Effect of Rhythmic Upper-limb Training in Stroke Patients
- Conditions
- Cerebral Stroke
- Interventions
- Procedure: Rhythmic rehabilitation
- Registration Number
- NCT02139553
- Lead Sponsor
- Cliniques universitaires Saint-Luc- Université Catholique de Louvain
- Brief Summary
The purpose of this study is to determine whether rhythmic upper-limb movement training in post-stroke patients allows to improve only this particular type of movements or if it also improves some parameters of discrete movements. Based on our results we hope to be able to answer a fundamental question: are rhythmic and discrete movements two independent primitives?
- Detailed Description
Patients are assessed four times during this longitudinal study. One month separates the first two assessment, next patients are trained 12 times during one month with rhythmic movement training on an end-effector robot. After this month, patients are assessed a third time and three months later a fourth time in order to study long-time benefits of the therapy.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 14
- more than 6 months post-stroke patients
- Fugl-Meyer between 7 and 55
- Maintain the same intensity of rehabilitation during the study
- cerebellar stroke
- severe aphasia or cognitive disorder
- any other neurological disorder
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Rhythmic rehabilitation Rhythmic rehabilitation Patients undergo a first evaluation, and a second evaluation one month later to determine their natural evolution. The following month, patients get 12 sessions of rhythmic therapy. A third evaluation is organized straight after this month and a fourth evaluation, 3 months after to assess the after-effects of the therapy.
- Primary Outcome Measures
Name Time Method Change in smoothness of rhythmic circular movement after rhythmic therapy 1 day to 1 week before therapy and 1day to 1 week after therapy Patients are asked to fulfill 10 circular movements on the end-effector robot Reaplan. The movement smoothness are assessed
Change in movement smoothness in rhythmic straight movements after one month of rhythmic therapy 1 week to 1 day before therapy and 1 day to 1 week after therapy Patients are asked to fulfill rhythmic movements on the end-effector robot Reaplan. The smoothness is assessed with following metrics:
* number of peaks in velocity profile
* TENT value
* logarithmic dimensionless square jerkChange in accuracy of discrete straight movements after one month of rhythmic therapy 1 week to 1 day before therapy and 1 day to 1 week after therapy Patients are asked to fulfill discrete movements on the end-effector robot Reaplan. The accuracy is assessed.
Change in movement smoothness in discrete straight movements after one month of rhythmic therapy 1 week to 1 day before therapy and 1 day to 1 week after therapy Patients are asked to fulfill discrete movements on the end-effector robot Reaplan. The smoothness is assessed with following metrics:
* number of peaks in velocity profile
* TENT value
* logarithmic dimensionless square jerk
- Secondary Outcome Measures
Name Time Method Change of the general motricity of the patient due to one month rhythmic therapy 1 week to 1 day before therapy and 1 day to 1 week after therapy 1. Upper limb Fugl-Meyer Assessment
2. Box and block test
3. Ashworth testAssessment of the natural evolution of the patient 4 to 5 weeks before therapy and 1 week to 1 day before therapy Natural evolution of the movement smoothness in rhythmic and discrete movements, of the accuracy in discrete movements and of the general motricity of the patient
Therapy after effects 1 day to one week after therapy and 3 months after therapy Evolution of the movement smoothness in rhythmic and discrete movements, the movement accuracy in discrete movements and the general motricity
Trial Locations
- Locations (1)
Cliniques universitaires Saint-Luc
🇧🇪Woluwe-St-Lambert, Brabant Wallon, Belgium