Actimetry Monitoring of the Paretic Upper Limb in Chronic Post Stroke.

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

RECRUITING

Clinical Phase

NA

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-13

Study Completion Date

2025-08-20

Brief Summary

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After a stroke, 80% of patients continue to have difficulty using their paretic upper limb in activities of daily living (ADL) despite post-stroke rehabilitation practices that aim to promote the use of the paretic upper limb. It is known that functional recovery depends on actual use (Use it or Loose it), but one-time measurements in the clinic do not allow quantification of the actual use of the paretic upper limb in daily life (in the person's living environment).

The investigators hypothesize the feasibility of quantifying functional use of the paretic upper limb by actimetry in clinical routine.

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Detailed Description

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After a stroke, 80% of patients continue to have difficulty using their paretic upper limb in activities of daily living (ADL) despite post-stroke rehabilitation practices that aim to promote the use of the paretic upper limb. It is known that functional recovery depends on actual use (Use it or Loose it), but one-time measurements in the clinic do not allow quantification of the actual use of the paretic upper limb in daily life (in the person's living environment).

Project will monitor 30 chronic and 30 healthy subjects over one week period using two wrist worn sensors .

The main objective is to objectively quantify by actimetry, over 7 days, the real functional use of the paretic upper limb in the activities of daily living of post-stroke hemiparetic subjects in chronic phase, by the functional use ratio between the two arms (UseRatio).

Conditions

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Chronic Stroke Non-use of the Paretic Upper Limb

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

The first phase of this project is a bicentric cross-sectional study in 30 hemiparetic post-stroke subjects in chronic phase and 30 healthy subjects, age and gender matched.

The second phase is a 6-month longitudinal study, in a subgroup of 5 post-stroke subjects.

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Hemiparetic post-stroke subjects

Stroke patients with motor sequelae in the upper limb.

Group Type EXPERIMENTAL

Wearing bracelets (3-Axis Logging Accelerometer)

Intervention Type DEVICE

Participants will be required to wear wristbands containing an accelerometer on each wrist. The bracelets will be kept on both wrists for 7 days with permission to remove them from time to time.

Healthy subjects

Subjects without stroke.

Group Type OTHER

Wearing bracelets (3-Axis Logging Accelerometer)

Intervention Type DEVICE

Participants will be required to wear wristbands containing an accelerometer on each wrist. The bracelets will be kept on both wrists for 7 days with permission to remove them from time to time.

Interventions

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Wearing bracelets (3-Axis Logging Accelerometer)

Participants will be required to wear wristbands containing an accelerometer on each wrist. The bracelets will be kept on both wrists for 7 days with permission to remove them from time to time.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Be between 18 and 90 years old

Post-stroke subjects should:

* Having a stroke with motor sequelae in the upper limb
* Be in the chronic phase (\>3 months post-stroke) of a stroke whatever the aetiology

* Absence of free, informed and express oral consent
* No affiliation to a French social security system or beneficiary of such a system
* Patient protected by law
* Pregnant or breastfeeding women

Not eligible for inclusion, post-stroke subjects:

* Not understanding the constraints of the study
* Have cognitive impairments that prevent them from understanding the study
* With a known hemigligence in the medical record (omission \> 8 on bells test)

Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes