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StrokeMOTOLANG-AVCNCT05776368

Links Between Motor Abilities and Language Ability Deficits in Patients With Post-stroke Aphasia

A study testing Syntactic comprehension battery (BCS), Montreal Cognitive Assessment (MOCA) and Purdue Pegboard Test in people with Stroke and Aphasia, run by Hospices Civils de Lyon at 3 sites in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Aphasia is a language disorder that affects oral and written expression and/or comprehension. It's one of the most disabling consequence of stroke. Nowadays, aphasia rehabilitation is supported by speech therapists and is based on oral and written language, comprehension and expression. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Stroke, Aphasia
What is being tested?
Syntactic comprehension battery (BCS), Montreal Cognitive Assessment (MOCA) and Purdue Pegboard Test
Could I receive a placebo?
No, everyone receives an active treatment
How many people
360 participants
Where
3 sitesFrance
Study dates
26 May 2023to 26 Dec 2024
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • For all participants:
  • Adult male or female aged 18 years and over
  • Right-handed
  • Having signed an informed and written consent
  • Affiliated to a social security scheme
  • Have French as their first language
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  • For patients :
  • Left inferior frontal gyrus lesion following a stroke
  • Stroke more than 3 months old
  • Aphasia proven by a pathological score on the A-2 test of the Syntax Comprehension Battery (BCS)

Who cannot join

  • For all participants:
  • Cognitive abilities that prevent completion of the study tasks (assessed with the MOntreal Cognitive Assesment (MOCA))
  • Language skills impaired by other disorders (for example neurodegenerative disease)
  • Cognitive impairing treatments (for example psychotropic drugs)
  • Neurovisual disorder (hemineglect, unilateral spatial neglect)
  • Impairment of both upper limb abilities that prevent motor training (pathological score in the Purdue Pegboard Test and/or Box and Block Test).
Show all 10Show fewer
  • Recurrence of a stroke impacting the reorganisation of neural networks
  • Persons deprived of their liberty by a judicial or administrative decision Persons of legal age under a legal protection measure (guardianship, curatorship)
  • Pregnant women, women in labour or nursing mothers, confirmed by questioning the participant
  • Participation in another study at the same time as this one

Trial locations and contacts

3 sites in 1 country.

France3 sites, 3 recruiting
  • Equipe ImpAct CRNL

    Bron, 69500

    Claudio BROZZOLI, 04 72 95 34 10 ext. +33, claudio.brozzoli@inserm.fr

    Mallory AUGIER, mallory.augier@gmail.com

    Recruiting
  • Hôpital neurologique Pierre Wertheimer

    Bron, 69500

    Jacques LUAUTÉ, Pr, 04 78 86 51 87 ext. +33, jacques.luaute@chu-lyon.fr

    Jacques LUAUTÉ, Pr

    Recruiting
  • Hôpital Henry Gabrielle

    Saint-Genis-Laval, 69230

    Jacques LUAUTÉ, Pr, 04 78 86 51 87 ext. +33, jacques.luaute@chu-lyon.fr

    Jacques LUAUTÉ

    Recruiting

Other trials in France

About this study

Aphasia is a language disorder that affects oral and written expression and/or comprehension. It's one of the most disabling consequence of stroke. Nowadays, aphasia rehabilitation is supported by speech therapists and is based on oral and written language, comprehension and expression. However recent studies have shown links between language and motor function (especially tool use). Two domains that share neural substrates (Broca's area, basal ganglia) and that can influence each other.

The aim of this study is to show that a motor training with a tool (pliers) can improve short-term and long-term language abilities of aphasic patients who had a stroke at least 3 months ago.

Read more

The investigators hypothesis is that there is a learning transfer between tool use and language abilities in aphasic patients with an inferior frontal gyrus (IFG) lesion caused by a stroke, thanks to their shared neural resources.

Investigators aim to study long and short-time effects of this tool motor training with three experiments:

  • E1 will study short-term effects by estimating pre-post effect of a motor training on language abilities. Investigators will experiment different effectors: tool, hand, none (control group); on patients and healthy volunteers.
  • E2 will study long-term effects with multiple single-case experimental designs (SCED). Patients will undergo four weeks of on-off design.
  • E3 will study long-term effects by estimating the efficiency of an experimental sensorimotor protocol of four weeks, comparing a group of patients with the experimental sensorimotor protocol to a control group of patients
Conditions
Stroke, Aphasia
Being tested
Syntactic comprehension battery (BCS), Montreal Cognitive Assessment (MOCA), Purdue Pegboard Test, The Box and Block Test (BBT), Motor training with a tool
Keywords
stroke, aphasia, rehabilitation, tool use, Broca's area, basal ganglia, healthy volunteer, language and motor abilities
Medical subject headings
Stroke, Aphasia, Language

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Syntactic comprehension battery (BCS)Other

    The BCS is a battery for assessing syntactic skills. In this study, only one part of the BCS will be performed, namely task C2.

