StrokeERASMNCT02664636
Cortical Reorganization Models for Motor Areas and Inter-hemispheric Equilibrium Post-stroke: a Pilot Study
A study testing Physiotherapy, Occupational therapy and Functional near-infrared spectroscopy in people with Stroke, run by Centre Hospitalier Universitaire de Nīmes at 2 sites in France.
Trial summary
The main objective is to develop models for the cortical reorganization of motor areas and inter-hemispheric equilibrium in the early phase of post stroke recovery evaluated by the fNIRS technique from day 0 to day 60 (day 0 being the day of inclusion in the study) and to correlate the latter with the early phases of… Read more about this study
- Who is it for?
- Ages 20 to 75 years
- Conditions the study is for
- Stroke
- What is being tested?
- Physiotherapy, Occupational therapy and Functional near-infrared spectroscopy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 2 sitesFrance
- Study dates
- Feb 2016to 30 Aug 2016
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient has had a first ischemic or haemorrhagic supra-tentorial stroke within the 2 to 4 weeks preceding inclusion
Who cannot join
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
- The patient is pregnant, parturient, or breastfeeding
Show all 11Show fewer
- The patient presents with a severe cognitive disorder
- The patient has severe aphasia with a Boston Diagnostic Aphasia Examination (BDAE) scale score strictly less than 2
- The patient has heminegligence with a bells test > 6 on the left.
- The patient presents with limited amplitude in the paretic upper limb (shoulder abduction <60°, elbow flexion > 30° or dorsal wrist flexion <20°).
- Imbalanced/uncontrolled epilepsy
Trial locations and contacts
2 sites in 1 country.
France2 sites
CHRU de Nîmes - Hôpital Universitaire de Réadaptation du Grau du Roi
Le Grau-du-Roi, 30240
CHRU de Montpellier - Hôpital Lapeyronie
Montpellier, 34295
About this study
Official title: Pilot Study on the Development of Cortical Reorganization Models for Motor Areas and Inter-hemispheric Equilibrium in the Post-stroke Early Recovery Phase Evaluated by Functional Near-infrared Spectroscopy (fNIRS)
The main objective is to develop models for the cortical reorganization of motor areas and inter-hemispheric equilibrium in the early phase of post stroke recovery evaluated by the fNIRS technique from day 0 to day 60 (day 0 being the day of inclusion in the study) and to correlate the latter with the early phases of motor recovery over the same period, as measured by the test Fugl-Meyer.
Read the detailed description
The secondary objectives of this study are:
- To evaluate changes in functional outcomes (Box and Blocks Test and NineHolePeg Test from Day 0 to Day 60.
B- To evaluate changes in autonomy (Barthel Index) from Day 0 to Day 60.
- Conditions
- Stroke
- Being tested
- Physiotherapy, Occupational therapy, Functional near-infrared spectroscopy
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PhysiotherapyProcedure or surgery
Physiotherapy regimen (days 0 to 60): orthopedic maintenance, work on trunk balance, sensorimotor techniques for restoration of motor skills, exercises for standing balance and walking. Sessions last 30 to 60 minutes depending on the fatigue of the subject and the level of recovery. They occur as daily sessions during the first two weeks and then two sessions / day.
This is part of routine care.
Occupational therapyProcedure or surgery
Occupational Therapy (days 0 to 60): Orthopaedic maintenance, exercises for sitting and standing balance, sensorimotor techniques for the restoration of motor skills, grip exercises. Sessions last 30 to 60 minutes depending on the fatigue of the subject and the level of recovery. 1 session is performed per day.
This is part of routine care.
Functional near-infrared spectroscopyProcedure or surgery
Also called fNIRS
During the therapy protocol, cortical activation measures using the fNIRS method will be conducted every 15 days (at Day0, Day 15, Day 30, Day 45 and Day 60 for 5 sessions in total) at the technical platform of the Grau du Roi physical therapy centre, during the completion of a standardized motor task (maintaining a level of force) using the healthy upper limb and the paretic upper limb.
| Study group | Role | What they receive |
|---|---|---|
| The study population | Experimental | The study population consists of patients 20 and 75 years of age who have had a supra-tentorial ischemic or hemorrhagic stroke. The study covers consulting or hospitalized patients at the neurological rehabilitation service (NHS) of Grau du Roi Medical Center, part of the Nîmes University Hospital. Most patients originate from a 2-4 week stay in the neurological acute care, cardiac or polyvalent departments of the University Hospitals of Montpellier or Nîmes.
