CHU Raymond Poincaré - APHP
Garches, 92380, France
Location status: Recruiting
NCT Number: NCT07082036
Among the repercussions of hemiparesis following stroke, disturbed stability is responsible for a high risk of falls. Picking up objects from the ground, frequently trained in rehabilitation due to its risk of falling and its frequency in daily life, is a task requiring balance. To date, however, it has been little studied. We suggest that stability conditions the asymmetry adopted by patients. We hypothesise that asymmetric support at the expense of the paretic lower limb provides better stability during an unstable functional task (picking up an object from the ground) compared with the symmetrical support traditionally imposed in rehabilitation.
Postural control involves stability (maintaining balance despite constraints) and orientation (posture adopted, such as the distribution of supports). Hemiparetic patients show a lack of stability and, with regard to orientation, an asymmetry in the distribution of body weight to the detriment of the paretic limb. Symmetrisation of weight distribution has been one of the predominant concepts in rehabilitation.
Interested in participating?
Request Info18 year and older
All sexes
Observational
Garches, 92380, France
Location status: Recruiting
To analyse the stability of hemiparetic stroke patients when picking up an object on the ground in a spontaneous condition compared with a condition of imposed support symmetry.
To analyse and compare the stability, spontaneous symmetry and duration of picking up the object in a complex situation (distant target) compared with the near target in stroke patients and healthy subjects.
To explore strategy and performance of picking up the object regarding clinical outcomes (falls, sensori-motor impairments, balance..) To compare strategy of patients with right and left stroke.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
All:
Male or female ≥ 18 years
For patients :
For healthy subjects:
Exclusion criteria
-
Time frame: at baseline
Two forceplate platforms. 3 trials for each condition
Time frame: at baseline
Mean velocity and in each place, in mm/s, obtained with forceplat plateforms under feet of participants during the object picking up task.
Time frame: at baseline
With 95% confidence, in mm², obtained with forceplat plateforms under feet of participants during the object picking up task
Time frame: at baseline
Range in antero-posterior plane, in mm, obtained with forceplat plateforms during the object picking up task
Time frame: at baseline
Under each lower limb, in %, obtained with forceplat plateforms during the object picking up task
Time frame: at baseline
range of movements of trunk, pelvis and lower limbs (hip, knee, ankle), in degrees, obtained with the optoelectronic system during the object picking up task
Time frame: at baseline
On a visual scale 0 (no confidence) to 10 (perfect confidence)
Time frame: at baseline
Time frame: at baseline
Time frame: at baseline
Time frame: at baseline
Time frame: at baseline
Time frame: at baseline
Time frame: at baseline
Time frame: at baseline
In cm
Contact information is provided by the study sponsor or research team.
Assistance Publique - Hôpitaux de Paris
Other
Study of the Stability of Post-stroke Hemiparetic Patients During a Task Involving Picking up an Object on the Ground. Reflection Questioning the Conventional Rehabilitation of These Patients
Acronym: HemiSym
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