Impact of a Focal Muscle Vibration Protocol in Front of the the Anterior Tibial Muscle in the Subacute Post-stroke Period on Motor Recovery in Hemiplegic Patients.

Centre Hospitalier Universitaire de Saint Etienne38 enrolled

Overview

In about 40 percent of cases, after a stroke, neuromotor impairment leads to activity limitations and the development of chronic functional disorders, which have a significant impact on patient autonomy. In the early subacute phase, motor deficit in foot lifters is one of the factors limiting standing posture and ambulation, which is ultimately difficult to rehabilitate due to the lack of available techniques for obtaining early onset of useful active voluntary contraction. The use of muscular focal vibration therapy, applied to relaxed muscle, may be of interest due to the portability and availability of the system and the neuromotor benefits demonstrated in healthy subjects and in acute and chronic post-stroke patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Stroke

Interventions

assessment of motor skills : measurement of the intensity of reflexes, as well as an assessment of voluntary movements and motor coordination Score from 0 to 34

Medical Research Concil (MRC)OTHER

evaluation of muscular strength score from 0 to 5

2 Minute Walk Test (2MWT)OTHER

Assess functional walking and aerobic abilities

Timed Up & Go TestOTHER

measures the time it takes to get up from a chair, walk 10 feet, turn around, return to the seat and sit down

Modified Ashworth ScaleOTHER

score from 0 to 4 evaluation of spasticity

Postural Assessment Scale for StrokeOTHER

score from 0 to 36 measures the patient's ability to maintain stable postures and balance in changes of position

posturographic recordingDEVICE

analysis of static equilibrium parameters and positional measurement of the center of gravity on the Winposturo platform

vibration programOTHER

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation. The program will apply a frequency of 100 Hz, with an amplitude of 1 mm

sham programOTHER

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Having had a stroke (with or without previous stroke) and being in the early subacute phase (between 14 days and 3 months of stroke). * Responsible for a motor deficit in the right or left lower limb. * No neurological history other than stroke. Exclusion Criteria: * Multifocal stroke * Patient having received a botulinum toxin injection to the lower limb to be vibrated

Locations (2)

Centre Hospitalier Universitaire de Saint-Etienne

Saint-Etienne, France

Le Clos Champirol - Service de Médecine Physique et de Réadaptation

Saint-Priest-en-Jarez, France

Outcomes

Primary Outcomes

score of Fugl Meyer Assessment (lower limbs)

score from 0 to 34 Stroke-specific performance-based disability index that quantitatively assesses analytical motor skills in the lower limb.

Time frame: day 30

Secondary Outcomes

score of Fugl Meyer Assessment (lower limbs)

score from 0 to 34 Stroke-specific performance-based disability index that quantitatively assesses analytical motor skills in the lower limb.