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The Multitasking Rehabilitation She Enhanced Walking Speed Compared to the Simple Post Stroke Rehabilitation Task (AVC)?

Not Applicable
Recruiting
Conditions
Subacute Stroke
Interventions
Other: Traditional walking rehabilitation
Other: rehabilitation multitasking walking.
Registration Number
NCT03009773
Lead Sponsor
Centre Hospitalier Universitaire, Amiens
Brief Summary

Stroke is the leading cause of severe disability in adults. The first cause of alterations in the quality of life and autonomy in these patients are disorders of walking and the balance. They are the leading cause of falls responsible for important medical, surgical and economic complications as well as a reactionary social isolation.

The techniques of rehabilitation of walking to the subacute phase of a stroke are usually based on automatic walking.Off walking is a complex activity usually performed in everyday life in association with multiple tasks. It is therefore interesting to re-educate walking in dual task or even in multitasking.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
300
Inclusion Criteria
  • Major: age between 18 and 90 years
  • Hospitalized for ischemic or hemorrhagic hemispheric stroke confirmed by CT or MRI <6months
  • walking disorder with the possibility of walking 10 meters with or without technical assistance (speed <1.2m / s)
  • verbal understanding with complex orders
  • Affiliates to social security
Exclusion Criteria
  • Brainstem stroke or cerebellar
  • Hypoacusia annoying understanding
  • Visual gene embarrassing awarding
  • severe aphasia: no understanding of complex orders
  • neurological or musculoskeletal history affecting walking
  • Participation in interventional research protocol in motor rehabilitation of the lower limb or cognitive
  • Patient under guardianship or deprived of liberty
  • pregnant women, parturient women or lactating (art L.1121-5)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
walking simple taskTraditional walking rehabilitationSimple task group : Traditional walking rehabilitation
multitasking walkingrehabilitation multitasking walking.Multitasking Group: rehabilitation multitasking walking.
Primary Outcome Measures
NameTimeMethod
Measure walking speed6 months

Speed of the simple task of walking 10 meters testing.

Secondary Outcome Measures
NameTimeMethod
Walking speed double cognitive task6 months

Walking speed double cognitive task

Description of different types of walking disorders and balance in the subacute phase of strokeinclusion

Currently no clinical scale exists in the literature at our knowledge. The walk of the patients will be qualitatively analyzed by the investigator in order to measure the prevalence of the different clinical categories of walking disorders according to their semiological characteristics

Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT6 months

Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT

Correlation of cognitive gains with the gain of the walking speed of 10 meters6 months

Correlation of cognitive gains with the gain of the walking speed of 10 meters

anatomoclinical correlations6 months

Lesion score of gray matter and white matter (Volumetry on sequences 3DT1 and Flair) Cerebral

Score neuromotor the lower limb6 months

Score neuromotor the lower limb: Fugl Meyer

Executive functions: a battery of neuropsychological6 months

Executive functions: a battery of neuropsychological

EVA Quality of life6 months

EVA (Visual Analogic Scale) quality of life

Dynamic equilibrium to TUG single and double cognitive task6 months

Dynamic equilibrium to TUG single and double cognitive task

Trial Locations

Locations (1)

CHU Amiens Picardie

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Amiens, Picardie, France

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