Medical and Economical Evaluation of Upper Limb's Rehabilitation Robotics After a Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Subacute Stroke
- Sponsor
- University Hospital, Brest
- Enrollment
- 238
- Locations
- 23
- Primary Endpoint
- Fugl Meyer upper limb motor score
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Upper limb motor control after a stroke may be improved with rehabilitation robotics at a subacute stage. The aim of this multicenter controled randomized single blind study is to define the place of rehabilitation robotics at this phase of the rehabilitation process. Both groups will realize the same time of rehabilitation. The cost benefit ratio will be compared in each group through medical assessment of improvement and definition of the costs due to the rehabilitation process.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Ischemic or hemorrhagic stroke of the middle cerebral arteria territory
- •18 to 80 years old
- •stroke onset between 3 weeks to 3 months,with or without aphasia, with or without lateral neglect and homonymous hemianopia, with or without visual neglect
- •10\<or= Fugl Meyer upper limb Score \<or= 40
- •upper limbs pain less or equal than 3/10 (VAS)
- •inpatient or outpatient rehabilitation
- •signed inform consent
Exclusion Criteria
- •ischemic or hemorrhagic stroke of anterior or posterior cerebral artery
- •ischemic or hemorrhagic stroke of the brainstem
- •major aphasia evaluated by a Boston Diagnostic Aphasia Examination (BDAE) score less or equal to 3
- •asthenia not allowing to work 60 minutes with the robot.
- •serious visual deficiency not allowing to use the robot
- •impossibility to install the arm on the robot because of a serious and uncontrolled spasticity or for any other reason
- •pronounced and constant muscular contractures, or deformation affecting the use of the extremity
- •upper limb's pain superior to 3/10 and/or being worse at the active and passive mobilization
- •serious infection and/or instability of vital functions
- •perfusion of the affected upper limb not removable
Outcomes
Primary Outcomes
Fugl Meyer upper limb motor score
Time Frame: Day 30
Increase of the Fugl Meyer score between day 0 and day 30 with a difference between groups by at least 4 points
Secondary Outcomes
- Stroke impact scale (SIS)(One year)
- Visual analog scale (VAS)(Day 7,14,21,30, 90,180, 360)
- Modification of motor control(Day 30)
- Costs(One year)