Base Positioning Wheelchair Hemiplegic

Postural Wheelchair Control in Hemiplegic Stroke Patients

The investigators looked at the population of hemiplegic stroke participants hospitalized with GHIV : the investigators assessed the postural control of the participants of the chair using MCPAA, and assessed the pain of the participants while sitting in a wheelchair. The investigators then had to the participants try positioning equipment and then prescribed it once the choice was made. The investigators then reassessed postural control and wheelchair pain with this positioning equipment.

Study Overview

• Status: Completed
• Conditions: Wheelchair
• Intervention / Treatment: Other: Measurement of sitting postural control of the adult (MCPAA)

Detailed Description

For each hemiplegic participants with wheelchair user stroke, the investigators collect : date of birth, date of stroke, side of hemiplegia. The wheelchair propulsion mode, the degree of autonomy (FAC and Enjalber scales), the way bed - wheelchair transfers are made. Assessment of wheelchair pain in the spine and Ischia with EVA. Time to travel 10 meters in a wheelchair. Postural control of the wheelchair is evaluated by the MCPAA. The investigators then carry out tests of positioning equipment : backrest, cushion, form elements and belt. This material is tried for several days. If it is appropriate (improvement on the postural control and on the pains), otherwise another material is tried.

When the choice is made, the material is prescribed. The participant is seen again 3 months after the delivery of his personal material, and the same evaluation is redone.

• Study Type: Observational
• Enrollment (Actual): 24

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Positioning of all hemiplegics by stroke requiring a wheelchair even punctual at the exit of the SSR compared to patients with hemiplegic sequelae.

Description

Inclusion Criteria:

• Hemiplegia by stroke
• Wheelchair user

Exclusion Criteria:

• Two-handed propulsion of the wheelchair
• Cognitive impairment preventing clinical examination

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Positioning hemiplegic.; Positioning all hemiplegic by stroke requiring a single wheelchair even at the exit of the SSR and hemiplegic patient with sequelae. Measurement of sitting postural control of the adult (MCPAA). Assessment of wheelchair pain in the spine and ischia by a self-evaluation scale (EVA). Propulsion speed of a wheelchair.

Other: Measurement of sitting postural control of the adult (MCPAA); The Adult Seated Postural Control Measure 2.0 (MCPAA 2.0) is a clinical evaluation tool for sitting postural control of adult clients using a locomotion aid. It thus allows the evaluation of the two variables inherent to the postural control sit, the alignment of body segments and the influence between movement and posture. It can also be used to evaluate the changes in seated postural control due to changes over time or to an adaptation of the sitting posture. Assessment of wheelchair pain in the spine and ischia by a self-evaluation scale (EVA). the speed of propulsion by a wheelchair.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Study the improvement of the basin retroversion.	The Adult Seated Postural Control Measure 2.0 (MCPAA 2.0) is a clinical evaluation tool for sitting postural control of adult clients using a locomotion aid. It thus allows the evaluation of the two variables inherent to the postural control sit, the alignment of body segments and the influence between movement and posture. It can also be used to evaluate the changes in seated postural control due to changes over time or to an adaptation of the sitting posture.	Through study completion, an average of one year.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The tilt.	Assessment of wheelchair pain in the spine and ischia by a self-evaluation scale (EVA). The self-evaluation scale (EVA) is used to assess participant pain. It is in the form of a straight line of 100 mm. This scale is composed on the reverse side of a horizontal line from "no pain" to "maximum pain imaginable". The left side corresponds to "no pain", the right end corresponds to "maximum pain imaginable". The participant indicates, with the cursor, his level of pain on the line. The pain score is displayed on the front of the scale.	Through study completion, an average of one year.
Propulsion speed.	The propelling speed of the wheelchair.	Through study completion, an average of one year.

Collaborators and Investigators

• Sponsor: Groupement Hospitalier Intercommunal du Vexin
• Investigators: Principal Investigator: Nadine PELLIGRINI, Groupe Hospitalier Intercommunal du Vexin

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2016
• Primary Completion (Actual): February 11, 2020
• Study Completion (Actual): February 11, 2020

Study Registration Dates

• First Submitted: November 17, 2017
• First Submitted That Met QC Criteria: November 27, 2017
• First Posted (Actual): November 28, 2017

Study Record Updates

• Last Update Posted (Actual): February 21, 2021
• Last Update Submitted That Met QC Criteria: February 18, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Keywords: Stroke; Pain; Postural control; Wheelchair; Hemiplegia
• Other Study ID Numbers: GHIV0117

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No