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Seated - Standing Passage of the Hemiplegic

Not Applicable
Completed
Conditions
Hemiplegia
Interventions
Device: New device for seated-standing passages
Registration Number
NCT03117699
Lead Sponsor
University Hospital, Brest
Brief Summary

This is a study for a new mechanical transport device adapted to the hemiplegic patients.

Healthy volunteers :

After explaining the protocol and presenting the movement laboratory, the subjects are equipped with reflective markers on the 4 limbs, the trunk and the head. The subjects are installed on a seat positioned in front of 2 force platforms installed on the ground. The seat is equipped with a force platform.

Phase 1 :

After being seated, the subject realizes :

* 3 seat to stand and stand to seat without assistance

* 3 seat to stand and stand to seat using a handle located in front of it (handle equipped with a 6-axis force sensor)

* 3 seat to stand and stand to seat using the experimental device This phase will last 45minutes (mn) (30mn of equipment and 15mn of sitting passengers standing)

Phase 2:

After being seated, the subject performs a course comprising:

* A standing pass from sitting on a chair

* A straight line movement

* A succession of left and right turns

* An upward and downward travel of less than 1%.

* Standard doorway

* Standing on the toilet

* A sitting pass from the toilet

* One way to a bed

* A sitting pass on the bed

* A passenger seat sitting upright from the bed

* A return to the starting point

* A sitting pass on the starting chair Each stage is timed. A subjective analysis of each step is done by a lickert scale on the perceived comfort and safety.

This phase 2 will last 30mn (15mn of course and 15mn of questions).

Hemiplegic subjects :

At each session, the subject is examined by a physician who evaluates the motor control (Fugl Meyer scale), the equilibrium (Berg scale) and the spatial hemineglect (Bergego scale).

Phase 1 is performed except the 3 seat to stand and stand to seat without assistance which are impossible.

Phase 2 is performed. An evaluation of the device over 4 hours is carried out for each subject in therapeutic apartment in simulated living conditions. The validation in living lab is carried out by an ergonomist and by a questionnaire on the comfort and safety of the various steps identified by the ergonomist.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria

Healthy volunteers :

  • aged 18-75 years
  • Subject having given his consent
  • Free from any neurological or cardiorespiratory locomotor pathology that may interfere with standing seated passages.

Hemiplegic patients :

  • Left hemiplegia in one of the following groups :
  • Walking with difficulty or not walking and able to stand with a stick or an armrest
  • Walking difficult or not walking and unable to stand with a cane or an armrest.
  • aged 18-90 years
  • Subject having given his consent
  • Subjects with a trunk balance to sit without support
Exclusion Criteria
  • aged less than 18 or more than 75 (healthy volunteers) or more than 90 (hemiplegic subjects)
  • Pain during seated-standing passages
  • Unstable medical condition
  • Unable to consent
  • Subject under legal protection
  • Left-hemineglect making standing or seated (wheelchair) displacements impossible autonomously (for hemiplegic patients)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Healthy volunteersNew device for seated-standing passagesTesting of a new device for seated-standing passages . Phase 1 : * 3 seated-standing passages without help * 3 seated-standing passages with a handle equipped with 6 force captors * 3 seated-standing passages with the device
Hemiplegic subjectsNew device for seated-standing passagesTesting of a new device for seated-standing passages after undergoing medical evaluation included Fugl Meyer scale, Berg scale and Bergego scale. Phase 1 : * 3 seated-standing passages with a handle equipped with 6 force captors * 3 seated-standing passages with the device
Primary Outcome Measures
NameTimeMethod
Time required to carry out each step of use of the deviceDay 1

Each step of phase 1 and phase 2 will be timed.

Secondary Outcome Measures
NameTimeMethod
Record of all adverse reactions.Day 1

The safety of the devices will be evaluated by the occurrence of adverse reactions.

Trial Locations

Locations (2)

Centre de rééducation fonctionnelle de KERPAPE

🇫🇷

Ploemeur, France

Brest University Hospital

🇫🇷

Brest, France

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