Effects of prismatic adaptation on balance and postural disorders in patients with chronic right stroke: protocol for a multicentre double-blind randomised sham-controlled trial.
adult neurology
rehabilitation medicine
stroke
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
24 11 2021
24 11 2021
Historique:
entrez:
25
11
2021
pubmed:
26
11
2021
medline:
15
12
2021
Statut:
epublish
Résumé
Patients with right stroke lesion have postural and balance disorders, including weight-bearing asymmetry, more pronounced than patients with left stroke lesion. Spatial cognition disorders post-stroke, such as misperceptions of subjective straight-ahead and subjective longitudinal body axis, are suspected to be involved in these postural and balance disorders. Prismatic adaptation has showed beneficial effects to reduce visuomotor disorders but also an expansion of effects on cognitive functions, including spatial cognition. Preliminary studies with a low level of evidence have suggested positive effects of prismatic adaptation on weight-bearing asymmetry and balance after stroke. The objective is to investigate the effects of this intervention on balance but also on postural disorders, subjective straight-ahead, longitudinal body axis and autonomy in patients with chronic right stroke lesion. In this multicentre randomised double-blind sham-controlled trial, we will include 28 patients aged from 18 to 80 years, with a first right supratentorial stroke lesion at chronic stage (≥12 months) and having a bearing ≥60% of body weight on the right lower limb. Participants will be randomly assigned to the experimental group (performing pointing tasks while wearing glasses shifting optical axis of 10 degrees towards the right side) or to the control group (performing the same procedure while wearing neutral glasses without optical deviation). All participants will receive a 20 min daily session for 2 weeks in addition to conventional rehabilitation. The primary outcome will be the balance measured using the Berg Balance Scale. Secondary outcomes will include weight-bearing asymmetry and parameters of body sway during static posturographic assessments, as well as lateropulsion (measured using the Scale for Contraversive Pushing), subjective straight-ahead, longitudinal body axis and autonomy (measured using the Barthel Index). The study has been approved by the ethical review board in France. Findings will be submitted to peer-reviewed journals relative to rehabilitation or stroke. NCT03154138.
Identifiants
pubmed: 34819284
pii: bmjopen-2021-052086
doi: 10.1136/bmjopen-2021-052086
pmc: PMC8614142
doi:
Banques de données
ClinicalTrials.gov
['NCT03154138']
Types de publication
Clinical Trial Protocol
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e052086Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Arch Phys Med Rehabil. 2018 Mar;99(3):563-573.e5
pubmed: 28797618
NeuroRehabilitation. 2019;44(3):379-388
pubmed: 31227659
PLoS One. 2019 Aug 29;14(8):e0221700
pubmed: 31465462
PLoS One. 2017 Oct 19;12(10):e0185807
pubmed: 29049293
Baillieres Clin Neurol. 1993 Aug;2(2):439-60
pubmed: 8137008
J Neurol Neurosurg Psychiatry. 2002 Aug;73(2):160-6
pubmed: 12122175
Neuropsychologia. 2014 Mar;55:15-24
pubmed: 24056297
Ann Intern Med. 2013 Feb 5;158(3):200-7
pubmed: 23295957
Neurorehabil Neural Repair. 2012 Feb;26(2):173-7
pubmed: 21734069
BMJ. 1995 Jul 8;311(6997):83-6
pubmed: 7613406
J Rehabil Med. 2008 Jan;40(1):23-7
pubmed: 18176733
Neuropsychologia. 2001;39(11):1250-4
pubmed: 11527562
Front Syst Neurosci. 2019 Dec 17;13:74
pubmed: 31920570
Stat Med. 2002 Oct 15;21(19):2917-30
pubmed: 12325108
Brain Struct Funct. 2016 Apr;221(3):1751-66
pubmed: 25682261
NeuroRehabilitation. 2008;23(2):137-51
