Impact of Hip Flexors Isokinetic Strengthening on Gait Capacities in Subacute Stroke Patients

Not Applicable

Withdrawn

• Conditions: Gait; Stroke; Hemiplegia
• Interventions: Procedure: Conventional rehabilitation; Procedure: Isokinetic hip flexors strengthening

• Registration Number: NCT02917850
• Lead Sponsor: University Hospital, Lille

Brief Summary

Post-stroke patients often present with gait disorders due to several physical impairments. Hip flexor deficit is one of the more prevalent trouble and is associated with gait capacities. This study aims at evaluating the impact of an isokinetic hip flexors strengthening rehabilitation program in the subacute phase after stroke. Patients will be randomized to an intervention group (isokinetic rehabilitation) or a control group (conventional rehabilitation) and assessed at the end of the rehabilitation program, at 3 and at 6 months.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-08
• Study First Submitted: 2016-09-22
• Study First Submitted QC: 2016-09-26
• Study First Posted: 2016-09-28
• Primary Completion: 2018-07
• Study Completion: 2018-07
• Status Verified: 2018-09
• Last Update Submitted: 2018-09-11
• Last Update Posted: 2018-09-13

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Patients suffering from a first ever stroke
• At the subacute phase
• Able to walk at least 10m with or without assistive devices
• Hip flexors strength on the paretic side > 2/5 (MRC)

Exclusion Criteria

• Uncontrolled epilepsy
• Contraindications to physical activity (severe arterial hypertension, aortic valvulopathy, severe PAD...)
• History of muscular or joint disorders on the paretic hip
• Subject unable to deliver an informed written consent (due to aphasia, cognitive or psychiatric disorders...)
• Protected persons
• Pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Conventional rehabilitation	Patients who benefit from a conventional rehabilitation program
Isokinetic	Isokinetic hip flexors strengthening	Patients who benefit from the hip flexors isokinetic strengthening rehabilitation program
Isokinetic	Conventional rehabilitation	Patients who benefit from the hip flexors isokinetic strengthening rehabilitation program

Primary Outcome Measures

Name	Time	Method
Max gait speed (m/s)	6 weeks	Gait speed will be assessed in the 10m walk test

Secondary Outcome Measures

Name	Time	Method
Hip flexors strength	6weeks; 3 and 6 months	Hip flexors strength will be evaluated using an isokinetic dynamometer (concentric, 30°/s) and motor testing (medical research council)
Gait endurance	6 weeks; 3 and 6 months	Gait endurance will be assessed using the 6MWT
Gait capacities	6 weeks; 3 and 6 months	Functional ambulation categories (FAC)
Rate of perceived exhaustion during gait	6 weeks; 3 and 6 months	Borg scale
Max gait speed (m/s)	3 and 6 months	Gait speed will be assessed in the 10m walk test
Balance and postural control	6 weeks; 3 and 6 months	Timed-up and go test