Short Effects of a Rehabilitation Session on Gait in Patients With CNS

Study Overview
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Brief Summary
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The aim of the study is to evaluate the short effects of a two rehabilitation session commonly performed in physical therapy, muscle strengthening of the lower limbs and effort reconditioning with cyclo ergometer, on gait characteristics (kinematics, kinetics and electromyographic) in patients with central nervous system lesion.

Official Title
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Evaluation of the Short Effects of a Rehabilitation Session on Gait Parameters in Patients With a Lesion of the Central Nervous System

Conditions
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Spastic Gait, Fall Due to Failure of Support, Fatigue

Intervention / Treatment
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* Procedure: Intensive lower limbs muscles strengthening


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female adults aged ≥ 18 years receiving a motor rehabilitation in the service Hemiplegia after stroke or paraplegia incomplete ASIA C or D or multiple sclerosis (EPSS <5). Walking with or without technical assistance Patients who received and signed information and informed consent Patient who received physiotherapy session for rehabilitation of the lower limbs Patients able to perform the entire study Exclusion Criteria: Patient with safety measure Pregnant women, breastfeeding Patient who has received botulinum toxin injection of in the lower limbs between 3 weeks and 2 months prior to inclusion in the study Bilateral Brain damage, cerebellar syndrome, apraxia, severe aphasia Orthopedic complications preventing walking Patients who participated in a clinical study within 3 months prior to inclusion • No affiliation to a social security scheme (beneficiary or assignee)

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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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Hemiparetic<br>Intensive lower limbs muscles strengthening | Procedure: Intensive lower limbs muscles strengthening<br> <br> |
| Spinal cord injury<br>Intensive lower limbs muscles strengthening | Procedure: Intensive lower limbs muscles strengthening<br> <br> |
| Multiple sclerosis<br>Intensive lower limbs muscles strengthening | Procedure: Intensive lower limbs muscles strengthening<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of functional capacity after rehabilitation session using functional tests such as 6 minutes walking test and timed up and go | clinical exam, timed up and go, stair test, 6 minutes walking test | 30 min | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Evaluation of gait pattern and muscle activation patterns during video and EMG analyzes. | EMG analysis of rectus femoris, hamstrings, tibialis anterior and soleus | 1 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Strengthening muscle, Central nervous system diseases, Gait