The main objective is to develop models for the cortical reorganization of motor areas and inter-hemispheric equilibrium in the early phase of post stroke recovery evaluated by the fNIRS technique from day 0 to day 60 (day 0 being the day of inclusion in the study) and to correlate the latter with the early phases of motor recovery over the same period, as measured by the test Fugl-Meyer.
The secondary objectives of this study are: A. To evaluate changes in functional outcomes (Box and Blocks Test and NineHolePeg Test from Day 0 to Day 60. B- To evaluate changes in autonomy (Barthel Index) from Day 0 to Day 60.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Physiotherapy regimen (days 0 to 60): orthopedic maintenance, work on trunk balance, sensorimotor techniques for restoration of motor skills, exercises for standing balance and walking. Sessions last 30 to 60 minutes depending on the fatigue of the subject and the level of recovery. They occur as daily sessions during the first two weeks and then two sessions / day. This is part of routine care.
Occupational Therapy (days 0 to 60): Orthopaedic maintenance, exercises for sitting and standing balance, sensorimotor techniques for the restoration of motor skills, grip exercises. Sessions last 30 to 60 minutes depending on the fatigue of the subject and the level of recovery. 1 session is performed per day. This is part of routine care.
CHRU de Nîmes - Hôpital Universitaire de Réadaptation du Grau du Roi
Le Grau-du-Roi, France
CHRU de Montpellier - Hôpital Lapeyronie
Montpellier, France
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 60
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 60
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the time required to reach the peak
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
During the therapy protocol, cortical activation measures using the fNIRS method will be conducted every 15 days (at Day0, Day 15, Day 30, Day 45 and Day 60 for 5 sessions in total) at the technical platform of the Grau du Roi physical therapy centre, during the completion of a standardized motor task (maintaining a level of force) using the healthy upper limb and the paretic upper limb.
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 60
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 60
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 0
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 15
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 30
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 45
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 60
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Time frame: Day 0
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Time frame: Day 15
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Time frame: Day 30
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Time frame: Day 45
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Time frame: Day 60
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 0
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 15
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 30
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 45
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Time frame: Day 60
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Time frame: Day 0
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Time frame: Day 15
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Time frame: Day 30
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Time frame: Day 45
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Time frame: Day 60
The Box and Block test: The score is the number of blocks transferred in one minute.
Time frame: Day 0
The Box and Block test: The score is the number of blocks transferred in one minute.
Time frame: Day 60
The Nine Hole Peg Test: The score is the total time to complete the task.
Time frame: Day 0
The Nine Hole Peg Test: The score is the total time to complete the task.
Time frame: Day 60
The Barthell test for autonomy
Time frame: Day 0
The Barthell test for autonomy
Time frame: Day 60