Effectiveness of Computerized Device New of Visual Motor Simulation Versus Mirror Therapy in Hemiplegic Patients.

Effectiveness of Computerized Device New of Visual Motor Simulation Versus Mirror Therapy in Hemiplegic Patients. SI-VIM Study

Mirror Therapy (TM) has been shown to be effective in motor rehabilitation of the hemiplegic upper limb, but its implementation in current clinical practice has several difficulties, both from the patient and physiotherapist point of view.

A new computerized Mirror Therapy (TM) device (Intensive Visual Simulation 3 (IVS3), Dessintey) which aims to solve the TM compliance problems and make it more efficient have been developed.

The aim of this study is to compare the observance and efficiency of the Intensive Visual Simulation 3 (IVS3) therapy as compared to traditional Mirror Therapy (TM) in a population of hemiplegic stroke patients.

Inclusion Criteria:

• First ischemic or hemorrhagic stroke for less than one year
• Not having reoffend
• Responsible for an initially complete hemiplegia,
• Upper-limb deficiency with the modified Frenchay Score below 70,
• Not neurological history other than stroke,
• Having signed the written consent
• Affiliated or entitled to a social security scheme

Exclusion Criteria:

• Patient who have not Magnetic Resonance Images (MRI) of the brain during stroke
• Having complete lesion of the primary motor cortex
• With an addiction to alcohol or drugs
• With psychiatric illness, cognitive impairment, uncontrolled disease / epilepsy, malignancy, severe renal or pulmonary impairment
• History of associated disabling general disease
• With associated cerebellar syndrome
• With clinical involvement of the brainstem
• Pregnancy in progress
• Patients under the protection of justice.