Subacute Stroke
Conditions
Keywords
subacute stroke, multitasking rehabilitation, walking
Brief summary
Stroke is the leading cause of severe disability in adults. The first cause of alterations in the quality of life and autonomy in these patients are disorders of walking and the balance. They are the leading cause of falls responsible for important medical, surgical and economic complications as well as a reactionary social isolation. The techniques of rehabilitation of walking to the subacute phase of a stroke are usually based on automatic walking.Off walking is a complex activity usually performed in everyday life in association with multiple tasks. It is therefore interesting to re-educate walking in dual task or even in multitasking.
Interventions
OTHERrehabilitation multitasking walking.
rehabilitation multitasking walking.
OTHERTraditional walking rehabilitation
Traditional walking rehabilitation
Sponsors
Centre Hospitalier Universitaire, Amiens
CENTRE DE REEDUCATION FONCTIONNELLE L'ESPOIR LILLE
CENTRE DE REEDUCATION FONCTIONNELLE SAINT-LAZARE
Centre Régional de Médecine Physique et de Réadaptation - Les herbiers
Centre Hospitalier Arras
CH COMPIEGNE
CH CORBIE
CH Le Havre
University Hospital, Lille
Clinique de rééducation fonctionnelle Le Belloy
Fondation Hopale
Institut Médical de Breteuil
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Major: age between 18 and 90 years * Hospitalized for ischemic or hemorrhagic hemispheric stroke confirmed by CT or MRI \<6months * walking disorder with the possibility of walking 10 meters with or without technical assistance (speed \<1.2m / s) * verbal understanding with complex orders * Affiliates to social security
Exclusion criteria
* Brainstem stroke or cerebellar * Hypoacusia annoying understanding * Visual gene embarrassing awarding * severe aphasia: no understanding of complex orders * neurological or musculoskeletal history affecting walking * Participation in interventional research protocol in motor rehabilitation of the lower limb or cognitive * Patient under guardianship or deprived of liberty * pregnant women, parturient women or lactating (art L.1121-5)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure walking speed | 6 months | Speed of the simple task of walking 10 meters testing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Description of different types of walking disorders and balance in the subacute phase of stroke | inclusion | Currently no clinical scale exists in the literature at our knowledge. The walk of the patients will be qualitatively analyzed by the investigator in order to measure the prevalence of the different clinical categories of walking disorders according to their semiological characteristics |
| Score neuromotor the lower limb | 6 months | Score neuromotor the lower limb: Fugl Meyer |
| Dynamic equilibrium to TUG single and double cognitive task | 6 months | Dynamic equilibrium to TUG single and double cognitive task |
| Walking speed double cognitive task | 6 months | Walking speed double cognitive task |
| Executive functions: a battery of neuropsychological | 6 months | Executive functions: a battery of neuropsychological |
| Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT | 6 months | Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT |
| EVA Quality of life | 6 months | EVA (Visual Analogic Scale) quality of life |
| Correlation of cognitive gains with the gain of the walking speed of 10 meters | 6 months | Correlation of cognitive gains with the gain of the walking speed of 10 meters |
| anatomoclinical correlations | 6 months | Lesion score of gray matter and white matter (Volumetry on sequences 3DT1 and Flair) Cerebral |
Countries
France
Contacts
STUDY_DIRECTORSophie TASSEEL-PONCHE, Doctor
CHU Amiens-Picardie France
PRINCIPAL_INVESTIGATOREric VERIN, professor
University Hospital, Rouen
PRINCIPAL_INVESTIGATOREtienne ALLART, Doctor
CHRU de Lille
PRINCIPAL_INVESTIGATORDEMAILLE Samantha, professor
CRF 4Espoir Lille
PRINCIPAL_INVESTIGATORValérie LECLERCQ-DONTGEZ, Doctor
Les 3 vallées
PRINCIPAL_INVESTIGATORHaykal ELLEUCH, Doctor
CH Arras
PRINCIPAL_INVESTIGATORMarie DECOCQ-DEMICHEL, Doctor
CH Le Belloy
PRINCIPAL_INVESTIGATORPascal RIGAUX, Doctor
CH Berck Sur Mer
PRINCIPAL_INVESTIGATORSabine POL-ROUX, Doctor
CH Compiègne
PRINCIPAL_INVESTIGATORSofiane LARIBI, Doctor
CH Breteuil
PRINCIPAL_INVESTIGATORSkander MOALLA, Doctor
Centre Hospitalier de Beauvais
Outcome results
None listed