Muscle Spasticity, Stroke
Conditions
Keywords
Muscle Spasticity, Mobilization, Wrist and Hand Complex
Brief summary
The main objective of this monocentric prospective study is to evaluate the amplitudes and angular velocities of extension of the hand and wrist joints during passive mobilization by a physiotherapist in healthy subjects and stroke patients with spastic hands. Secondary objectives: * To compare amplitude and angular velocity values between the group of stroke patients and the group of healthy volunteers, * To compare amplitude and angular velocity values according to the two types of mobilization (i,e, thumb or fifth finger), * To assess pain due to mobilization in stroke patients.
Detailed description
Conduct of research: The realization of the measures will take place at the GHRMSA rehabilitation department. After receiving the written consent of the study participant, the physiotherapist will proceed with the passive mobilization of the spastic hand of the stroke patient or the dominant hand for healthy volunteers. Videos of the hand will be made using the Darfish system which will allow analysis of the primary endpoint. Two mobilizations will be performed for each participant, i.e. one for each type of medial or lateral grip. The order of mobilization will be determined by randomization.
Interventions
PROCEDUREPassive extension mobilization of the hand and wrist joints
The physiotherapist will proceed with the passive mobilization of the spastic hand of the stroke patient or the dominant hand for healthy volunteers. Two mobilizations will be performed for each participant, i.e. one for each type of medial or lateral grip. The order of mobilization will be determined by randomization.
Sponsors
Groupe Hospitalier de la Region de Mulhouse et Sud Alsace
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Eligibility criteria of stroke patients with hand spasticity: Inclusion Criteria: * Age ≥ 18 years old * First stroke diagnosed less than 3 months ago * Non-functional wrist defined by the Fugl-Meyer Assesment (FMA-EU) upper limb motor subscale with a score ≤45 * Wrist flexor spasticity defined by the Modified Tardieu Scale (MTS) with a rating ≥1 * Written informed consent
Exclusion criteria
\- None Eligibility criteria of healthy volunteers: Inclusion criteria: * Age ≥ 18 years old * Written informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amplitude values | 1 minute after intervention | Amplitude values will be calculated with the Dartfish® system |
| Angular velocity values | 1 minute after intervention | Angular velocity values will be calculated with the Dartfish® system |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean amplitude after mobilization with thumb abduction | 1 minute after intervention | — |
| Mean angular velocity after mobilization with thumb abduction | 1 minute after intervention | — |
| Mean amplitude after mobilization of the fifth finger | 1 minute after intervention | — |
| Mean amplitude of the two groups | 1 minute after intervention | — |
| Pain experienced by stroke patients before mobilisation | 1 minute before intervention | Pain will be assessed by the Visual Analogue Scale (VAS) |
| Pain experienced by stroke patients after mobilisation | 1 minute after intervention | Pain will be assessed by the Visual Analogue Scale (VAS) |
| Mean angular velocity after mobilization of the fifth finger | 1 minute after intervention | — |
| Mean angular velocity of the two groups | 1 minute after intervention | — |
Countries
France
Outcome results
None listed