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Many patients retain upper-limb motor impairment following stroke. Most conventional rehabilitation techniques are aimed to improve motor intentional movement by repeated exercises. These techniques require attentional load and are responsible for significant fatigue that probably represents a limiting factor. Alternatively, the automatic control of action is now well documented. A rehabilitation method based on this principle could allow recovery of more natural movements.
Hypothesis: Stimulating automatic motricity improves upper-limb motor skills compared with a rehabilitation technique based on intentional movements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| " AUTO " Group | Experimental |
| |
| " CONTROL " Group | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| motor training | Other | Subject will perform prehension exercises on an automated table. After the initiation of the arm movement, the target to be grasped is programmed to move in order to stimulate automatic motricity. |
| Measure | Description | Time Frame |
|---|---|---|
| Fugl Meyer assessment (upper extremity) of motor recovery following stroke | we are looking for a change in scores between the baseline session score (Day 1), and those collected during this follow-up session (Day 26). | 2 weeks following the last day of the intervention (Day 26) |
| Measure | Description | Time Frame |
|---|---|---|
| Fugl Meyer assessment (upper extremity) of motor recovery following stroke | we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session | immediately following the last day of the intervention (Day 12) |
| modified Ashworth scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de Médecine Physique et de Réadaptation et Plateforme 'Mouvement et Handicap', Hôpital Henry Gabrielle, HCL | Saint-Genis-Laval | 69235 | France |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D010291 | Paresis |
| D006429 | Hemiplegia |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| motor training | Other | Subject will perform prehension exercises on an automated table. After the initiation of the arm movement, the target to be grasped will remain static in order to involve intentional motricity. |
|
we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session. |
| immediately following the last day of the intervention (Day 12) and 2 weeks following the last day of the intervention (Day 26) |
| Visual Analog Pain Scale | we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session. | immediately following the last day of the intervention (Day 12) and 2 weeks following the last day of the intervention (Day 26) |
| Box and block test | we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session | immediately following the last day of the intervention (Day 12) and 2 weeks following the last day of the intervention (Day 26) |
| Frenchey Arm Test | we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session. | immediately following the last day of the intervention (Day 12) and 2 weeks following the last day of the intervention (Day 26) |
| Motor Activity Log (MAL | we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session. | immediately following the last day of the intervention (Day 12) and 2 weeks following the last day of the intervention (Day 26) |
| Functional independence scale (MIF) | we are looking for a change in scores between the baseline session score (Day 1), and those collected during each follow-up session | immediately following the last day of the intervention (Day 12) and 2 weeks following the last day of the intervention (Day 26) |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010243 | Paralysis |