Muscular Strengthening for Paretic Knee Flexor and Extensor by Conventional Physiotherapy on Chronic Hemiplegic Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 91
- 试验地点
- 10
- 主要终点
- Gait comfortable speed
研究概览
简要总结
Gait impairment remain one of the main problem for hemiplegic stroke patients. After the 6 first months, stroke patients are classically described with moderate or no improvement. Here, we want to compare the effectiveness of a flexor and extensor paretic knee muscular strengthening program with conventional physiotherapy delivered by the local physiotherapist of the patient, in a very ecological way.
详细描述
Gait impairment remain one of the main problem for most of chronic hemiplegic stroke patients. After the 6 first months, stroke patients are classically described with moderate or no improvement for motor skills. However, physiothertapy is very often delivered to try to increase motor performance. Here, we want to compare the effectiveness of a flexor and extensor paretic knee muscular strengthening program with conventional physiotherapy delivered by the local physiotherapist of the patient, in a very ecological way. Patients will be randomly affected to one group with the same amount of physiotherapy (at least 3 times weekly for 6 weeks). Assessment will be done blindly by another physiotherapist, before, after the 6-week treatment and 6 weeks later to evaluate immediate and remaining benefits of each treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
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
- •Hemipegia due to ischaemic or hemorrhagic stroke more than 6 months ago
- •1st and unique cerebral lesion (Xscan or MRI)
- •ability to walk 15 m with or without cane or crutch
- •able to understand and give approved consent
- •quadriceps at 3/5 (MRC) or stronger
排除标准
- •Current treatment with botulinum toxin for spasticity of the paretic flexor or extensor of the knee
- •Cardiovascular disease contra-indicating effort and strengthening
- •Pregnancy
- •Evolving pathology
- •Rheumatic disease of the knee contraindicating strengthening
- •Aphasia with severe comprehension impairment
研究组 & 干预措施
group 1
Muscular Strengthening for paretic knee flexor and extensor
干预措施: Muscular Strengthening for paretic knee flexor and extensor (Procedure)
group 2
conventional physiotherapy
干预措施: conventional physiotherapy (Other)
结局指标
主要结局
Gait comfortable speed
时间窗: 3 months
次要结局
- gait analysis (gait maximal speed, kymographic and dynamometric analysis, quality of gait parameter) FIM MOS-SF36 Spasticity (Tardieu Scale)(3 months)