Even if it is a daily questioning for the stroke physician, no concrete recommendation exists regarding the time-point of the mobilization of stroke patients. In this study, we will compare two mobilisation strategies: early versus delayed "verticalisation". 400 ischemic stroke patients will be included in this prospective randomized controlled trial, equally distributed in two groups. In the early mobilisation procedure the patient is allowed to go and sit outside of the bed the day after the stroke onset, whereas in the other arm, this procedure is delayed to the third day after stroke onset. The outcome in both groups will be assessed by the modified Rankin Scale at 3 months, which is commonly used in stroke study to investigate the functional outcome of the patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
167
In the first group (early vertical positioning)the patient can sit outside of the bed, the day after stroke onset. In the second group (progressively vertical positioning), the patient is progressively "verticalised" and is allowed to sit outside of the bed on the third day after the stroke onset.
University Hospital
Angers, France
Hospital
Châteaubriand, France
Hospital
La Roche-sur-Yon, France
Hospital
Le Mans, France
Hospital
Lorient, France
University Hospital
Nantes, France
Hospital Cornouaille
Quimper, France
University Hospital
Rennes, France
Hospital Yves LeFoll
Saint-Brieuc, France
Hospital
Saint-Nazaire, France
...and 2 more locations
To demonstrate that functional modified Rankin score at 3 months after stroke onset is better with an earlier mobilization protocol (Rankin score)
Time frame: 3 months
To demonstrate that neurological recovery is better at 7 days with an earlier mobilization protocol (NIHSS score)
Time frame: 7 days
To demonstrate that neurological recovery is better at 3 months with an earlier mobilization protocol (NIHSS score)
Time frame: 3 months
To demonstrate that functional modified Rankin score at 7 days after stroke onset is better with an earlier mobilization protocol (Rankin score)
Time frame: 7 days
To demonstrate that the autonomy is better at 7 days in the early mobilization group (Barthel score)
Time frame: 7 days
To demonstrate that the autonomy is better at 3 months in the early mobilization group (Barthel score)
Time frame: 3 months
To demonstrate that an earlier " verticalization " shortens the length of stay in hospital
Time frame: 7 days
To demonstrate that an earlier " verticalization " allows the patient to go back home sooner
Time frame: 7 days
To assess the tolerance of an early mobilization
Time frame: 3 months
To assess the impact of an early mobilization on the post stroke fatigue
Time frame: 3 months
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