Evaluation of the Muscular FORCE in the Upper Limbs of Patients Presenting a Thoracic Outlet Syndrome : Monocentric Case-control Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Comparing distal force between patients with thoracic outlet syndrome and healthy subjects
研究概览
简要总结
The thoracic outlet syndrome is a rare but debilitating pathology, responsible for upper limb pain. Its frequency is probably underestimated because of diagnostic difficulties. This syndrome encompasses several entities including compressions of neurological, venous or arterial origin. In addition to pain, the majority of patients report fatigability and loss of strength in the upper limbs. However, the quantification of this loss of strength and fatigability has hardly been studied.
In addition, the rehabilitation treatment is the first-line treatment of this pathology. It most often includes a muscle building phase.
In this project, we would like to evaluate the proximal and distal force of patients presenting a thoracic outlet syndrome by comparing them to a population free from any pathology in the upper limbs. This evaluation would involve an isokinetic strength analysis of shoulder rotators at the proximal level, using an isokinetic dynamometer. At the distal level, the evaluation would be done using force clamps.Similarly, performing a 6-minute walk test will assess whether there is a difference between patients and controls, which may also impact endurance in addition to the pathology.
In a second step, we will also be able to evaluate the effects of the reeducation on the strength and the muscular fatigability of the patients presenting a thoracic outlet syndrome.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age> 18 years
- •Rehabilitative management of an thoracic outlet syndrome in the physical and rehabilitation department of Nantes University Hospital
- •Having given their consent by non-oral opposition.
- •Affiliated to a social security scheme
排除标准
- •Majeurs under tutorship, curatorship or safeguard of justice
- •Pregnant or lactating women, protected persons
- •Patients with other pathology of the upper limb or shoulder (osteoarthritis, tendinopathies, amputation, ...).
- •Patients with non-stabilized pathologies, heart, respiratory, metabolic or neurological conditions
- •Associated pathology able to interfere with carrying out assessments
结局指标
主要结局
Comparing distal force between patients with thoracic outlet syndrome and healthy subjects
时间窗: 1 year
Isokinetic evaluation of the external shoulder rotators
Comparing proximal force between patients with thoracic outlet syndrome and healthy subjects
时间窗: 1 year
Isokinetic evaluation of the internal shoulder rotators
次要结局
- Evaluation of the effects in terms of strength of rehabilitation(1 year)
- Impact on pain(1 year)
- Muscular fatigue in patients with thoracic outlet syndrome(1 year)
- Evaluation of the effects in terms of fatigue of rehabilitation(1 year)
- Evolution of cardiorespiratory performance(1 month)