Physiotherapy/hypnosis for AVC Patients

Not Applicable

• Conditions: Stroke

• Registration Number: NCT06885294
• Lead Sponsor: University of Liege

Brief Summary

Impact of physical therapy with hypnosis on the functional capacity of the upper limb in stroked patients.

Detailed Description

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.

Study Timeline

• Study Start: 2023-03-18
• Study First Submitted: 2024-04-08
• Status Verified: 2025-02
• Study First Submitted QC: 2025-03-19
• Study First Posted: 2025-03-25
• Last Update Submitted: 2025-03-25
• Last Update Posted: 2025-03-30
• Primary Completion: 2025-12-30
• Study Completion: 2026-07-30

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

• Adults aged 18 to 80 years old
• Having experienced a stroke more than 3 months ago
• Understanding and proficient in the French language
• Having a functional capacity deficit in at least one of the two upper limbs
• Being able to independently travel to the Yerne medical center for necessary study appointments.

Exclusion Criteria

• Being under 18 or over 80 years old
• Having a history of upper limb injuries (fractures, prosthetics, etc.)
• Having Wernicke's aphasia (language comprehension disorder)
• Having frontal lobe syndrome
• Undergoing chemotherapy
• Having respiratory disorders (respiratory failure of more than 70%) or receiving oxygen therapy
• Having epilepsy
• Having dementia
• Having untreated hearing impairments
• Being diagnosed with schizophrenia or paranoïa
• Experiencing significant concentration difficulties

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Measurement of joint ranges of motion	8 weeks	Measurement of shoulder (flexion, extension, abduction, internal rotation, external rotation), elbow (flexion, extension), wrist (flexion, extension)
assessment of spasticity	8 weeks	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)
functional tests for the upper limb	8 weeks	Stroke Upper Limb Capacity Scale (SULCS) =\> 0%-100% (a higher score means a better outcome); * using one forearm as support while sitting; * wedging an object between the chest and the upper part of the affected limb; * sliding an object across a table while sitting; * partially unscrewing a lid; * taking a glass of water and drinking it; * grabbing a tennis ball presented at a certain height; * coming one's hair with the affected upper limb; * buttoning; * writing
scales for assessing disability and functional independence	8 weeks	Functional Independence Measure (FIM) from complete dependence to independence =\> 0%-100% (a higher score means a better outcome); * personal care; * sphincter control; * mobility, transfers; * locomotion; * communication; * awareness of the external world
evaluation of muscle strength	8 weeks	Measurement of pathological upper limb strength on MRC scale by group/time/joint/movement =\> 0%-100% (a higher score means a better outcome); * Shoulder Flexion Strength; * Shoulder Extension Strength; * Shoulder Abduction Strength; * Shoulder Internal Rotation Strength; * Shoulder External Rotation Strength; * Elbow Flexion Strength; * Elbow Extension Strength; * Wrist Flexion Strength; * Wrist Extension Strength; * Finger Flexion Strength; * Finger Extension Strength; * Thumb Flexion Strength; * Thumb Extension Strength
Box and Block Test (BBT)	8 weeks	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)
Modified Rankin Scale (mRS)	8 weeks	Measurement of degree of disability =\> 0%-100% (a higher score means a worse outcome)

Trial Locations

Locations (1)

GIGA Science and Perception Research Group CHU Liège; 🇧🇪 Liège, Belgium