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We propose to carry out a single center, prospective, interventional trial to assess the natural evolution of lower limb muscle structure and muscle stiffness of hemiparetic patients following brain damage. Patients will be assessed two weeks, one month, three months and six months after their brain lesion.
Secondary objectives:
To compare the muscle stiffness and structure of patients who will develop muscle overactivity to patients who won't develop muscle overactivity.
To compare the muscle structure and muscle stiffness of the spastic lower limb muscles and the non-spastic lower limb muscles in the affected limb.
To compare the muscle structure and muscle stiffness of the affected and the non-affected lower limb.
To study the relationship between impairment and function by applying a comprehensive and original method to assess all aspects from muscle structure and mechanics to patient's functional capacities.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Only one arm | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| imaging | Diagnostic Test | Magnetic resonance imaging (MRI) Shear wave elastography (SWE) Electronic oscillatory device (EOD) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Muscle elasticity | Muscle elasticity measured by shear wave elastography, expressed in m/s. A smaller shearwave velocity indicates a better outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Measure | Description | Time Frame |
|---|---|---|
| muscle volume | muscle volume measured by magnetic resonance imaging, expressed in mm3. A greater muscle volume indicates a better outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| muscle fat fraction |
| Measure | Description | Time Frame |
|---|---|---|
| passive range of motion | expressed in angles °. The greater the angle, the better the outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| modified ashworth scale | minimum score:0; maximum score: 4. A higher score indicates a greater spasticity thus a worse outcome |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marine Devis, MD | Contact | 0032476618444 | marine.devis@saintluc.uclouvain.be | |
| Gaetan Stoquart, MD, PhD | Contact | gaetan.stoquart@saintluc.uclouvain.be |
| Name | Affiliation | Role |
|---|---|---|
| Gaetan Stoquart, MD, PhD | Cliniques universitaires Saint-Luc- Université Catholique de Louvain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliniques Universitaires Saint-Luc | Brussels | 1200 | Belgium |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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muscle fat fraction measured by magnetic resonance imagine, expressed in % . A smaller fat fraction indicates a better outcome
| 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| modified Tardieu scale | minimum score:0; maximum score: 4. A higher score indicates a greater spasticity thus a wourse outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Fugl-meyer score (Lower extremity; motor function) | maximum score of 34. The highest the score, the better the motor function | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| 10 meter walk test | Expressed in seconds. A reduced time indicates a better outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Timed Up And Go | Expressed in seconds. A reduced time indicates a better outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Berg balance scale | maximum score of 56. The highest the score, the better the balance | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Abiloco | maximum score of 13. The highest the score, the better the outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Stroke Impact Scale | maximum score of 295. The highest the score, the better the outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| Functional ambulation category | maximum score of 5. The highest the score, the better the outcome | 2 weeks, 1 month, 3 months, 6 months after brain lesion |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001930 | Brain Injuries |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |