Stroke
Conditions
Keywords
muscle vibration protocol, anterior tibia muscle, hemiplegic patient
Brief summary
In about 40 percent of cases, after a stroke, neuromotor impairment leads to activity limitations and the development of chronic functional disorders, which have a significant impact on patient autonomy. In the early subacute phase, motor deficit in foot lifters is one of the factors limiting standing posture and ambulation, which is ultimately difficult to rehabilitate due to the lack of available techniques for obtaining early onset of useful active voluntary contraction. The use of muscular focal vibration therapy, applied to relaxed muscle, may be of interest due to the portability and availability of the system and the neuromotor benefits demonstrated in healthy subjects and in acute and chronic post-stroke patients.
Interventions
OTHERFugl-Meyer Assessment (FMA)
assessment of motor skills : measurement of the intensity of reflexes, as well as an assessment of voluntary movements and motor coordination Score from 0 to 34
OTHERMedical Research Concil (MRC)
evaluation of muscular strength score from 0 to 5
Assess functional walking and aerobic abilities
OTHERTimed Up & Go Test
measures the time it takes to get up from a chair, walk 10 feet, turn around, return to the seat and sit down
score from 0 to 4 evaluation of spasticity
OTHERPostural Assessment Scale for Stroke
score from 0 to 36 measures the patient's ability to maintain stable postures and balance in changes of position
DEVICEposturographic recording
analysis of static equilibrium parameters and positional measurement of the center of gravity on the Winposturo platform
OTHERvibration program
a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation. The program will apply a frequency of 100 Hz, with an amplitude of 1 mm
OTHERsham program
a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Having had a stroke (with or without previous stroke) and being in the early subacute phase (between 14 days and 3 months of stroke). * Responsible for a motor deficit in the right or left lower limb. * No neurological history other than stroke.
Exclusion criteria
* Multifocal stroke * Patient having received a botulinum toxin injection to the lower limb to be vibrated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| score of Fugl Meyer Assessment (lower limbs) | day 30 | score from 0 to 34 Stroke-specific performance-based disability index that quantitatively assesses analytical motor skills in the lower limb. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| score of Fugl Meyer Assessment (lower limbs) | day 0, day 15, day 30 and month 2 | score from 0 to 34 Stroke-specific performance-based disability index that quantitatively assesses analytical motor skills in the lower limb. |
| score of Medical Research Concil | day 0, day 15, day 30 and month 2 | score of 0 (absence of contraction) to 5 (normal force) |
| assess functional walking ability | day 0, day 15, day 30 and month 2 | measured with 2 Minute Walk Test |
| score of postural assessment scale for stroke | day 0, day 15, day 30 and month 2 | measures the patient's ability to maintain stable postures, as well as balance in changes of position score of 0 (cannot perform the activity) to 36 (can perform the activity) |
| analysis of static equilibrium | day 0, day 15, day 30 and month 2 | with Winposturo platform |
| positional measurement of the center of gravity | day 0, day 15, day 30 and month 2 | with Winposturo platform |
Countries
France
Outcome results
None listed