Actimetry Monitoring of the Paretic Upper Limb in Chronic Post Stroke. (ParUse)

University Hospital Center (CHU)

Status: Enrolling

Conditions: Non-use of the Paretic Upper Limb; Chronic Stroke

Treatments: Device: Wearing bracelets (3-Axis Logging Accelerometer)

Study type: Interventional

Funder types: Other

Identifiers

NCT05581602

RECHMPL21_0512

Details and patient eligibility

About

After a stroke, 80% of patients continue to have difficulty using their paretic upper limb in activities of daily living (ADL) despite post-stroke rehabilitation practices that aim to promote the use of the paretic upper limb. It is known that functional recovery depends on actual use (Use it or Loose it), but one-time measurements in the clinic do not allow quantification of the actual use of the paretic upper limb in daily life (in the person's living environment).

The investigators hypothesize the feasibility of quantifying functional use of the paretic upper limb by actimetry in clinical routine.

Full description

After a stroke, 80% of patients continue to have difficulty using their paretic upper limb in activities of daily living (ADL) despite post-stroke rehabilitation practices that aim to promote the use of the paretic upper limb. It is known that functional recovery depends on actual use (Use it or Loose it), but one-time measurements in the clinic do not allow quantification of the actual use of the paretic upper limb in daily life (in the person's living environment).

Project will monitor 30 chronic and 30 healthy subjects over one week period using two wrist worn sensors .

The main objective is to objectively quantify by actimetry, over 7 days, the real functional use of the paretic upper limb in the activities of daily living of post-stroke hemiparetic subjects in chronic phase, by the functional use ratio between the two arms (UseRatio).

Enrollment: 66 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Inclusion criteria common to all participants:

• Be between 18 and 90 years old

Post-stroke subjects should:

• Having a stroke with motor sequelae in the upper limb
• Be in the chronic phase (>3 months post-stroke) of a stroke whatever the aetiology

Exclusion criteria

Non inclusion criteria common to all participants:

• Absence of free, informed and express oral consent
• No affiliation to a French social security system or beneficiary of such a system
• Patient protected by law
• Pregnant or breastfeeding women

Not eligible for inclusion, post-stroke subjects:

• Not understanding the constraints of the study
• Have cognitive impairments that prevent them from understanding the study
• With a known hemigligence in the medical record (omission > 8 on bells test)

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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66 participants in 2 patient groups

Hemiparetic post-stroke subjects

Experimental group

Description:

Stroke patients with motor sequelae in the upper limb.

Treatment:

Device: Wearing bracelets (3-Axis Logging Accelerometer)

Healthy subjects

Other group

Description:

Subjects without stroke.

Treatment:

Device: Wearing bracelets (3-Axis Logging Accelerometer)