Evaluation of the Mechanisms of Weight-bearing of the Hemiplegic Limb During Table Tennis Sessions in the Framework of Post-stroke Rehabilitation : Pilot Study

FondationbHopale30 enrolled

Overview

This is an experimental, observational, prospective study designed to develop medical knowledge. The primary objective of the study is to analyze the weight bearing of the hemiplegic side according to the different areas of interest during the practice of table tennis. This study is part of a usual framework of management of post-stroke hemiplegic patients with an additional passage to the movement laboratory to collect additional data collection, via the use of force plateforms, considered here as non-interventional. The passage to the movement laboratory consists in the practice of a table tennis session including three game situations. Before to the table tennis session, the subject placed on the force plateforms, performs a spontaneous bipodal station followed by a maximum voluntary support transfer on the hemiplegic limb. During the table tennis session, the subject is filmed and his load on the hemiplegic side during the game situations is evaluated using the force platforms. In addition of the table tennis session three questionnaires are administered to the patient in order to know : * The static and dynamic balance in order to identify persons at risk of falling: Berg Balance and Evaluation Scale * The degree of autonomy of the patient: Modified Rankin Score * The Stroke severity: NIHSS score

Study Type

OBSERVATIONAL

Enrollment

Conditions

Post-stroke Hemiplegic Gait Rehabilitation

Eligibility

Medical Language ↔ Plain English

Inclusion Criteria: * Patients treated at the Hopale Foundation for a stroke rehabilitation program * Patients following the balance and coordination protocol - Minimum age of 18 years * BERG score \>40 * Subject has played table tennis at least once prior to the stroke. * Patient is a member or beneficiary of a social security plan. * Patient who has received informed information about the study and has given his/her consent * Ability to understand French instructions. Exclusion Criteria: * Cognitive disorders notified in the medical file * Subject under judicial protection : * Subject under guardianship * Subject under curatorship * Subject under protective measure * Pregnant or breastfeeding woman * Patient with cognitive disorders preventing the comprehension of instructions

Outcomes

Primary Outcomes

To analyze the weight bearing on the hemiplegic side according to the different areas of interest of interest during the practice of table tennis.

The vertical force peaks (Fz) under the hemiplegic foot and under the non-injured foot recorded during the subject's ball returns throughout the session. These peaks will be categorized according to the zones and the shots used by the subject.

Time frame: During the only table tennis session on the one day of patient inclusion

Secondary Outcomes

To compare the weight bearing on the hemiplegic side during table tennis practice to a voluntary weight-bearing exercise on the injured limb.

Peak vertical force (Fz) under the hemiplegic foot and under the non-injured foot are compared between table tennis and the analytical exercise of voluntary weight-bearing voluntary.