Post-stroke patients often present with gait disorders due to several physical impairments. Hip flexor deficit is one of the more prevalent trouble and is associated with gait capacities. This study aims at evaluating the impact of an isokinetic hip flexors strengthening rehabilitation program in the subacute phase after stroke. Patients will be randomized to an intervention group (isokinetic rehabilitation) or a control group (conventional rehabilitation) and assessed at the end of the rehabilitation program, at 3 and at 6 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Isokinetic excentric strengthening of paretic hip flexors, 3/w during 6 weeks, in addition to conventional rehabilitation 7/w.
Conventional rehabilitation 10/w during 6 weeks
Max gait speed (m/s)
Gait speed will be assessed in the 10m walk test
Time frame: 6 weeks
Max gait speed (m/s)
Gait speed will be assessed in the 10m walk test
Time frame: 3 and 6 months
Hip flexors strength
Hip flexors strength will be evaluated using an isokinetic dynamometer (concentric, 30°/s) and motor testing (medical research council)
Time frame: 6weeks; 3 and 6 months
Gait endurance
Gait endurance will be assessed using the 6MWT
Time frame: 6 weeks; 3 and 6 months
Gait capacities
Functional ambulation categories (FAC)
Time frame: 6 weeks; 3 and 6 months
Balance and postural control
Postural Assessment for Stroke Scale (PASS)
Time frame: 6 weeks; 3 and 6 months
Balance and postural control
Timed-up and go test
Time frame: 6 weeks; 3 and 6 months
Rate of perceived exhaustion during gait
Borg scale
Time frame: 6 weeks; 3 and 6 months
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