Gait, Hemiplegia, Stroke
Conditions
Keywords
stroke, gait, hip flexors, paresis, hemiplegia
Brief summary
Post-stroke patients often present with gait disorders due to several physical impairments. Hip flexor deficit is one of the more prevalent trouble and is associated with gait capacities. This study aims at evaluating the impact of an isokinetic hip flexors strengthening rehabilitation program in the subacute phase after stroke. Patients will be randomized to an intervention group (isokinetic rehabilitation) or a control group (conventional rehabilitation) and assessed at the end of the rehabilitation program, at 3 and at 6 months.
Interventions
PROCEDUREIsokinetic hip flexors strengthening
Isokinetic excentric strengthening of paretic hip flexors, 3/w during 6 weeks, in addition to conventional rehabilitation 7/w.
PROCEDUREConventional rehabilitation
Conventional rehabilitation 10/w during 6 weeks
Sponsors
University Hospital, Lille
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients suffering from a first ever stroke * At the subacute phase * Able to walk at least 10m with or without assistive devices * Hip flexors strength on the paretic side \> 2/5 (MRC)
Exclusion criteria
* Uncontrolled epilepsy * Contraindications to physical activity (severe arterial hypertension, aortic valvulopathy, severe PAD...) * History of muscular or joint disorders on the paretic hip * Subject unable to deliver an informed written consent (due to aphasia, cognitive or psychiatric disorders...) * Protected persons * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Max gait speed (m/s) | 6 weeks | Gait speed will be assessed in the 10m walk test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hip flexors strength | 6weeks; 3 and 6 months | Hip flexors strength will be evaluated using an isokinetic dynamometer (concentric, 30°/s) and motor testing (medical research council) |
| Gait endurance | 6 weeks; 3 and 6 months | Gait endurance will be assessed using the 6MWT |
| Max gait speed (m/s) | 3 and 6 months | Gait speed will be assessed in the 10m walk test |
| Balance and postural control | 6 weeks; 3 and 6 months | Postural Assessment for Stroke Scale (PASS) |
| Rate of perceived exhaustion during gait | 6 weeks; 3 and 6 months | Borg scale |
| Gait capacities | 6 weeks; 3 and 6 months | Functional ambulation categories (FAC) |
Outcome results
None listed