Hemiparesis
Conditions
Keywords
stroke, balance, dance
Brief summary
The majority of hemiparetic patients have balance disorders, which impact independence in daily living activities and walking. Conventional techniques used in rehabilitation improve balance but have shown no effects on dynamic balance required during walking. Recently dance is proposed to improve dynamic balance in older people and people with Parkinson's disease. Although many studies showed that dance is an effective activity to improve balance in these people, it has never been assessed in hemiparetic patients (except a case report). The aim of this study is to show that a dance program improves the balance of hemiparetic patients, compared to a control group. This randomized controlled study aims to include 40 hemiparetic patients who will perform a dance program (experimental group) or a upper-limb rehabilitation program (control group) for 8 one-hour sessions.
Detailed description
Randomized controlled study aims to include 40 hemiparetic patients who will perform a dance program (experimental group) or a upper-limb rehabilitation program (control group) for 8 one-hour sessions. These activities are carried out in the form of a workshop and are already proposed in common practice in the service. They are carried out by the physiotherapists of the service. Patients are assigned in one of two study groups. It is specified that they will be able to carry out the program of the opposing group at the end of the study in order to limit the disappointment effect. The evaluations will be carried out at 4 and 8 weeks and will mainly rely on data of balance, function, quality of life and satisfaction
Interventions
dance program
upper limb rehabilitation
Sponsors
Study design
Intervention model description
randomized controlled study
Eligibility
Inclusion criteria
* Patient who signed the consent letter * Male or female adults age ≥ 18 years, * Hemiparetic patient * Patient with balance disorders, able to walk alone and perform a U-turn, with or without technical assistance.
Exclusion criteria
* Bilateral brain lesions, cerebellar syndrome * Other pathology or impairment that may interfere with the study such as visual, cardiovascular or other uncontrolled medical conditions * Patient who underwent surgery of the musculoskeletal system in The 6 months prior to inclusion * Major cognitive disorders not allowing the dance activity or the passing of evaluations * Behavioral disorders not allowing group workshops * Pregnant woman, breastfeeding * Non-affiliation to a social security scheme (beneficiary or beneficiary)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timed up and Go | 5min | get up, walk 3m, turn around and return sit down |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | 10min | clinical scale assessing balance. 14-item scale designed to measure balance of the older adult in a clinical setting. Scoring: A five-point scale, ranging from 0-4. 0 indicates the lowest level of function and 4 the highest level of function. Total Score = 56 |
Countries
France