Home Grip Assistance Glove on the Use of the Upper Limb and Compliance Factors in Brain-injured Adults

Inclusion criteria

• Patient suffering from a motor deficit of the upper limb resulting from an ischemic or hemorrhagic stroke, hemispheric or brainstem, confirmed by brain imaging ;
• Patient who suffered a stroke more than three months ago;
• Patient unable to actively extend long fingers (hand opening) to voluntarily grasp an empty glass (upper and lower diameter of 7 and 6 cm respectively, height of 12 to 15 cm, weight of 125g, identical to equipment used for ARAT), with a palmar grip (cylindrical grip), while the subject can hold the previously placed glass passively in the hand;
• Patient capable of passively opening the hand sufficient to grasp the glass when the gripping glove is put on, with the possibility of actively closing the hand;
• Patient with the ability to put on and remove the SaeboGlove® gripping glove with the help of a third person if necessary and/or available.
• Patient with a smartphone, tablet and/or computer compatible with video taking and teleconsultation.
• Free, informed and signed consent by the participant and/or the person having guardianship and the investigator (at the latest on the day of inclusion and before any examination required by the research);
• Person affiliated to or beneficiary of a social security system.

Exclusion criteria

• Patient presenting retraction or stiffness of the fingers and wrist preventing complete extension of the long fingers and thumb, the wrist being at 15° extension;
• Patient with moderate or severe muscular spasticity of the wrist flexors and the long and short flexors of the fingers and thumb (Modified Ashworth Scale ≥ 3);
• Patient with limited active elbow extension, not allowing the ipsilateral knee to be reached with the hand, the subject being seated with the trunk vertical (approach limitation);
• Patient with an active anterior shoulder elevation range of less than 15°;
• Patient with other upper limb deficiencies likely to influence participation;
• Patient and/or entourage who do not have access to teleconsultation, and/or can be reached remotely;
• Patient with severe aphasia, Boston Diagnostic Aphasia Examination (BDAE) ≤ 3;
• Presence of moderate or severe edema localized to the wrist and hand;
• Patient allergic to Latex
• History of upper limb surgery less than 6 months old.
• Pregnant and/or breastfeeding women
• Patient deprived of liberty (detained/incarcerated);
• Patient under judicial protection
• Impossibility of giving the person informed information and ensuring the subject's compliance due to impaired physical and/or psychological health