Fatigue, Stroke, Stroke, Acute
Conditions
Keywords
Stroke, vibration, Handgrip strength, Fatigue
Brief summary
It seems that prolonged vibratory stimulation of the anterior forearm in healthy subjects leads to fatigue of the muscles concerned, with a reduction in their strength. The aim of this study is to evaluate the impact of vibratory tendon stimulation on grip force fatigue during the acute post-stroke phase. The investigations will be carried out by a specialized physiotherapist from the neurology department. The experiment consists of three successive phases: * First : measurement of the maximum handgrip force before any vibratory stimulation and then after the three sessions of ten-minute vibration. * Second : Rest period * Third: control phase with measurement of the maximum grip force every ten minutes without vibration.
Interventions
Grip strenght measurement will always be done in the same way : for each series, 3 measurements of maximum strength will be taken for each side. Participants will receive verbal encouragement. After initial both sides grip strength evaluation, all participant will first experiment the vibration situation using the device Vibramoov Physio (TechnoConcept, Manosque, France): the vibrations had a frequency of 100Hz, with an amplitude of 2mm, they will be applied to the anterior part of the forearm for 10 minutes, 3 times. At the end of each 10 minutes vibration session, handgrip strength will be assessed. * Participants then have a one-hour rest period. * Control situation: participants will have 4 series of grip strength measurements every 10 minutes. At the end of the 2 hours, the patient will be discharged from the study protocol.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age:18 to 85 * Acute stroke (less than 7 days) * Paretic upper limb: 3 or 4 to the MRC score and able to obtain a value of at least 10 kilograms on the handgrip strength * Able to sign a consent form * Affiliated to a social insurance
Exclusion criteria
* Person under tutorship or curatorship, * Sleepiness * Pregnancy or breastfeeding woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum handgrip strength measured by a digital dynamometer | 2 hours | Handgrip strength in kilograms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue evolution | 2 hours | Fatigue assessed with Borg Scale : Minimal score indicates no fatigue (Minimum : 0 - Maximum : 10) |
| Evolution of handgrip strength during the vibration session measured by a digital dynamometer | 30 minutes | Handgrip strength in kilograms |
Countries
France