Hemiparetic Stroke
Conditions
Keywords
Computerize mirror, Vibration, Upper limb rehabilitation, Stroke, hemiplegic
Brief summary
Mental imagery is a rehabilitation technique for stroke patients, involving the mental representation of movement. Recent technical advancements have enabled the use of visual, proprioceptive, and mixed feedback to enhance motor stimulation. Currently, all post-stroke patients receive these techniques indiscriminately. This study aims to demonstrate differences in the integration of visual and proprioceptive feedback in stroke patients and understand the determinants based on the affected brain area. Patients with motor disabilities will perform motor imagery tasks with various feedback types while their cortical activity is recorded using EEG. EEG data for each type of feedback will be correlated with the lesion area in order to better understand the ongoing mechanisms.
Interventions
DEVICEComputerized mirror therapy (IVS3) + Tendon vibration (Vibramoov)
Visit 1 : Followed by 30 movements of Paretic arm wrist extension with 4 randomized experimental conditions (Vision alone, Vibration alone, Vision + Vibration, No feedback), with EEG monitoring. Measurement of movement perception feeling for each condition. Visit 2 : 30 movements of Paretic arm wrist extension with 4 randomized experimental conditions (Vision alone, Vibration alone, Vision + Vibration, No feedback), with EEG monitoring. Measurement of movement perception feeling for each condition.
Sponsors
Centre Hospitalier Universitaire de Saint Etienne
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Hemiplegic subjects : Male or female, aged 18 to 80 years, first ischemic or hemorrhagic stroke, having signed the written consent and affiliated or entitled to a social security scheme
Exclusion criteria
* Severe cognitive impairment, severe Aphasia or severe neglect that impair ability to understand instructions or to execute tasks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EEG beta desynchronization | Day 1 | Differences in the EEG beta desynchronization over motor-cortex across the types of feedbacks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alpha Band | Day 1 | Alpha Band desynchronization over motor cortex |
| Occipital alpha band | Day 1 | Occipital alpha band modulations |
| Beta rebound | Day 1 | Beta rebound (Event related synchronization) |
| Parietal beta-band | Day 1 | Parietal beta-band desynchronization |
| Perception of movements | Day 1 | The intensity of the perception of movements using a visual analogue scale and the objective measurement of perceived movement angle reproduced by the healthy hand's and Visual analogic scale |
Countries
France
Contacts
CONTACTDiana Rimaud, doctor of science
PRINCIPAL_INVESTIGATORPascal GIRAUX, Md
Centre Hospitalier Universitaire de Saint Etienne
Outcome results
None listed