Walking Ankle isoKinetic Exercise
Awakening of the Control of the Ankle Dorsiflexors in the Post Stroke Hemiplegic Subject to Improve Walking Activity and Social Participation: Experimental Interventional Study
University Hospital, Limoges
60 participants
May 20, 2021
INTERVENTIONAL
Conditions
Summary
This study is a multi-center, interventional, experimental, prospective, controlled and randomized study. We propose a reeducation protocol based on an early over-solicitation of the ankle dorsiflexor muscles to promote their "awakening", limit the loss of strength associated with the functional loss and thus allow to reach a more effective walking activity. This should encourage social participation following discharge from the hospital. The main objective is to evaluate the impact of this 6 weeks program on walking speed.
Eligibility
Inclusion Criteria5
- First stroke,
- Ischemic or hemorrhagic stroke hospitalized in MPR in sub-acute phase (15 days to 3 months)
- Persistent deficiency of foot lifts (Medical Research Council testing: MRC \<5)
- Walking alone at least 10 meters with or without technical assistance
- Absence of pain in the lower limb (EVA \<2)
Exclusion Criteria6
- Cognitive or phasic disorders that do not make it possible to understand the instructions: Boston Scale BDAE \<2
- Gait disorder before stroke
- Fixed stiffness of the ankle (irreducible equine less than 30 °)
- Spasticity too important: Modified Ashworth (MAS) greater than or equal to 4.
- Pregnancy or desire for pregnancy, breastfeeding
- Patient under curatorship or guardianship or under the protection of justice
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Both groups will benefit from a conventional rehabilitation treatment including a repetitive walking. In addition to this conventional rehabilitation, the experimental group will receive an ankle isokinetic program, 5 times a week, for 6 weeks (with a minimum of 25 sessions)
Both groups will benefit from a conventional rehabilitation treatment including a repetitive walking. The control group will have a supplement in conventional rehabilitation equal to the additional time of the experimental group.
Locations(7)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT04800601