The Multitasking Rehabilitation She Enhanced Walking Speed Compared to the Simple Post Stroke Rehabilitation Task (AVC)?

Study Overview
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Brief Summary
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Stroke is the leading cause of severe disability in adults. The first cause of alterations in the quality of life and autonomy in these patients are disorders of walking and the balance. They are the leading cause of falls responsible for important medical, surgical and economic complications as well as a reactionary social isolation. The techniques of rehabilitation of walking to the subacute phase of a stroke are usually based on automatic walking.Off walking is a complex activity usually performed in everyday life in association with multiple tasks. It is therefore interesting to re-educate walking in dual task or even in multitasking.

Official Title
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The Multitasking Rehabilitation She Enhanced Walking Speed Compared to the Simple Post Stroke Rehabilitation Task (AVC)?

Conditions
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Subacute Stroke

Intervention / Treatment
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* Other: rehabilitation multitasking walking.
* Other: Traditional walking rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Major: age between 18 and 90 years Hospitalized for ischemic or hemorrhagic hemispheric stroke confirmed by CT or MRI <6months walking disorder with the possibility of walking 10 meters with or without technical assistance (speed <1.2m / s) verbal understanding with complex orders Affiliates to social security Exclusion Criteria: Brainstem stroke or cerebellar Hypoacusia annoying understanding Visual gene embarrassing awarding severe aphasia: no understanding of complex orders neurological or musculoskeletal history affecting walking Participation in interventional research protocol in motor rehabilitation of the lower limb or cognitive Patient under guardianship or deprived of liberty pregnant women, parturient women or lactating (art L.1121-5)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 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: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: multitasking walking<br>Multitasking Group: rehabilitation multitasking walking. | Other: rehabilitation multitasking walking.<br>* rehabilitation multitasking walking.<br>|
| Active Comparator: walking simple task<br>Simple task group : Traditional walking rehabilitation | Other: Traditional walking rehabilitation<br>* Traditional walking rehabilitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure walking speed | Speed of the simple task of walking 10 meters testing. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of different types of walking disorders and balance in the subacute phase of stroke | Currently no clinical scale exists in the literature at our knowledge. The walk of the patients will be qualitatively analyzed by the investigator in order to measure the prevalence of the different clinical categories of walking disorders according to their semiological characteristics | inclusion | 
| Score neuromotor the lower limb | Score neuromotor the lower limb: Fugl Meyer | 6 months | 
| Dynamic equilibrium to TUG single and double cognitive task | Dynamic equilibrium to TUG single and double cognitive task | 6 months | 
| Walking speed double cognitive task | Walking speed double cognitive task | 6 months | 
| Executive functions: a battery of neuropsychological | Executive functions: a battery of neuropsychological | 6 months | 
| Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT | Autonomy: FUNCTIONAL INDEPENDENCE MEASUREMENT | 6 months | 
| EVA Quality of life | EVA (Visual Analogic Scale) quality of life | 6 months | 
| Correlation of cognitive gains with the gain of the walking speed of 10 meters | Correlation of cognitive gains with the gain of the walking speed of 10 meters | 6 months | 
| anatomoclinical correlations | Lesion score of gray matter and white matter (Volumetry on sequences 3DT1 and Flair) Cerebral | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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subacute stroke, multitasking rehabilitation, walking