Impact of Physiotherapy Combined to Hypnosis on Superior Limb Functional Capacities of AVC Patients
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Measurement of joint ranges of motion
研究概览
简要总结
Impact of physical therapy with hypnosis on the functional capacity of the upper limb in stroked patients.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Group 1 receiving physiotherapy only
Stroke patients will receive physiotherapy of upper limbs
干预措施: Physiotherapy (Behavioral)
Group 2 receiving combined physiotherapy and hypnosis
Stroke patients will receive physiotherapy of upper limbs under hypnosis
干预措施: Physiotherapy and Hypnosis (Behavioral)
Waitlist group 3 receiving delayed combined physiotherapy and hypnosis
Stroke patients will receive physiotherapy of upper limbs under hypnosis one month after the other groups
干预措施: Control group Physiotherapy and Hypnosis (Behavioral)
结局指标
主要结局
Measurement of joint ranges of motion
时间窗: 8 weeks
Measurement of shoulder (flexion, extension, abduction, internal rotation, external rotation), elbow (flexion, extension), wrist (flexion, extension)
assessment of spasticity
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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)
时间窗: 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)
时间窗: 8 weeks
Measurement of degree of disability =\> 0%-100% (a higher score means a worse outcome)
次要结局
未报告次要终点
研究者
Audrey Vanhaudenhuyse
Professor
University of Liege