Article Dans Une Revue Journal of Rehabilitation Medicine Année : 2024

Efficacy of a new video observational training method (intensive visual simulation) for motor recovery in the upper limb in subacute stroke: a feasibility and proof-of-concept study

Résumé

Objective: To demonstrate the feasibility and efficacy of a new video-observation training method (intensive visual simulation) to improve upper limb function. Design: Small sample, randomized, evaluator-blind, monocentric study. Patients: Seventeen early subacute ischaemic stroke patients with complete hemiplegia were randomly assigned to the therapeutic group (n = 8) or control group (CG, n = 9). Methods: Thirty sessions of intensive visual simulation combined with corrected visual feedback (therapeutic group) or uncorrected visual feedback (control group) were performed over 6 weeks on top of a standard rehabilitation programme. Main outcome measure: 400-point hand assessment test (400p-HA). Secondary outcome measures: Box and Blocks (B&B), Purdue Pegboard test, Minnesota. Results: The 400p-HA test improved significantly from T0 to 6 months for both groups, with a significant difference between groups at 3 months (MW-UT p = 0.046) and 4 months (MW-UT p = 0.046) in favour of the therapeutic group. One-phase exponential modelling of 400p-HA showed a greater plateau for the therapeutic group (F test p = 0.0021). There was also faster recovery of the ability to perform the B&B tests for the therapeutic group (log-rank test p = 0.03). Conclusion: This study demonstrated the feasibility and potential efficacy of an intensive visual simulation training programme to improve upper limb function in subacute stroke patients. A larger study is needed to confirm these results.
Fichier principal
Vignette du fichier
Ojardias_IVS-stroke-clinical-trial_JRM24.pdf (1.36 Mo) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte
licence

Dates et versions

hal-04767471 , version 1 (05-11-2024)

Licence

Identifiants

Citer

Etienne Ojardias, Ahmed Adham, Hugo Bessaguet, Virginie Phaner, Diana Rimaud, et al.. Efficacy of a new video observational training method (intensive visual simulation) for motor recovery in the upper limb in subacute stroke: a feasibility and proof-of-concept study. Journal of Rehabilitation Medicine, 2024, 56, pp.jrm36119. ⟨10.2340/jrm.v56.36119⟩. ⟨hal-04767471⟩
5 Consultations
5 Téléchargements

Altmetric

Partager

More