Stroke
Conditions
Keywords
Hypnosis, Stroke, physiotherapy
Brief summary
Impact of physical therapy with hypnosis on the functional capacity of the upper limb in stroked patients.
Detailed description
The cerebrovascular accident (CVA) is a pathology generating many disabled people. Physiotherapy is one of the usual rehabilitation techniques for a patient with sequelae of ischemia or cerebral hemorrhage. Combined with another therapeutic approach, hypnosis, it could increase the patient's motor performance.
Interventions
BEHAVIORALPhysiotherapy
Stroke patients will be randomly assigned to join one of the three groups. The first group will undergo a pre-treatment evaluation, receive 6 sessions of physiotherapy (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. After another month without any treatment, they will undergo a third and final assessment. All evaluations will last approximately 1 hour.
BEHAVIORALPhysiotherapy and Hypnosis
Stroke patients will be randomly assigned to join one of the three groups. The second group will undergo a pre-treatment evaluation, receive 6 sessions of physiotherapy combined with hypnosis (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. Patients will continue their standard physiotherapy care during these 4 weeks. After another month without any treatment, they will undergo a third and final assessment. All evaluations will last approximately 1 hour.
BEHAVIORALControl group Physiotherapy and Hypnosis
The control group will be assessed initially and then after 4 weeks. After the second assessment, they will receive 6 sessions of physiotherapy combined with hypnosis (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. All evaluation sessions will last approximately 1 hour.
Sponsors
University of Liege
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged 18 to 80 years old * Having experienced a stroke more than 3 months ago * Understanding and proficient in the French language * Having a functional capacity deficit in at least one of the two upper limbs * Being able to independently travel to the Yerne medical center for necessary study appointments.
Exclusion criteria
* Being under 18 or over 80 years old * Having a history of upper limb injuries (fractures, prosthetics, etc.) * Having Wernicke's aphasia (language comprehension disorder) * Having frontal lobe syndrome * Undergoing chemotherapy * Having respiratory disorders (respiratory failure of more than 70%) or receiving oxygen therapy * Having epilepsy * Having dementia * Having untreated hearing impairments * Being diagnosed with schizophrenia or paranoïa * Experiencing significant concentration difficulties
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of joint ranges of motion | 8 weeks | Measurement of shoulder (flexion, extension, abduction, internal rotation, external rotation), elbow (flexion, extension), wrist (flexion, extension) |
| assessment of spasticity | 8 weeks | Measurement of muscle activation on Ashworth scale (extension and flexion of shoulder, elbow, wrist, fingers, thumb) =\> 0%-100% (a higher score means a worse outcome) |
| functional tests for the upper limb | 8 weeks | Stroke Upper Limb Capacity Scale (SULCS) =\> 0%-100% (a higher score means a better outcome) * using one forearm as support while sitting * wedging an object between the chest and the upper part of the affected limb * sliding an object across a table while sitting * partially unscrewing a lid * taking a glass of water and drinking it * grabbing a tennis ball presented at a certain height * coming one's hair with the affected upper limb * buttoning * writing |
| scales for assessing disability and functional independence | 8 weeks | Functional Independence Measure (FIM) from complete dependence to independence =\> 0%-100% (a higher score means a better outcome) * personal care * sphincter control * mobility, transfers * locomotion * communication * awareness of the external world |
| evaluation of muscle strength | 8 weeks | Measurement of pathological upper limb strength on MRC scale by group/time/joint/movement =\> 0%-100% (a higher score means a better outcome) * Shoulder Flexion Strength * Shoulder Extension Strength * Shoulder Abduction Strength * Shoulder Internal Rotation Strength * Shoulder External Rotation Strength * Elbow Flexion Strength * Elbow Extension Strength * Wrist Flexion Strength * Wrist Extension Strength * Finger Flexion Strength * Finger Extension Strength * Thumb Flexion Strength * Thumb Extension Strength |
| Box and Block Test (BBT) | 8 weeks | Measurement of manual dexterity and motor skills by moving blocks into box comparing healthy upper limb with pathological upper limb =\> 0%-100% (a higher score means a better outcome) |
| Modified Rankin Scale (mRS) | 8 weeks | Measurement of degree of disability =\> 0%-100% (a higher score means a worse outcome) |
Countries
Belgium
Outcome results
None listed