Evaluation of a Video-ludic Re-education of the Paretic Upper Limb in Chronic Hemipartic Patients Post Cerebral Vascular Accident

Study Overview
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Brief Summary
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The aim of this randomized controlled study with stroke patients is to demonstrate that a re-education with interactive table with instrumented objects delivering sensory feedback and serious game improve certain motor functions of the paretic upper limb than rehabilitation based on a standardized self-rehabilitation program.

Official Title
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Evaluation of a Video-ludic Re-education of the Paretic Upper Limb in Chronic Hemipartic Patients Post Cerebral Vascular Accident

Conditions
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Stroke, Motor Activity

Intervention / Treatment
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* Other: Rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Stroke patients Subject with gripping ability: capable of peeling off the connected object from the table, presented in its grip area. Exclusion Criteria: Severe cognitive disorders preventing the completion of the task Bilateral brain lesions

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Rehabilitation with Interactive Table<br>Included patients will be invited to participate in 10 sessions, focused on the movement and manipulation of instrumented objects on interactive table with serious game, during 30 minutes per day, 5 days a week, for 14 days. An occupational therapist will be required only for patient installation in front of the table. | Other: Rehabilitation<br>* An occupational therapist will be required only for patient installation in front of the table.<br>|
| Active Comparator: Self Rehabilitation<br>Included patients will be instructed to perform 10 self-rehabilitation sessions with 9 exercises (3 stretching, 3 reinforcement, 3 spot-oriented work) during 30 minutes per day, 5 days a week, for 14 days. | Other: Rehabilitation<br>* An occupational therapist will be required only for patient installation in front of the table.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Speed of the gesture to reach each target | score | 10 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Wolf Motor Functional Test | Clinical Evaluation | 15 minutes | 
| Box and block | Clinical Evaluation | 5 minutes | 
| Fugl Meyer | Clinical Evaluation | 10 minutes | 
| MOCA | Clinical Evaluation | 5 minutes | 
| Pain | Visual analog scale | 1 minute | 
| Spasticity | Visual analog scale | 5 minutes | 
| SF12 Quality of life | Clinical Evaluation | 10 minutes | 
| Canadian Occupational Performance Measure | Clinical Evaluation | 20 minutes | 
| Frenchay activities Index | Clinical Evaluation | 15 minutes | 
| Cinematic Evaluation | Evaluation of the cinematic of the paretic upper limb | 10 minutes | 
| Clamping force | composite score | 2 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Serious Game, Stroke, Rehabilitation, Connected objects