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Impact of physical therapy with hypnosis on the functional capacity of the upper limb in stroked patients.
The cerebrovascular accident (CVA) is a pathology generating many disabled people. Physiotherapy is one of the usual rehabilitation techniques for a patient with sequelae of ischemia or cerebral hemorrhage. Combined with another therapeutic approach, hypnosis, it could increase the patient's motor performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 receiving physiotherapy only | Experimental | Stroke patients will receive physiotherapy of upper limbs |
|
| Group 2 receiving combined physiotherapy and hypnosis | Experimental | Stroke patients will receive physiotherapy of upper limbs under hypnosis |
|
| Waitlist group 3 receiving delayed combined physiotherapy and hypnosis | Experimental | Stroke patients will receive physiotherapy of upper limbs under hypnosis one month after the other groups |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physiotherapy | Behavioral | Stroke patients will be randomly assigned to join one of the three groups. The first group will undergo a pre-treatment evaluation, receive 6 sessions of physiotherapy (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. After another month without any treatment, they will undergo a third and final assessment. All evaluations will last approximately 1 hour. |
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of joint ranges of motion | Measurement of shoulder (flexion, extension, abduction, internal rotation, external rotation), elbow (flexion, extension), wrist (flexion, extension) | 8 weeks |
| assessment of spasticity | Measurement of muscle activation on Ashworth scale (extension and flexion of shoulder, elbow, wrist, fingers, thumb) => 0%-100% (a higher score means a worse outcome) | 8 weeks |
| functional tests for the upper limb | Stroke Upper Limb Capacity Scale (SULCS) => 0%-100% (a higher score means a better outcome)
| 8 weeks |
| scales for assessing disability and functional independence | Functional Independence Measure (FIM) from complete dependence to independence => 0%-100% (a higher score means a better outcome)
| 8 weeks |
| evaluation of muscle strength | Measurement of pathological upper limb strength on MRC scale by group/time/joint/movement => 0%-100% (a higher score means a better outcome)
|
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Audrey Vanhaudenhuyse, PhD | University of Liege | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GIGA Science and Perception Research Group CHU Liège | Liège | 4000 | 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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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D006990 | Hypnosis |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
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|
| Physiotherapy and Hypnosis | Behavioral | Stroke patients will be randomly assigned to join one of the three groups. The second group will undergo a pre-treatment evaluation, receive 6 sessions of physiotherapy combined with hypnosis (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. Patients will continue their standard physiotherapy care during these 4 weeks. After another month without any treatment, they will undergo a third and final assessment. All evaluations will last approximately 1 hour. |
|
| Control group Physiotherapy and Hypnosis | Behavioral | The control group will be assessed initially and then after 4 weeks. After the second assessment, they will receive 6 sessions of physiotherapy combined with hypnosis (2 sessions per week, approximately 20-30 minutes each), and undergo a post-treatment evaluation after 1 month. All evaluation sessions will last approximately 1 hour. |
|
| 8 weeks |
| Box and Block Test (BBT) | Measurement of manual dexterity and motor skills by moving blocks into box comparing healthy upper limb with pathological upper limb => 0%-100% (a higher score means a better outcome) | 8 weeks |
| Modified Rankin Scale (mRS) | Measurement of degree of disability => 0%-100% (a higher score means a worse outcome) | 8 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011613 |
| Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |