Dynamic Balance in Unilateral Transtibial Amputees Following Virtual Reality Versus Conventional Rehabilitation

Inclusion criteria

• Unilateral transtibial amputees in hospitalized in the rehabilitation of the musculoskeletal system service
• All etiologies: vascular, traumatic and septic.
• Adapted vascular equipment validated by physician.
• Able to walk for 5 minutes on a treadmill without technical assistance.
• The patient must have given their free and informed consent and signed the consent form
• The patient must be a member or beneficiary of a health insurance plan

Exclusion criteria

• The subject is participating in an interventional study or one involving a drug or medical device, or is in a period of exclusion determined by a previous study
• Patient already included in the present study.
• The subject refuses to or is unable to sign the consent
• It is impossible to give the subject informed information
• The patient is under safeguard of justice or state guardianship
• Patients with uncorrected or untreated visual disorders.
• Patients with major cognitive disorders (MOCA>23).
• Patients with vestibular disorders.
• Patient with uncontrolled epilepsy.
• Patient with an unhealed amputation stump.
• Patients weighing > 135kg or < 20kg.
• Patients with a functional ambulation category of 1 (i.e. patients requiring the firm, continuous assistance of another person to carry their weight and maintain their balance) or less.
• Patients with medication affecting exercise tolerance,
• Patients with sensory impairments
• Patients with significantly reduced bone density
• Patients for whom it is impossible to correctly adjust the harness to the corresponding body part due to:

• Body shape
• Colostomy bags
• Skin lesions that cannot be adequately protected.
• Any other reason that prevents proper, pain-free adjustment of the sling.
• Pregnant, parturient or breast-feeding patients.
• Appearance of a stump wound during the study requiring discharge.
• Patient with more than 50% absenteeism from rehabilitation sessions.
• Patient requiring a new prosthesis insert.
• Patient with a serious adverse event affecting dynamic balance rehabilitation.