Overview
To determine whether Spatially Distributed Sequential Functional Electrical Stimulation is more effective than Standard Electrical Stimulation During Functional Electrical Stimulation in Upper Motor Neuron Patients
Description
Design: SCED (single case experimental design) prospective, monocentric, comparative interventional study (SDSS versus SES) Population: patients with motor deficit due to upper motor neuron syndrome Setting: Neurologic Rehabilitation Unit Interventions: 3 FES cycling sessions separated by 48h of rest. Each session is comprised of 2 phases separated by 20 minutes of rest. Each phase is comprised of a 3 minutes passive cycling warm-up, followed by 3 minutes of electrically stimulated cycling.
Participants will be evaluated before and during the training.
Eligibility
Inclusion Criteria:
Patients with Upper Motor Neuron syndrome:
- adult (> 18 years)
- motor deficit due to an acquired traumatic or neurodegenerative motor deficiency of the central nervous system (MRC<4/5)
- stable clinical condition, particularly on the cardiovascular level (recent assessment by a cardiologist with stress test)
- non denervated muscles
- tolerant to muscle electrical stimulation
- having given written consent
- able to cycle 30 minutes with FES-cycling
Exclusion Criteria:
- major cognitive comprehension disorders that could compromise understanding of the protocol and the smooth running of the study
- cardiac pacemaker and other contraindications relating to the use of electrostimulation (in particularly "deep vein thrombosis")
- spasticity of the lower limbs making flexion/extension movement difficult
- participation in another study
- pregnancy
- people with the following legal and administrative states or situations:
- people placed under judicial protection;
- persons deprived of their liberty, persons subject to psychiatric care and persons admitted to a health or social establishment for purposes other than that of clinical investigation;
- unemancipated minors;
- people who are not affiliated to a social security scheme or beneficiaries of such a scheme