A Rehabilitation Program Based on Daily Activities in Patients With Cerebrovascular Accident (LARAQS)

Assistance Publique - Hôpitaux de Paris

Status: Not yet enrolling

Conditions: Stroke

Treatments: Other: Routine program of rehabilitation; Other: Personalized program of rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT05772663

2023-A00302-43 (Registry Identifier)

APHP220833

Details and patient eligibility

About

Mixed qualitative and quantitative study, in two phases:

Creation of a self-rehabilitation program based on people's daily living activities and designed with and for them.

Randomized controlled study to explore whether there is a potential benefit for patients with chronic stroke to use a self-rehabilitation program.

Full description

In France, stroke affects nearly 150,000 people per year and is therefore a major problem public health in France but also in Europe . With improved support treatment, the mortality rate decreases, but the sequelae, linked to the consequences of the stroke, remain numerous . More than 88% of stroke victims return at home upon discharge from hospital rehabilitation. However more and more people experience difficulties as a result of this return. Hospital discharge entails an imbalance between the period of hospitalization and place of residence in terms of the frequency and intensity of rehabilitation. In fact, the person benefits from rehabilitation during his hospitalization daily. After returning home, the person no longer benefits only 1 to 2 rehabilitation sessions per week, sometimes less . In view of these different elements, the investigators issue the assumption that making available to people AVC a self-rehabilitation program designed with and for them and centered on the meaningful occupations of the person will allow an increase in their occupational performance in their life activities daily. The aim of this study is to create a self-rehabilitation program based on people's daily living activities and designed with and for them and to evaluate the benefits of this program with a randomized controlled study.

Enrollment: 158 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having had a stroke ischemic or hemorrhagic for more than 6 months before inclusion in the study.
• Having had a single cerebral hemispheric lesion
• Patient informed and having signed consent

Exclusion criteria

-Patient under guardianship or curatorship

• Pregnant or breastfeeding women
• Cognitive impairment defined by BDAE <3
• Previous operation of the paretic limb at course of the last 6 months at inclusion
• Total absence of motor skills in the upper limb hemiplegic

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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158 participants in 2 patient groups

personalized program group

Experimental group

Description:

people with chronic stroke

Treatment:

Other: Personalized program of rehabilitation

routine rehabilitation care group

Active Comparator group

Description:

people with chronic stroke

Treatment:

Other: Routine program of rehabilitation