Base Positioning Wheelchair Hemiplegic

Study Overview
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Brief Summary
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The investigators looked at the population of hemiplegic stroke participants hospitalized with GHIV : the investigators assessed the postural control of the participants of the chair using MCPAA, and assessed the pain of the participants while sitting in a wheelchair. The investigators then had to the participants try positioning equipment and then prescribed it once the choice was made. The investigators then reassessed postural control and wheelchair pain with this positioning equipment.

Detailed Description
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For each hemiplegic participants with wheelchair user stroke, the investigators collect : date of birth, date of stroke, side of hemiplegia. The wheelchair propulsion mode, the degree of autonomy (FAC and Enjalber scales), the way bed - wheelchair transfers are made. Assessment of wheelchair pain in the spine and Ischia with EVA. Time to travel 10 meters in a wheelchair. Postural control of the wheelchair is evaluated by the MCPAA. The investigators then carry out tests of positioning equipment : backrest, cushion, form elements and belt. This material is tried for several days. If it is appropriate (improvement on the postural control and on the pains), otherwise another material is tried. When the choice is made, the material is prescribed. The participant is seen again 3 months after the delivery of his personal material, and the same evaluation is redone.

Official Title
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Postural Wheelchair Control in Hemiplegic Stroke Patients

Conditions
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Wheelchair

Intervention / Treatment
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* Other: Measurement of sitting postural control of the adult (MCPAA)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hemiplegia by stroke Wheelchair user Exclusion Criteria: Two-handed propulsion of the wheelchair Cognitive impairment preventing clinical examination

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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Positioning hemiplegic.<br>Positioning all hemiplegic by stroke requiring a single wheelchair even at the exit of the SSR and hemiplegic patient with sequelae. Measurement of sitting postural control of the adult (MCPAA). Assessment of wheelchair pain in the spine and ischia by a self-evaluation scale (EVA). Propulsion speed of a wheelchair. | Other: Measurement of sitting postural control of the adult (MCPAA)<br>* The Adult Seated Postural Control Measure 2.0 (MCPAA 2.0) is a clinical evaluation tool for sitting postural control of adult clients using a locomotion aid. It thus allows the evaluation of the two variables inherent to the postural control sit, the alignment of body segments and the influence between movement and posture. It can also be used to evaluate the changes in seated postural control due to changes over time or to an adaptation of the sitting posture. Assessment of wheelchair pain in the spine and ischia by a self-evaluation scale (EVA). the speed of propulsion by a wheelchair.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Study the improvement of the basin retroversion. | The Adult Seated Postural Control Measure 2.0 (MCPAA 2.0) is a clinical evaluation tool for sitting postural control of adult clients using a locomotion aid. It thus allows the evaluation of the two variables inherent to the postural control sit, the alignment of body segments and the influence between movement and posture. It can also be used to evaluate the changes in seated postural control due to changes over time or to an adaptation of the sitting posture. | Through study completion, an average of one year. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The tilt. | Assessment of wheelchair pain in the spine and ischia by a self-evaluation scale (EVA). The self-evaluation scale (EVA) is used to assess participant pain. It is in the form of a straight line of 100 mm. This scale is composed on the reverse side of a horizontal line from no pain to maximum pain imaginable. The left side corresponds to no pain, the right end corresponds to maximum pain imaginable. The participant indicates, with the cursor, his level of pain on the line. The pain score is displayed on the front of the scale. | Through study completion, an average of one year. | 
| Propulsion speed. | The propelling speed of the wheelchair. | Through study completion, an average of one year. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wheelchair, Hemiplegia, Stroke, Postural control, Pain