About this trial
To determine whether active cycling assisted by functional electrical stimulation (FES) Is more effective than active cycling on cardiovascular fitness in post stroke hemiparesis
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adults with Hemiparesis after an unilateral first ever stroke
Able to walk in security
Time since stroke within 3 months to 1 year
Sufficient cognitive function to understand and perform corresponding tasks
Disqualifiers
Any history of neurological disorders or cardiovascular instability
High spasticity on ankle, knee, hip muscles
Inability to exercise on a cyclo-ergometer
Pacemaker and other contraindications of the use of electrical stimulation
Trial design
Parallel
Treatments tested in this trial
FES-cycling
Device30 minutes of active leg cycling with or without FES applied to the paretic rectus femoris of quadriceps and to the biceps femoris and semitendinosus muscles and gluteus maximus, 3 times/weeks for 8 weeks. During training, participants will be seated on a FES-Cycle (Hepha Bike, Kurage): a cyclo-ergometer (Technogym) combined with a 8 channel controlled stimulator (Motimove-8).
SHAM-cycling
Device30 minutes of active leg cycling with SHAM FES applied to the paretic rectus femoris of quadriceps and to the biceps femoris and semitendinosus muscles and gluteus maximus, 3 times/weeks for 8 weeks. During training, participants will be seated on a FES-Cycle (Hepha Bike, Kurage): a cyclo-ergometer (Technogym) combined with a 8 channel controlled stimulator (Motimove-8).
Treatment groups
Trial outcomes
Primary outcomes
VO2 peak at 2 months (L/min)
Comparison of the maximum oxygen consumption (VO2 peak in L/min) measured during an incremental maximum stress test on cyclo-ergometer between the end of training (M2) and inclusion (M0).
Secondary outcomes
Maximum power
Comparison of the maximum power (in Watts) developed during the stress test on a cycloergometer between the end of the training (M2) and the inclusion (M0)
Walking ability
walking speed (10m walking test) and distance (6-minute walking test) measured at inclusion, after training (M2) ans follow-up (M4)
quadriceps muscular thickness
quadriceps muscular thickness measured with ultrasound at inclusion aand after the training
Middle Cerebral Artery Blood Flow Velocity During Exercise
Middle Cerebral Artery Blood Flow Velocity During Exercise measured with transcranial Doppler ultrasound at inclusion (M0) and after the training (M2)
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