Physiotherapy/hypnosis for AVC Patients

N/AEnrolling By InvitationNCT06885294

University of Liege84 enrolled

Overview

Impact of physical therapy with hypnosis on the functional capacity of the upper limb in stroked patients.

The cerebrovascular accident (CVA) is a pathology generating many disabled people. Physiotherapy is one of the usual rehabilitation techniques for a patient with sequelae of ischemia or cerebral hemorrhage. Combined with another therapeutic approach, hypnosis, it could increase the patient's motor performance.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Stroke

Interventions

PhysiotherapyBEHAVIORAL

Stroke patients will be randomly assigned to join one of the three groups. The first group will undergo a pre-treatment evaluation, receive 6 sessions of physiotherapy (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. After another month without any treatment, they will undergo a third and final assessment. All evaluations will last approximately 1 hour.

Physiotherapy and HypnosisBEHAVIORAL

Stroke patients will be randomly assigned to join one of the three groups. The second group will undergo a pre-treatment evaluation, receive 6 sessions of physiotherapy combined with hypnosis (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. Patients will continue their standard physiotherapy care during these 4 weeks. After another month without any treatment, they will undergo a third and final assessment. All evaluations will last approximately 1 hour.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults aged 18 to 80 years old * Having experienced a stroke more than 3 months ago * Understanding and proficient in the French language * Having a functional capacity deficit in at least one of the two upper limbs * Being able to independently travel to the Yerne medical center for necessary study appointments. Exclusion Criteria: * Being under 18 or over 80 years old * Having a history of upper limb injuries (fractures, prosthetics, etc.) * Having Wernicke's aphasia (language comprehension disorder) * Having frontal lobe syndrome * Undergoing chemotherapy * Having respiratory disorders (respiratory failure of more than 70%) or receiving oxygen therapy * Having epilepsy * Having dementia * Having untreated hearing impairments * Being diagnosed with schizophrenia or paranoïa * Experiencing significant concentration difficulties

Locations (1)

GIGA Science and Perception Research Group CHU Liège

Liège, Belgium

Outcomes

Primary Outcomes

Measurement of joint ranges of motion

Measurement of shoulder (flexion, extension, abduction, internal rotation, external rotation), elbow (flexion, extension), wrist (flexion, extension)

Time frame: 8 weeks

assessment of spasticity

Measurement of muscle activation on Ashworth scale (extension and flexion of shoulder, elbow, wrist, fingers, thumb) =\> 0%-100% (a higher score means a worse outcome)

Time frame: 8 weeks

functional tests for the upper limb

Stroke Upper Limb Capacity Scale (SULCS) =\> 0%-100% (a higher score means a better outcome) * using one forearm as support while sitting * wedging an object between the chest and the upper part of the affected limb * sliding an object across a table while sitting * partially unscrewing a lid * taking a glass of water and drinking it * grabbing a tennis ball presented at a certain height * coming one's hair with the affected upper limb * buttoning * writing

Time frame: 8 weeks

scales for assessing disability and functional independence

Functional Independence Measure (FIM) from complete dependence to independence =\> 0%-100% (a higher score means a better outcome) * personal care * sphincter control * mobility, transfers * locomotion * communication * awareness of the external world

Time frame: 8 weeks

evaluation of muscle strength

Measurement of pathological upper limb strength on MRC scale by group/time/joint/movement =\> 0%-100% (a higher score means a better outcome) * Shoulder Flexion Strength * Shoulder Extension Strength * Shoulder Abduction Strength * Shoulder Internal Rotation Strength * Shoulder External Rotation Strength * Elbow Flexion Strength * Elbow Extension Strength * Wrist Flexion Strength * Wrist Extension Strength * Finger Flexion Strength * Finger Extension Strength * Thumb Flexion Strength * Thumb Extension Strength

Time frame: 8 weeks

Data from ClinicalTrials.gov

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