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Automatic Versus Intentional Movement Exercises to Enhance Arm Functions After Stroke

NCT ID: NCT01565044

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-27

Study Completion Date

2017-11-03

Brief Summary

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Many patients retain upper-limb motor impairment following stroke. Most conventional rehabilitation techniques are aimed to improve motor intentional movement by repeated exercises. These techniques require attentional load and are responsible for significant fatigue that probably represents a limiting factor. Alternatively, the automatic control of action is now well documented. A rehabilitation method based on this principle could allow recovery of more natural movements.

Hypothesis: Stimulating automatic motricity improves upper-limb motor skills compared with a rehabilitation technique based on intentional movements.

Detailed Description

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Conditions

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Stroke Upper-limb Paresis

Keywords

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Stroke hemiplegia automatic pilot upper-limb rehabilitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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" AUTO " Group

Group Type EXPERIMENTAL

motor training

Intervention Type OTHER

Subject will perform prehension exercises on an automated table. After the initiation of the arm movement, the target to be grasped is programmed to move in order to stimulate automatic motricity.

" CONTROL " Group

Group Type SHAM_COMPARATOR

motor training

Intervention Type OTHER

Subject will perform prehension exercises on an automated table. After the initiation of the arm movement, the target to be grasped will remain static in order to involve intentional motricity.

Interventions

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motor training

Subject will perform prehension exercises on an automated table. After the initiation of the arm movement, the target to be grasped is programmed to move in order to stimulate automatic motricity.

Intervention Type OTHER

motor training

Subject will perform prehension exercises on an automated table. After the initiation of the arm movement, the target to be grasped will remain static in order to involve intentional motricity.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All subjects must be between the ages of 18-80 and must not be pregnant
* Patients volunteer to participate in the study, with a written informed consent signed
* Affiliation to a national health insurance program
* Hemiplegia after stroke
* Stroke onset \>6 weeks and \<4 years prior to study enrollment
* Patients able to perform the exercises on the automated table

Exclusion Criteria

* Pregnancy
* Excessive pain in any joint of the paretic extremity (VAS\>5)
* Coexistent major neurological or psychiatric disease as to decrease number of confounders
* Subjects with global aphasia and deficits of comprehension
* Any substantial decrease in alertness, language reception, or attention that might interfere with understanding instructions for motor testing
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Service de Médecine Physique et de Réadaptation et Plateforme 'Mouvement et Handicap', Hôpital Henry Gabrielle, HCL

Saint-Genis-Laval, , France

Site Status

Countries

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France

Other Identifiers

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2011.675

Identifier Type: -

Identifier Source: org_study_id