pubmed: 18525135
Cereb Cortex. 2014 Mar;24(3):691-706
pubmed: 23162045
Arch Phys Med Rehabil. 2017 Dec;98(12):2393-2398
pubmed: 28583466
Cortex. 2020 Feb;123:57-71
pubmed: 31759324
Neurosci Res. 2020 Apr;153:8-21
pubmed: 30910735
Phys Ther. 2008 May;88(5):559-66
pubmed: 18292215
Cogn Process. 2015 Sep;16 Suppl 1:371-5
pubmed: 26224267
J Cogn Neurosci. 2007 Jul;19(7):1081-8
pubmed: 17583985
Arch Phys Med Rehabil. 2006 May;87(5):642-6
pubmed: 16635626
Exp Neurol. 2006 Oct;201(2):441-51
pubmed: 16814283
Arch Phys Med Rehabil. 2010 Oct;91(10):1582-6
pubmed: 20875518
Prog Brain Res. 2003;142:273-87
pubmed: 12693267
Scand J Rehabil Med. 1997 Mar;29(1):11-6
pubmed: 9084100
Handb Clin Neurol. 2013;110:93-103
pubmed: 23312633
Neurology. 2013 Oct 8;81(15):1291-7
pubmed: 23986298
Contemp Clin Trials Commun. 2018 Mar 28;10:80-85
pubmed: 29696162
Phys Ther. 2006 Jan;86(1):30-8
pubmed: 16386060
Arch Phys Med Rehabil. 1996 May;77(5):425-30
pubmed: 8629916
Ann Phys Rehabil Med. 2015 Apr;58(2):40-53
pubmed: 25543183
Cortex. 2018 Sep;106:288-298
pubmed: 29703446
Clin Neurol Neurosurg. 2010 Jun;112(5):406-12
pubmed: 20227176
Neurology. 2006 Jun 27;66(12):1859-67
pubmed: 16801651
Arch Phys Med Rehabil. 2012 Jul;93(7):1201-8
pubmed: 22502805
Disabil Rehabil. 2016;38(3):245-9
pubmed: 25856203
Neuropsychologia. 2004;42(11):1477-87
pubmed: 15246285
Brain Inj. 2009 Jun;23(6):566-76
pubmed: 19484630
Neurorehabil Neural Repair. 2006 Dec;20(4):484-91
pubmed: 17082504
Top Stroke Rehabil. 2013 Jul-Aug;20(4):340-6
pubmed: 23893833
Arch Phys Med Rehabil. 2000 Mar;81(3):364-7
pubmed: 10724084
Brain Res Bull. 2000 Oct;53(3):359-65
pubmed: 11113593
Gait Posture. 2010 Oct;32(4):436-45
pubmed: 20947353
Gait Posture. 2005 Nov;22(3):267-81
pubmed: 16214666
Clin Epidemiol. 2014 Jul 14;6:227-35
pubmed: 25053894
Neuroreport. 2014 Mar 26;25(5):307-11
pubmed: 24488029
Neurology. 2021 Apr 27;96(17):e2147-e2159
pubmed: 33177223
Cortex. 2013 Jan;49(1):107-19
pubmed: 22154751
Neurorehabil Neural Repair. 2018 Nov;32(11):953-960
pubmed: 30411675
Neurorehabil Neural Repair. 2009 Mar-Apr;23(3):267-74
pubmed: 19074685
PM R. 2012 Mar;4(3):165-70
pubmed: 22306324
Brain Cogn. 2000 Jun-Aug;43(1-3):99-104
pubmed: 10857672
Neurology. 2009 May 5;72(18):1582-7
pubmed: 19414725
Top Stroke Rehabil. 2018 Apr;25(3):224-238
pubmed: 29322861
Singapore Med J. 2015 May;56(5):280-3
pubmed: 25678051
Neurosci Biobehav Rev. 2013 May;37(4):594-609
pubmed: 23428624
BMC Neurol. 2018 Sep 13;18(1):141
pubmed: 30213258
Neuroimage. 2011 Feb 1;54(3):2033-44
pubmed: 20851191
Cortex. 2004 Feb;40(1):75-83
pubmed: 15070003
Gigascience. 2018 Mar 1;7(3):1-17
pubmed: 29432527
Eur J Phys Rehabil Med. 2017 Oct;53(5):685-693
pubmed: 28178773
Rev Neurol (Paris). 1999 Apr;155(4):281-90
pubmed: 10367325
Stroke. 2011 Apr;42(4):1146-51
pubmed: 21372310
Curr Biol. 2001 Apr 3;11(7):524-8
pubmed: 11413004
J Neurosci. 2009 Jan 7;29(1):169-78
pubmed: 19129395
Neuroimage. 2009 Jul 1;46(3):786-802
pubmed: 19195496
J Neurol Neurosurg Psychiatry. 2007 Jan;78(1):43-8
pubmed: 16868067
J Neuroeng Rehabil. 2013 Aug 13;10:95
pubmed: 23941396
Arch Phys Med Rehabil. 2012 Jun;93(6):1101-7
pubmed: 22502804
Nature. 1998 Sep 10;395(6698):166-9
pubmed: 9744273
Neurology. 2000 Nov 14;55(9):1298-304
pubmed: 11087771
Neurology. 2021 Apr 27;96(17):e2160-e2171
pubmed: 33722996
Brain. 2008 Sep;131(Pt 9):2401-13
pubmed: 18678565
Arch Phys Med Rehabil. 1998 Sep;79(9):1043-6
pubmed: 9749681
J Neurol Neurosurg Psychiatry. 2007 Jan;78(1):49-55
pubmed: 17012343
Age Ageing. 1993 Jan;22(1):46-52
pubmed: 8438666
Stroke. 2008 Jun;39(6):1793-9
pubmed: 18369174
Cortex. 2019 Nov;120:629-641
pubmed: 30621959
Stroke. 2002 Sep;33(9):2247-53
pubmed: 12215595
Neurosci Biobehav Rev. 2005 May;29(3):431-44
pubmed: 15820548