A Very Early Standing Study in Elderly Stroke (AVESSES)

Centre Hospitalier Régional d'Orléans

Status

Terminated

Conditions

Stroke

Treatments

Procedure: Verticalization

Study type

Interventional

Funder types

Other

Identifiers

NCT03424031

CHRO-2016-02

Details and patient eligibility

About

Functional recovery is one of the main issues in the management of stroke and there are various ways in rehabilitation to promote this recovery.

Verticalization is a technique whose benefits have been widely demonstrated, particularly in neurology. Although commonly used in the rehabilitation of stroke, evidence is still lacking as to its impact in this specific care.

Verticalization is underutilized in two situations: in the hyper acute phase as well as in elderly and very deficient patients. It has, however, been shown that the precocity of the treatment allows a better functional recovery. Similarly, the re-education of the elderly is also debated since it has long been mentioned that age was a factor of poor prognosis, the objectives are sometimes underestimated. However, several studies have shown that with the same rehabilitation, elderly patients recover as much as younger patients. The differences found are at least in part due to "less rehabilitation" of older stroke patients.

The different existing data lead us to the hypothesis that the verticalization of the elderly hemiplegic patient in acute phase would allow a better functional recovery.

Enrollment

45 patients

Sex

All

Ages

70+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Ischemic or hemorrhagic stroke
Age > 70
Modified Rankin Scale (MRS) pre stroke : 0 or 1
Admission in the neuro vascular unit less than 48 hours after the onset of symptoms
NIHSS Item 6 for lower extremity motor skills: 3 or 4
Modified Functional Ambulation Classification : 0
Affiliated to a social security scheme

Exclusion criteria

History of stroke with motor sequencing limiting walking
Arterial stenosis limiting the sunrise before D4 (identified by Doppler)
Symptomatic orthostatic hypotension known or present in the acute phase
Coma
Patients who will be referred to a structure (UNV or other) outside the department
Fracture, orthopedic disorder or any other complication preventing verticalization
Refusal of the patient to participate in the study or to be verticalized
Patients under guardianship
Patients deprived of their liberty by an administrative decision