Intervention: Physiotherapy
Intervention: Occupational therapy
Intervention: Functional near-infrared spectroscopy Receives: Procedure: Physiotherapy; Procedure: Occupational therapy; Procedure: Functional near-infrared spectroscopy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Measured: Day 0
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Measured: Day 15
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Measured: Day 30
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Measured: Day 45
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Measured: Day 60
Near-infrared spectroscopy signal analysis: the amplitude peak
Measured: Day 0
Near-infrared spectroscopy signal analysis: the amplitude peak
Measured: Day 15
Near-infrared spectroscopy signal analysis: the amplitude peak
Measured: Day 30
Near-infrared spectroscopy signal analysis: the amplitude peak
Measured: Day 45
Near-infrared spectroscopy signal analysis: the amplitude peak
Measured: Day 60
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Measured: Day 0
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Measured: Day 15
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Measured: Day 30
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Measured: Day 45
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Measured: Day 60
Near-infrared spectroscopy signal analysis: the laterality index
Measured: Day 0
Near-infrared spectroscopy signal analysis: the laterality index
Measured: Day 15
Near-infrared spectroscopy signal analysis: the laterality index
Measured: Day 30
Near-infrared spectroscopy signal analysis: the laterality index
Measured: Day 45
Near-infrared spectroscopy signal analysis: the laterality index
Measured: Day 60
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 0
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 15
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 30
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 45
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 60
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Measured: Day 0
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Measured: Day 15
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Measured: Day 30
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Measured: Day 45
Voluntary force: average
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Measured: Day 60
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 0
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 15
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 30
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 45
Voluntary force: coefficient of variation
Voluntary force refers to the force applied during motricity tasks.
Measured: Day 60
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Measured: Day 0
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Measured: Day 15
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Measured: Day 30
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Measured: Day 45
Fugl-Meyer motricity score
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Measured: Day 60
Secondary outcomes (6)
The Box and Block test: The score is the number of blocks transferred in one minute.
Measured: Day 0
The Box and Block test: The score is the number of blocks transferred in one minute.
Measured: Day 60
The Nine Hole Peg Test: The score is the total time to complete the task.
Measured: Day 0
The Nine Hole Peg Test: The score is the total time to complete the task.
Measured: Day 60
The Barthell test for autonomy
Measured: Day 0
The Barthell test for autonomy
Measured: Day 60
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2016 (estimated)
- Study startFeb 2016
- Primary completion30 Aug 2016
- Study completion30 Aug 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for StrokeStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de NīmesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Jérôme Froger, MD, Principal investigator, Centre Hospitalier Universitaire de Nīmes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02664636
- Sponsor's protocol ID
- LOCAL/2015/JF-02
- Other IDs
- 2015-A01624-45
- Acronym
- ERASM
- Status last verified
- Aug 2016
- First submitted
- 19 Jan 2016
- Last updated
- 19 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Delorme M, Vergotte G, Perrey S, Froger J, Laffont I. Time course of sensorimotor cortex reorganization during upper extremity task accompanying motor recovery early after stroke: An fNIRS study. Restor Neurol Neurosci. 2019;37(3):207-218. doi: 10.3233/RNN-180877.
PubMed 31227675
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Pilot Study on the Development of Cortical Reorganization Models for Motor Areas and Inter-hemispheric Equilibrium in the Post-stroke Early Recovery Phase Evaluated by Functional Near-infrared Spectroscopy (fNIRS)
- ClinicalTrials.gov ID
- NCT02664636
- Acronym / sponsor ID
- ERASM / LOCAL/2015/JF-02
- Conditions
- Stroke
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- Feb 2016
- Primary completion
- 30 Aug 2016 (actual)
- Study completion
- 30 Aug 2016 (actual)
- First posted
- 27 Jan 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective is to develop models for the cortical reorganization of motor areas and inter-hemispheric equilibrium in the early phase of post stroke recovery evaluated by the fNIRS technique from day 0 to day 60 (day 0 being the day of inclusion in the study) and to correlate the latter with the early phases of motor recovery over the same period, as measured by the test Fugl-Meyer.
Detailed description
The secondary objectives of this study are:
- To evaluate changes in functional outcomes (Box and Blocks Test and NineHolePeg Test from Day 0 to Day 60.
B- To evaluate changes in autonomy (Barthel Index) from Day 0 to Day 60.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| The study population | Experimental | Procedure: Physiotherapy, Procedure: Occupational therapy, Procedure: Functional near-infrared spectroscopyThe study population consists of patients 20 and 75 years of age who have had a supra-tentorial ischemic or hemorrhagic stroke. The study covers consulting or hospitalized patients at the neurological rehabilitation service (NHS) of Grau du Roi Medical Center, part of the Nîmes University Hospital. Most patients originate from a 2-4 week stay in the neurological acute care, cardiac or polyvalent departments of the University Hospitals of Montpellier or Nîmes. Intervention: Physiotherapy Intervention: Occupational therapy Intervention: Functional near-infrared spectroscopy |
Who may qualify
- Ages
- 20 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- The patient has had a first ischemic or haemorrhagic supra-tentorial stroke within the 2 to 4 weeks preceding inclusion
Key exclusion criteria (11 listed)
- The patient is participating in another study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, under tutorship or curatorship
- The patient refuses to sign the consent
- It is impossible to correctly inform the patient
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PhysiotherapyPhysiotherapy regimen (days 0 to 60): orthopedic maintenance, work on trunk balance, sensorimotor techniques for restoration of motor skills, exercises for standing balance and walking. Sessions last 30 to 60 minutes depending on the fatigue of the subject and the level of recovery. They occur as daily sessions during the first two weeks and then two sessions / day. This is part of routine care. | Procedure or surgery | The study population |
| Occupational therapyOccupational Therapy (days 0 to 60): Orthopaedic maintenance, exercises for sitting and standing balance, sensorimotor techniques for the restoration of motor skills, grip exercises. Sessions last 30 to 60 minutes depending on the fatigue of the subject and the level of recovery. 1 session is performed per day. This is part of routine care. | Procedure or surgery | The study population |
| Functional near-infrared spectroscopyAlso: fNIRSDuring the therapy protocol, cortical activation measures using the fNIRS method will be conducted every 15 days (at Day0, Day 15, Day 30, Day 45 and Day 60 for 5 sessions in total) at the technical platform of the Grau du Roi physical therapy centre, during the completion of a standardized motor task (maintaining a level of force) using the healthy upper limb and the paretic upper limb. | Procedure or surgery | The study population |
Primary outcome
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation
Time frame: Day 60
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the amplitude peak
Time frame: Day 60
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the time required to reach the peak
Time frame: Day 60
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 0
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 15
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 30
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 45
Near-infrared spectroscopy signal analysis: the laterality index
Time frame: Day 60
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Time frame: Day 0
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Time frame: Day 15
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Time frame: Day 30
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Time frame: Day 45
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: the target error which measures the difference between the average of the force developed by the arm and target strength
Time frame: Day 60
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: average
Time frame: Day 0
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Voluntary force: average
Time frame: Day 15
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Voluntary force: average
Time frame: Day 30
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Voluntary force: average
Time frame: Day 45
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Voluntary force: average
Time frame: Day 60
Voluntary force refers to the force applied during motricity tasks. "Average" refers to the sum of measures weighted by the number of measures.
Voluntary force: coefficient of variation
Time frame: Day 0
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: coefficient of variation
Time frame: Day 15
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: coefficient of variation
Time frame: Day 30
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: coefficient of variation
Time frame: Day 45
Voluntary force refers to the force applied during motricity tasks.
Voluntary force: coefficient of variation
Time frame: Day 60
Voluntary force refers to the force applied during motricity tasks.
Fugl-Meyer motricity score
Time frame: Day 0
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Fugl-Meyer motricity score
Time frame: Day 15
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Fugl-Meyer motricity score
Time frame: Day 30
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Fugl-Meyer motricity score
Time frame: Day 45
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
Fugl-Meyer motricity score
Time frame: Day 60
The Fugl-Meyer motricity score includes evaluations of tone, strength and motor skills.
6 secondary outcomes
The Box and Block test: The score is the number of blocks transferred in one minute.
Time frame: Day 0
The Box and Block test: The score is the number of blocks transferred in one minute.
Time frame: Day 60
The Nine Hole Peg Test: The score is the total time to complete the task.
Time frame: Day 0
The Nine Hole Peg Test: The score is the total time to complete the task.
Time frame: Day 60
The Barthell test for autonomy
Time frame: Day 0
The Barthell test for autonomy
Time frame: Day 60
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2025.
- Results publication: PubMed 31227675Delorme M, Vergotte G, Perrey S, Froger J, Laffont I. Time course of sensorimotor cortex reorganization during upper extremity task accompanying motor recovery early after stroke: An fNIRS study. Restor Neurol Neurosci. 2019;37(3):207-218. doi: 10.3233/RNN-180877.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jérôme Froger, MD principal investigator
Centre Hospitalier Universitaire de Nīmes
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Physiotherapy, Occupational therapy and Functional near-infrared spectroscopy in people with Stroke, run by Centre Hospitalier Universitaire de Nīmes at 2 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Near-infrared spectroscopy signal analysis: the average amplitude of cortical activation (time frame: Day 0). The study lists 40 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02664636, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2025.