRS Account University of Milano Bicocca
Verification Date December 2023