Comparison of Fatigue and Recovery After Stroke Depending on the Usual Management With or Without Physical Training

Personalised Physical Training Associated With Usual Management Versus Usual Management Alone on Fatigue and Recovery After Minor Stroke: Randomised Controlled Trial

After a minor stroke, patients frequently report complaints such as fatigue and difficulty with certain everyday motor tasks, leading to a marked deterioration in their quality of life. The aim of this study is to show that the implementation of a personalised physical activity programme, starting 1 month after the hospitalisation for minor stroke, significantly decreases the frequency of fatigue in these patients, in comparison with usual management "in real life"..

Inclusion Criteria:

• Age > 18 years
• National health insurance cover
• 1st minor ischaemic stroke (initial NIH score ≤ 4)
• Satisfactory neurological recovery at discharge from hospital (modified Rankin score ≤2)
• Patient living close to the participating centre (<50 km)
• With early post-stroke fatigue (FFS score ≥ 4 at the definitive inclusion visit (W3))

Exclusion Criteria:

• haemorrhagic stroke
• History of ischaemic or haemorrhagic stroke with clinical manifestations
• History of TIA
• MMS ≤ 24
• Pre-existing dementia (defined according to DSM IV criteria)
• Neurosensory or orthopaedic disorders requiring permanent technical support before the stroke and making reconditioning impossible
• Aggravation of the neurological status after the initial hospitalisation (NIH score ≥ 6)
• Recurrence of the cerebrovascular event or onset of an acute cardio-vascular event between the screening and definitive inclusion
• Pre-stroke Rankin score ≥ 3
• Pregnant patient
• Patient under guardianship