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| ID | Type | Description | Link |
|---|---|---|---|
| 14-O20 | Other Grant/Funding Number | Commission scientifique du domaine santé HES-SO |
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many patients missed
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The loss of lower limb strength that occurs after an Acquired Brain Injury (ABI) limits the patient's autonomy in participating in activities of daily living, including gait performance. In the sub-acute phase, it is difficult to implement a strengthening program, as weakness prevents exercise being performed with the recommended parameters. This limit can be exceeded by using specific robotic devices, which allow the effort provided to be adapted according to the patient's capacities. In addition, motivation can be improved by the use of feedback or incentive games. The aim of this pilot study is to obtain data on the effect of lower limb strength training with a seated robotic device in subacute ABI patients for a future larger randomised study. In addition, it aims to evaluate the recruitment rate, applicability, resources for implementation and patient tolerance to the training program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intervention group | Experimental | group focus on lower limb strength training with a seated robotic device |
|
| control group | Active Comparator | physiotherapy group as usual, not focused on strength training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group of strength training | Device | 2x a week during 5 weeks, strengthening of weak muscles with the intensity recommended in the literature, i.e. 3-4x15 repetition at an intensity of 50 to 80% of the maximum force combined with serious games to stimulate patient involvement in strength training |
| Measure | Description | Time Frame |
|---|---|---|
| change from study inclusion to end of intervention at 5 weeks in strength of knee extensor's | measure with a manuel dynamometer, in newton | Study inclusion to end of intervention at 5 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| change from study inclusion to end of intervention at 5 weeks in Motricity index legs | clinical manuel strength test, seating on a chair. From 0 to 33, 33 is normal strength. | Study inclusion to end of intervention at 5 weeks |
| change from study inclusion to end of intervention at 5 weeks in timed up and go |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Claude Pichonnaz, PhD | Haute Ecole de Santé Vaud | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institution de Lavigny | Lavigny | Canton of Vaud | 1175 | Switzerland |
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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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|
| Group of physiotherapy not focus on strength training | Other | 2x a week during 5 weeks, active physical therapy treatment based on movement |
|
Mobility test: standing from a chair, walking 3 meters, turn around, returning and seat. in seconds |
| Study inclusion to end of intervention at 5 weeks |
| change from study inclusion to end of intervention at 5 weeks in 10 meters walk test | measure of mean gait speed on 10 meters, at comfortable and maximum gait speed. In meters/second. | Study inclusion to end of intervention at 5 weeks |
| change from study inclusion to end of intervention at 5 weeks in Ashworth Scale (spasticity) | measure of the resistance of a muscle to passive stretch according to REsistance to PASsive movement protocol. From 0 to 4, 4 is high spasticity. | Study inclusion to end of intervention at 5 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |