Reaching Clinical Recommendations for Intensity of Post-stroke Rehabilitation

Study Overview
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Brief Summary
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The project aims to implement workstations for mobility training during intensive inpatient rehabilitation to increase the level of motor activity of individuals with hemiparesis due to stroke

Official Title
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Reaching Clinical Recommendations for Intensity of Post-stroke Rehabilitation Using an Activity Circuit Implemented With a Change Agent

Conditions
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Stroke

Intervention / Treatment
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* Device: Conventional intensive functional rehabilitation + Workstations
* Behavioral: Conventional intensive functional rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Receving intensive rehabilitation care for hemiparesis due to stroke in our rehabilitation facility (IRGLM) Exclusion Criteria: Cognitive deficits preventing participation to rehabilitation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Sequential Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intensive rehabilitation without workstation<br> | Behavioral: Conventional intensive functional rehabilitation<br>* Includes rehabilitation interventions provided by professionnals (OT, PT, speech language therapy, neuropsychologists...)<br>|
| Experimental: Intensive rehabilitation with workstations<br> | Device: Conventional intensive functional rehabilitation + Workstations<br>* Equipment will be provided to participants where they can do exercises to increase their motor abilities at the lower limbs, trunk and upper limbs, in addition to conventional intensive functional rehabilitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Actimetry | Measure of acceleration data of the paretic lower and upper-limbs by means of an accelerometer (actigraph (r)) placed at the ankle and wrist during seven consecutive days | In the third or fourth week of rehabilitation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gait speed | Measured using the 10-meter walking speed test | Baseline, pre-intensive rehabilitation | 
| Balance capacities | Measured using the MiniBESTest or Berg Balance scale according to abilities | Baseline, pre-intensive rehabilitation | 
| Gross manual dexterity | Measured using the Box and Block test | Baseline, pre-intensive rehabilitation | 
| Gait speed | Measured using the 10-meter walking speed test | End-measure, at the end of rehabilitation | 
| Balance capacities | Measured using the MiniBESTest or Berg Balance scale according to abilities | End-measure, at the end of rehabilitation | 
| Gross manual dexterity | Measured using the Box and Block test | End-measure, at the end of rehabilitation |