An interventional study of Dynamic Avoidance Task and physical therapy in Hemiplegic Patients, sponsored by Rennes University Hospital. Completed at 1 site in France. Open to participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-05-31.
Sponsored by Rennes University Hospital · Not applicable, Interventional, and Other
For several years, the postural disorders assessment in hemiplegic patients was conducted through force plate, using the center of plantar pressure displacement in a static position.
These are widely used in physical therapy both for assessment and rehabilitation of patients with balance disorders.
For hemiplegic patients, an asymmetric distribution support on each foot and an increased surface area of postural sways (more marked on the medio lateral axis) are observed.
These studies, based on the study of plantar pressure ,are not enough to providea full description of the spatio-temporal organization of postural components in hemiplegic patients.
Indeed, postural stabilometric evaluation is based on a simplification of the human skeleton by considering it as a simple inverted pendulum swinging on his ankles.
This simplified model can't be used in dynamic assessment because of the simultaneous contributions of several joints during movement. This restricts its clinical interest because patients are more exposed to imbalances and falls in dynamic situations. Thus, the hip angular movement results in a center plantar pressure displacementwhich is impossible to discriminate from the ankle axis movement using stabilometric signal only.
Thus, it seemed interesting to study another variable valid in dynamic conditions : the displacement of center of mass during a dynamic balancing task. This variable is obtained through 3D motion capture of the different segments of the human body. The dynamic test is a dynamic postural assessment following ball avoidance from three different directions. The center of mass displacement will be compared with a functional test known to be representative of dynamic balance of the individual capacities: The Timed Up and Go test (TUG).
All of this data aims to improve the hemiplegic postural assessment for physical therapy and to help develop new rehabilitative approaches.
Rennes University Hospital is the lead sponsor of 440 studies on the registry; 51 are open to participants now.
Counted across the registry records on this site, refreshed daily.
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For hemiplegic patients:
oIschemic or hemorragic oFirst symptomatic episode or TIA without consequences oBetween one month and one year since the stroke
For healthy volunteers :
Exclusion Criteria:
For hemiplegic patients:
For healthy volunteers :
Dynamic Avoidance Task
Other: Dynamic Avoidance Task · Procedure: physical therapy · Device: 3D motion on optoelectronic device
Dynamic Avoidance Task
Other: Dynamic Avoidance Task · Procedure: physical therapy · Device: 3D motion on optoelectronic device
The primary outcome is the lateral displacement of the center of mass (CoM) in the frontal plane, obtained after recording the 3D motion using an optoelectronic device
Time frame: dynamic avoidance test in 7 days
- to the functional level and the balance obtained from the test: Timed Up and Go test (TUG). This comparison will be made regarding the completion time of the test and the functional score in the Get Up and Go test.
Time frame: inclusion (0)
- using dynamic assessments : Maximum front displacement of the Plantar pressure center (CP) resultant when avoiding the central ball,
Time frame: dynamic avoidance test in 7 days
- Using static assessments : Postural asymmetry obtained by calculating the percentage of body weight distribution on each leg during the static postural initial assessment on force plate
Time frame: Inclusion (0)
The ABS TUG score (being validated) will also be compared to the lateral displacement of the center of mass (CoM).
Time frame: inclusio (0)
This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.
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Rennes University Hospital