Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Interests of Strengthening Isokinetic Upper Extremity Hemiparetic Sequelae in Patients
Brief Summary: Stroke (CVA) is the leading cause of death and the leading cause of disability in developed countries as in developing countries (WHO, 2000). In the aftermath of a stroke, patients keep a permanent disability in 75% of cases and only one quarter of them is able to resume work. The post stroke sequelae are sensory-motor and cognitive.

According to literature data, 75-83% of patients who survive a stroke learn to walk only 25 to 45% recover use of their upper limb in activities of daily living (Friedman, 1990).

The existence of a phase called "plateau" in motor recovery after stroke has been suggested (Colautti, 2001). This would occur beyond the 4 th month and would correspond to a phase where the rehabilitation techniques used in the subacute phase are deemed less effective. Recently, Page (2004) speculated that this plateau phase is rather the consequence of adaptation to the type of patient follow-up training and not that of a limit to the possibilities of recovery. In an observational study on the recovery of upper limb conducted over a period of 4 years, Broeks (2004) showed a possible recovery beyond 16 weeks post stroke. The results of studies on different techniques for rehabilitation of chronic stroke patients tend to confirm the hypothesis of page. Therefore, varying the training parameters (type, intensity, frequency) could improve the functional capabilities of these patients, even at a distance of stroke.

Strength training is part of the management of hemiparetic patients. The results of several studies show an improvement in muscle strength and functional ability to walk after a building program isokinetic lower limb (Sharp, 1997).

The objective of our project is to evaluate the effectiveness of a building program of isokinetic muscle on the paretic limb motor recovery in hemiparetic patients over 6 months of a stroke.


Options:
A: Arm Label: Fit For Function Program; Type: EXPERIMENTAL; Interventions: Other: Fit For Function Program | Arm Label: Standard YMCA membership; Type: ACTIVE_COMPARATOR; Interventions: Other: Standard YMCA membership | Intervention Type: OTHER; Name: Fit For Function Program; Assigned to Arm(s): Fit For Function Program | Intervention Type: OTHER; Name: Standard YMCA membership; Assigned to Arm(s): Standard YMCA membership
B: Arm Label: Flywheel leg-press resistance exercise; Type: EXPERIMENTAL; Interventions: Other: Flywheel leg-press resistance exercise | Arm Label: Control; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Flywheel leg-press resistance exercise; Assigned to Arm(s): Flywheel leg-press resistance exercise
C: Arm Label: Exercise recommendation; Type: EXPERIMENTAL; Interventions: Other: Aerobic exercise | Arm Label: Aerobic exercise; Type: EXPERIMENTAL; Interventions: Other: Aerobic exercise | Intervention Type: OTHER; Name: Aerobic exercise; Assigned to Arm(s): Aerobic exercise, Exercise recommendation
D: Arm Label: With isokinetic strength training; Type: EXPERIMENTAL; Interventions: Other: isokinetic strength training | Arm Label: without isokinetic strength training; Type: PLACEBO_COMPARATOR; Interventions: Other: passive motion | Intervention Type: OTHER; Name: isokinetic strength training; Assigned to Arm(s): With isokinetic strength training | Intervention Type: OTHER; Name: passive motion; Assigned to Arm(s): without isokinetic strength training

Answer: D