Impact of a Focal Muscle Vibration Protocol in Front of the the Anterior Tibial Muscle in the Subacute Post-stroke Period on Motor Recovery in Hemiplegic Patients.

NCT ID: NCT04737018

Last Updated: 2023-12-27

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

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-14

Study Completion Date

2023-12-15

Brief Summary

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In about 40 percent of cases, after a stroke, neuromotor impairment leads to activity limitations and the development of chronic functional disorders, which have a significant impact on patient autonomy.

In the early subacute phase, motor deficit in foot lifters is one of the factors limiting standing posture and ambulation, which is ultimately difficult to rehabilitate due to the lack of available techniques for obtaining early onset of useful active voluntary contraction.

The use of muscular focal vibration therapy, applied to relaxed muscle, may be of interest due to the portability and availability of the system and the neuromotor benefits demonstrated in healthy subjects and in acute and chronic post-stroke patients.

Detailed Description

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Conditions

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Stroke

Keywords

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muscle vibration protocol anterior tibia muscle hemiplegic patient

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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vibration program

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation. The program will apply a frequency of 100 Hz, with an amplitude of 1 mm

Group Type EXPERIMENTAL

Fugl-Meyer Assessment (FMA)

Intervention Type OTHER

assessment of motor skills : measurement of the intensity of reflexes, as well as an assessment of voluntary movements and motor coordination Score from 0 to 34

Medical Research Concil (MRC)

Intervention Type OTHER

evaluation of muscular strength score from 0 to 5

2 Minute Walk Test (2MWT)

Intervention Type OTHER

Assess functional walking and aerobic abilities

Timed Up & Go Test

Intervention Type OTHER

measures the time it takes to get up from a chair, walk 10 feet, turn around, return to the seat and sit down

Modified Ashworth Scale

Intervention Type OTHER

score from 0 to 4 evaluation of spasticity

Postural Assessment Scale for Stroke

Intervention Type OTHER

score from 0 to 36 measures the patient's ability to maintain stable postures and balance in changes of position

posturographic recording

Intervention Type DEVICE

analysis of static equilibrium parameters and positional measurement of the center of gravity on the Winposturo platform

vibration program

Intervention Type OTHER

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation. The program will apply a frequency of 100 Hz, with an amplitude of 1 mm

sham program

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation.

Group Type SHAM_COMPARATOR

Fugl-Meyer Assessment (FMA)

Intervention Type OTHER

assessment of motor skills : measurement of the intensity of reflexes, as well as an assessment of voluntary movements and motor coordination Score from 0 to 34

Medical Research Concil (MRC)

Intervention Type OTHER

evaluation of muscular strength score from 0 to 5

2 Minute Walk Test (2MWT)

Intervention Type OTHER

Assess functional walking and aerobic abilities

Timed Up & Go Test

Intervention Type OTHER

measures the time it takes to get up from a chair, walk 10 feet, turn around, return to the seat and sit down

Modified Ashworth Scale

Intervention Type OTHER

score from 0 to 4 evaluation of spasticity

Postural Assessment Scale for Stroke

Intervention Type OTHER

score from 0 to 36 measures the patient's ability to maintain stable postures and balance in changes of position

posturographic recording

Intervention Type DEVICE

analysis of static equilibrium parameters and positional measurement of the center of gravity on the Winposturo platform

sham program

Intervention Type OTHER

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation.

Interventions

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Fugl-Meyer Assessment (FMA)

assessment of motor skills : measurement of the intensity of reflexes, as well as an assessment of voluntary movements and motor coordination Score from 0 to 34

Intervention Type OTHER

Medical Research Concil (MRC)

evaluation of muscular strength score from 0 to 5

Intervention Type OTHER

2 Minute Walk Test (2MWT)

Assess functional walking and aerobic abilities

Intervention Type OTHER

Timed Up & Go Test

measures the time it takes to get up from a chair, walk 10 feet, turn around, return to the seat and sit down

Intervention Type OTHER

Modified Ashworth Scale

score from 0 to 4 evaluation of spasticity

Intervention Type OTHER

Postural Assessment Scale for Stroke

score from 0 to 36 measures the patient's ability to maintain stable postures and balance in changes of position

Intervention Type OTHER

posturographic recording

analysis of static equilibrium parameters and positional measurement of the center of gravity on the Winposturo platform

Intervention Type DEVICE

vibration program

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation. The program will apply a frequency of 100 Hz, with an amplitude of 1 mm

Intervention Type OTHER

sham program

a 4-week program of muscular focal vibrations, at the rate of 5 sessions of 30 minutes per week, in addition to conventional rehabilitation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having had a stroke (with or without previous stroke) and being in the early subacute phase (between 14 days and 3 months of stroke).
* Responsible for a motor deficit in the right or left lower limb.
* No neurological history other than stroke.

Exclusion Criteria

* Multifocal stroke
* Patient having received a botulinum toxin injection to the lower limb to be vibrated
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruno FERNANDEZ, MD

Role: PRINCIPAL_INVESTIGATOR

CHU SAINT-ETIENNE

Locations

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Centre Hospitalier Universitaire de Saint-Etienne

Saint-Etienne, , France

Site Status

Le Clos Champirol - Service de Médecine Physique et de Réadaptation

Saint-Priest-en-Jarez, , France

Site Status

Countries

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France

Other Identifiers

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2020-A03189-30

Identifier Type: OTHER

Identifier Source: secondary_id

20CH152

Identifier Type: -

Identifier Source: org_study_id