A Very Early Standing Study in Elderly Stroke
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- PASS score
研究概览
简要总结
Functional recovery is one of the main issues in the management of stroke and there are various ways in rehabilitation to promote this recovery.
Verticalization is a technique whose benefits have been widely demonstrated, particularly in neurology. Although commonly used in the rehabilitation of stroke, evidence is still lacking as to its impact in this specific care.
Verticalization is underutilized in two situations: in the hyper acute phase as well as in elderly and very deficient patients. It has, however, been shown that the precocity of the treatment allows a better functional recovery. Similarly, the re-education of the elderly is also debated since it has long been mentioned that age was a factor of poor prognosis, the objectives are sometimes underestimated. However, several studies have shown that with the same rehabilitation, elderly patients recover as much as younger patients. The differences found are at least in part due to "less rehabilitation" of older stroke patients.
The different existing data lead us to the hypothesis that the verticalization of the elderly hemiplegic patient in acute phase would allow a better functional recovery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Ischemic or hemorrhagic stroke
- •Age > 70
- •Modified Rankin Scale (MRS) pre stroke : 0 or 1
- •Admission in the neuro vascular unit less than 48 hours after the onset of symptoms
- •NIHSS Item 6 for lower extremity motor skills: 3 or 4
- •Modified Functional Ambulation Classification : 0
- •Affiliated to a social security scheme
排除标准
- •History of stroke with motor sequencing limiting walking
- •Arterial stenosis limiting the sunrise before D4 (identified by Doppler)
- •Symptomatic orthostatic hypotension known or present in the acute phase
- •Patients who will be referred to a structure (UNV or other) outside the department
- •Fracture, orthopedic disorder or any other complication preventing verticalization
- •Refusal of the patient to participate in the study or to be verticalized
- •Patients under guardianship
- •Patients deprived of their liberty by an administrative decision
研究组 & 干预措施
Verticalization
the patient will be placed in the most vertical position possible.
干预措施: Verticalization (Procedure)
Passive mobilization
Passive mobilization of the lower limb deficit
结局指标
主要结局
PASS score
时间窗: 4th month
the PASS score (score of 36) will be evaluated at 4 months (t2) in single blind (by a physiotherapist who will not be aware of the reeducation performed).
次要结局
- Percentage of days with stools(Day 15)
- functional recovery(Day 15)
- Evaluation of the walk quality(Month 4)
- Semi-quantitative evaluation(Day 15)