The Multitasking Rehabilitation She Enhanced Walking Speed Compared to the Simple Post Stroke Rehabilitation Task (AVC)?

Centre Hospitalier Universitaire, Amiens26 enrolled

Overview

Stroke is the leading cause of severe disability in adults. The first cause of alterations in the quality of life and autonomy in these patients are disorders of walking and the balance. They are the leading cause of falls responsible for important medical, surgical and economic complications as well as a reactionary social isolation. The techniques of rehabilitation of walking to the subacute phase of a stroke are usually based on automatic walking.Off walking is a complex activity usually performed in everyday life in association with multiple tasks. It is therefore interesting to re-educate walking in dual task or even in multitasking.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Subacute Stroke

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Major: age between 18 and 90 years * Hospitalized for ischemic or hemorrhagic hemispheric stroke confirmed by CT or MRI \<6months * walking disorder with the possibility of walking 10 meters with or without technical assistance (speed \<1.2m / s) * verbal understanding with complex orders * Affiliates to social security Exclusion Criteria: * Brainstem stroke or cerebellar * Hypoacusia annoying understanding * Visual gene embarrassing awarding * severe aphasia: no understanding of complex orders * neurological or musculoskeletal history affecting walking * Participation in interventional research protocol in motor rehabilitation of the lower limb or cognitive * Patient under guardianship or deprived of liberty * pregnant women, parturient women or lactating (art L.1121-5)

Outcomes

Primary Outcomes

Measure walking speed

Speed of the simple task of walking 10 meters testing.

Time frame: 6 months

Secondary Outcomes

Description of different types of walking disorders and balance in the subacute phase of stroke

Currently no clinical scale exists in the literature at our knowledge. The walk of the patients will be qualitatively analyzed by the investigator in order to measure the prevalence of the different clinical categories of walking disorders according to their semiological characteristics

Time frame: inclusion

Score neuromotor the lower limb

Score neuromotor the lower limb: Fugl Meyer

Time frame: 6 months

Dynamic equilibrium to TUG single and double cognitive task

Time frame: 6 months

Walking speed double cognitive task

Time frame: 6 months

Executive functions: a battery of neuropsychological

Time frame: 6 months

Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT

Time frame: 6 months

EVA Quality of life

EVA (Visual Analogic Scale) quality of life

Time frame: 6 months

Correlation of cognitive gains with the gain of the walking speed of 10 meters

Time frame: 6 months

anatomoclinical correlations

Lesion score of gray matter and white matter (Volumetry on sequences 3DT1 and Flair) Cerebral

Time frame: 6 months

The Multitasking Rehabilitation She Enhanced Walking Speed Compared to the Simple Post Stroke Rehabilitation Task (AVC)?

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes