Efficiency of Spatially Distributed Sequential Stimulation (Sdss) for Functional Electrical Stimulation (FES) of Upper Motor Neuron Syndrome (UMR) Patients

Design: SCED (single case experimental design) prospective, monocentric, comparative interventional study (SDSS versus SES) Population: patients with motor deficit due to upper motor neuron syndrome Setting: Neurologic Rehabilitation Unit Interventions: 3 FES cycling sessions separated by 48h of rest. Each session is comprised of 2 phases separated by 20 minutes of rest. Each phase is comprised of a 3 minutes passive cycling warm-up, followed by 3 minutes of electrically stimulated cycling.

Participants will be evaluated before and during the training.

Inclusion criteria

Patients with Upper Motor Neuron syndrome:

• adult (> 18 years)
• motor deficit due to an acquired traumatic or neurodegenerative motor deficiency of the central nervous system (MRC<4/5)
• stable clinical condition, particularly on the cardiovascular level (recent assessment by a cardiologist with stress test)
• non denervated muscles
• tolerant to muscle electrical stimulation
• having given written consent
• able to cycle 30 minutes with FES-cycling

Exclusion criteria

• major cognitive comprehension disorders that could compromise understanding of the protocol and the smooth running of the study
• cardiac pacemaker and other contraindications relating to the use of electrostimulation (in particularly "deep vein thrombosis")
• spasticity of the lower limbs making flexion/extension movement difficult
• participation in another study
• pregnancy
• people with the following legal and administrative states or situations:
• people placed under judicial protection;
• persons deprived of their liberty, persons subject to psychiatric care and persons admitted to a health or social establishment for purposes other than that of clinical investigation;
• unemancipated minors;
• people who are not affiliated to a social security scheme or beneficiaries of such a scheme