This study is being carried out in the context of rehabilitation after stroke, where persistent upper limb weakness is a major challenge. It aims to explore the relationship between observed function and patients' perceived participation in use.
First stroke as defined by the World Health Organization.
Upper limb paresis with a NIHSS National Institutes of Health Stroke Scale score > or = 1/4 for upper limb motor function
Life expectancy <12 months
Inability to understand French.
Pre-existing severe multiple disability affecting arm function.
Presence of pre-existing central neurological pathologies.
Patients who have suffered a first stroke will be selected on transfer to a neurological rehabilitation service. They will be recruited on admission, provided they meet the inclusion and exclusion criteria. A combination of self-administered questionnaires and functional assessments will be carried out on the first day of multidisciplinary management in the neurological rehabilitation department and after two months in hospital.
Cohort
Prospective
Functional assessments
Diagnostic test* Computer Adaptive Test for Fugl-Meyer (CAT-FM) * Action Research Arm Test (ARAT) * Measurement of Functional Independence * Star cancellation test * Stroke Impact Scale * ACTIVLIM (assesses the ability to perform activities of daily living requiring the use of the upper limbs)
To assess whether the perception of use of the impaired upper limb improves during intensive rehabilitation after a stroke.
various tests : computer adaptive test F-M, ARA test, MIF test, star concellation test, ACTIVLIM test
To compare the difference between perception and observed function of the upper limb during intensive multidisciplinary rehabilitation treatment.
various tests : computer adaptive test F-M, ARA test, MIF test, star concellation test, ACTIVLIM test
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