Overview
The aim of this study is to evaluate the effect of early rehabilitation treatment by electroencephalographic neurofeedback on upper limb motor function after stroke.
Researchers will compare :
Interventional group: electroencephalographic neurofeedback + traditional reference rehabilitation programme Control group: SHAM electroencephalographic neurofeedback + traditional reference rehabilitation programme
Eligibility
Inclusion Criteria:
- Unilateral ischaemic or haemorrhagic stroke
- Adult (18-80 years), both sexes
- Stroke < 3 weeks
- Upper limb deficit defined by Shoulder Abduction Finger Extension score <5 on day 3 of stroke; i.e., patients predicted to have incomplete recovery
- No participation-limiting comprehension problems
- With or without homonymous lateral hemianopia; with or without visuospatial hemineglect
- Free, informed and written consent signed by the patient or a member of the patient's family (in the case of a patient who is able to understand the information and give consent but has motor difficulties resulting in an invalid signature).
- Affiliated to french social security
Exclusion Criteria:
- Ischemic or hemorrhagic brain stem and/or cerebellum involvement
- Multiple strokes
- Stroke < 1 week; in order not to be deleterious by starting active rehabilitation too early after immediate stroke
- Aphasia with major comprehension impairment
- Contraindication to MRI
- pacemaker or implantable defibrillator,
- neurosurgical clips,
- cochlear implants,
- intra-orbital or encephalic metallic foreign bodies,
- stents placed less than 4 weeks ago and osteosynthesis devices placed less than 6 weeks ago,
- claustrophobia.