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Muscular Strengthening for Paretic Knee Flexor and Extensor by Conventional Physiotherapy on Chronic Hemiplegic Stroke Patients (RenforcHémi)
This study is currently recruiting participants.
Study NCT00570570   Information provided by University Hospital, Toulouse
First Received: December 7, 2007   Last Updated: August 21, 2009   History of Changes

December 7, 2007
August 21, 2009
May 2008
February 2010   (final data collection date for primary outcome measure)
Gait comfortable speed [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00570570 on ClinicalTrials.gov Archive Site
gait analysis (gait maximal speed, kymographic and dynamometric analysis, quality of gait parameter) FIM MOS-SF36 Spasticity (Tardieu Scale) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Same as current
 
Muscular Strengthening for Paretic Knee Flexor and Extensor by Conventional Physiotherapy on Chronic Hemiplegic Stroke Patients
Comparaison de l'efficacité du Renforcement Des Muscles fléchisseurs et Extenseurs du Genou et de la kinésithérapie Conventionnelle Chez l'hémiplégique en Phase Chronique : étude Prospective, Pragmatique, en Intention de Traiter, randomisée, en Simple Insu, Multicentrique.

Gait impairment remain one of the main problem for hemiplegic stroke patients. After the 6 first months, stroke patients are classically described with moderate or no improvement. Here, we want to compare the effectiveness of a flexor and extensor paretic knee muscular strengthening program with conventional physiotherapy delivered by the local physiotherapist of the patient, in a very ecological way.

Gait impairment remain one of the main problem for most of chronic hemiplegic stroke patients. After the 6 first months, stroke patients are classically described with moderate or no improvement for motor skills. However, physiothertapy is very often delivered to try to increase motor performance. Here, we want to compare the effectiveness of a flexor and extensor paretic knee muscular strengthening program with conventional physiotherapy delivered by the local physiotherapist of the patient, in a very ecological way. Patients will be randomly affected to one group with the same amount of physiotherapy (at least 3 times weekly for 6 weeks). Assessment will be done blindly by another physiotherapist, before, after the 6-week treatment and 6 weeks later to evaluate immediate and remaining benefits of each treatment.

 
Interventional
Treatment, Randomized, Single Blind (Outcomes Assessor), Active Control, Single Group Assignment, Safety/Efficacy Study
  • Hemiplegia
  • Stroke
  • Other: Muscular Strengthening for paretic knee flexor and extensor
  • Other: conventional physiotherapy
  • Other: Muscular Strengthening for paretic knee flexor and extensor
  • No Intervention: conventional physiotherapy
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
132
March 2010
February 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Hemipegia due to ischaemic or hemorrhagic stroke more than 6 months ago
  • 1st and unique cerebral lesion (Xscan or MRI)
  • ability to walk 15 m with or without cane or crutch
  • able to understand and give approved consent
  • quadriceps at 3/5 (MRC) or stronger

Exclusion Criteria:

  • Current treatment with botulinum toxin for spasticity of the paretic flexor or extensor of the knee
  • Cardiovascular disease contra-indicating effort and strengthening
  • Pregnancy
  • Evolving pathology
  • Rheumatic disease of the knee contraindicating strengthening
  • Aphasia with severe comprehension impairment
Both
18 Years to 80 Years
No
Contact: Xavier D. de Boissezon, MD, phD 663171027 ext 33 deboissezon.x@chu-toulouse.fr
Contact: David Gasq 675246931 ext 33 phrc_renf_hemi@yahoo.fr
France
 
NCT00570570
Dr Xavier de Boissezon, University Hospital, Toulouse
0702008, PHRC
University Hospital, Toulouse
  • University Hospital, Bordeaux
  • University Hospital, Limoges
  • Rehabilitation center Albi
  • Local Hospital Salies du Salat
Principal Investigator: Xavier D de Boissezon University Hospital, Toulouse
University Hospital, Toulouse
August 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP