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The purpose of this study is to determine whether rhythmic upper-limb movement training in post-stroke patients allows to improve only this particular type of movements or if it also improves some parameters of discrete movements. Based on our results we hope to be able to answer a fundamental question: are rhythmic and discrete movements two independent primitives?
Patients are assessed four times during this longitudinal study. One month separates the first two assessment, next patients are trained 12 times during one month with rhythmic movement training on an end-effector robot. After this month, patients are assessed a third time and three months later a fourth time in order to study long-time benefits of the therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rhythmic rehabilitation | Experimental | Patients undergo a first evaluation, and a second evaluation one month later to determine their natural evolution. The following month, patients get 12 sessions of rhythmic therapy. A third evaluation is organized straight after this month and a fourth evaluation, 3 months after to assess the after-effects of the therapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rhythmic rehabilitation | Procedure | Stroke patients have 12 rehabilitation sessions on a planar rehabilitation robot, Reaplan, focussed on rhythmic arm movements. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in movement smoothness in rhythmic straight movements after one month of rhythmic therapy | Patients are asked to fulfill rhythmic movements on the end-effector robot Reaplan. The smoothness is assessed with following metrics:
| 1 week to 1 day before therapy and 1 day to 1 week after therapy |
| Change in movement smoothness in discrete straight movements after one month of rhythmic therapy | Patients are asked to fulfill discrete movements on the end-effector robot Reaplan. The smoothness is assessed with following metrics:
| 1 week to 1 day before therapy and 1 day to 1 week after therapy |
| Change in accuracy of discrete straight movements after one month of rhythmic therapy | Patients are asked to fulfill discrete movements on the end-effector robot Reaplan. The accuracy is assessed. | 1 week to 1 day before therapy and 1 day to 1 week after therapy |
| Change in smoothness of rhythmic circular movement after rhythmic therapy | Patients are asked to fulfill 10 circular movements on the end-effector robot Reaplan. The movement smoothness are assessed | 1 day to 1 week before therapy and 1day to 1 week after therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Change of the general motricity of the patient due to one month rhythmic therapy |
| 1 week to 1 day before therapy and 1 day to 1 week after therapy |
| Therapy after effects |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliniques universitaires Saint-Luc | Woluwe-St-Lambert | Brabant Wallon | 1200 | Belgium |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Evolution of the movement smoothness in rhythmic and discrete movements, the movement accuracy in discrete movements and the general motricity
| 1 day to one week after therapy and 3 months after therapy |
| Assessment of the natural evolution of the patient | Natural evolution of the movement smoothness in rhythmic and discrete movements, of the accuracy in discrete movements and of the general motricity of the patient | 4 to 5 weeks before therapy and 1 week to 1 day before therapy |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |