Muscular Strengthening for Paretic Knee Flexor and Extensor by Conventional Physiotherapy on Chronic Hemiplegic Stroke Patients "RenforcHémi"

Completed

Phase N/A Results N/A

Trial Description

Gait impairment remain one of the main problem for hemiplegic stroke patients. After the 6 first months, stroke patients are classically described with moderate or no improvement. Here, we want to compare the effectiveness of a flexor and extensor paretic knee muscular strengthening program with conventional physiotherapy delivered by the local physiotherapist of the patient, in a very ecological way.

Detailed Description

Gait impairment remain one of the main problem for most of chronic hemiplegic stroke patients. After the 6 first months, stroke patients are classically described with moderate or no improvement for motor skills. However, physiothertapy is very often delivered to try to increase motor performance. Here, we want to compare the effectiveness of a flexor and extensor paretic knee muscular strengthening program with conventional physiotherapy delivered by the local physiotherapist of the patient, in a very ecological way. Patients will be randomly affected to one group with the same amount of physiotherapy (at least 3 times weekly for 6 weeks). Assessment will be done blindly by another physiotherapist, before, after the 6-week treatment and 6 weeks later to evaluate immediate and remaining benefits of each treatment.

Conditions

Interventions

  • Muscular Strengthening for paretic knee flexor and extensor Procedure
    Intervention Desc: thrice a week during 6 weeks
    ARM 1: Kind: Experimental
    Label: 1
    Description: Muscular Strengthening for paretic knee flexor and extensor
    ARM 2: Kind: Experimental
    Label: group 1
    Description: Muscular Strengthening for paretic knee flexor and extensor
  • Conventional physiotherapy Behavioral
    Intervention Desc: trice a week during 6 weeks
    ARM 1: Kind: Experimental
    Label: 2
    Description: conventional physiotherapy
    ARM 2: Kind: Experimental
    Label: group 2
    Description: conventional physiotherapy

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Safety/Efficacy Study
  • Intervention: Single Group Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Gait comfortable speed 3 months No
Secondary gait analysis (gait maximal speed, kymographic and dynamometric analysis, quality of gait parameter) FIM MOS-SF36 Spasticity (Tardieu Scale) 3 months No

Sponsors