    It consists in assessing the ability to assign thematic roles. To do this, the participant selects the image corresponding to the sentence he/she hears on a board of 2 images.

    Task C2 consists of 50 tests of 2 images. A total score is given out of 50 points. The higher the score, the more successful the test.

  • Montreal Cognitive Assessment (MOCA)Other

    The MOCA is a short 30-question test that assesses several cognitive domains and allows for early detection of cognitive disorders. The MOCA test takes about 10-15 minutes to administer and consists of several sections, the first of which is an assessment of orientation in time and space. Then there are tasks that assess memory, concentration and reasoning ability, as well as language and visuospatial ability tasks.

    The MOCA score can range from 0 to 30 points, with a score of 26 points or more considered normal.

  • Purdue Pegboard TestOther

    The Purdue Pegboard Test is a test of fine motor skills and hand-eye coordination. The test consists of a perforated board with holes into which participants must insert pegs or counters.

    The assessment consists of four subtests, each repeated 3 times:

    • Right hand (30 seconds): The total number of pins placed in the right column with the right hand in 30 seconds.
    • Left hand (30 seconds): The total number of rods placed in the left column with the left hand in 30 seconds.
    • Two hands (30 seconds): The total number of pairs of rods placed in both columns using both hands simultaneously, in 30 seconds.
    • Assembly (60 seconds): The total number of rods, washers and clamps assembled in the allotted time, using both hands.
  • The Box and Block Test (BBT)Other

    The Box and Block Test (BBT) is a standardised test of manual dexterity used to assess motor function and hand-eye coordination in people of all ages.

    The subject must move, one by one, a maximum number of cubes from one compartment of the box to another of equal size for 60 seconds. He starts with the healthy upper limb or, if not, with the dominant side. A 15 second trial period is allowed at the beginning of each side.

  • Motor training with a toolOther

    The patient will do around 30 minutes of motor training with a tool (pliers). They have to put most pieces as possible in the board with the pliers. Patients hold the pliers with the right hand (dominant hand) or with the left one if not possible (motor disorder).

    For E1 Arm1 and E1 Arm 4: the participant will do the motor training with a tool one time in this study.

    For E3 Arm 1: the participant will do the motor training with a tool During 4 weeks (3 to 5 training sessions of 30 minutes)

  • Motor training with a handOther

    The patient will do around 30 minutes of motor training with the hand. They have to put most pieces as possible in the board with the right hand (dominant hand) or with the left one if not possible (motor disorder).

  • on/off effect of tool motor trainingOther

    During 4 weeks, patients switch between tool training weeks ("on") and control weeks ("off") during which they don't practice motor training.

    During "on" weeks they do 3 to 5 tool motor training sessions of 30 minutes. They use pliers with the right hand (dominant hand) or with the left one if not possible (motor disorder) and have to put most pieces as possible in the board.

    During "off" weeks they do 3 to 5 control sessions where they only do the two linguistic tasks separated between a 30-minutes break.

  • linguistic tasksOther

    The linguistic tasks consists in the presentation of correct sentences at the center of a computer screen. The sentence can be a coordinated one (" The policeman stopped the woman and asked the question "), or a subject relative (i.e., " The policeman who stopped the woman asked the question "), or an object relative (" The policeman who the woman stopped asked the question "). After the sentence an affirmation test is proposed of the kind " the policeman stopped the woman ", and the participant has to respond ads quick as possible whether it is true or false.

Study groups in NCT05776368
Study groupRoleWhat they receive
Sub-study E1, arm 1, patients and tool motor trainingExperimentalpatients undergo a 30 minutes tool motor training and two linguistic tasks (one before and one after).
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: Motor training with a tool; Other: linguistic tasks
Sub-study E1, arm 2, patients and hand motor trainingExperimentalpatients undergo a 30 minutes hand motor training and two linguistic tasks (one before and one after).
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: Motor training with a hand; Other: linguistic tasks
Sub-study E1, arm 3, patients and no motor training (control group)Experimentalpatients only undergo two linguistic tasks separated by a 30-minutes break (without motor activity (control group)).
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: linguistic tasks
Sub-study E1, arm 4, healthy volunteers and tool motor trainingExperimentalhealthy volunteers undergo a 30 minutes tool motor training and two linguistic tasks (one before and one after).
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: Motor training with a tool; Other: linguistic tasks
Sub-study E1, arm 5, healthy volunteers and hand motor trainingExperimentalhealthy volunteers undergo a 30 minutes hand motor training and two linguistic tasks (one before and one after).
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: Motor training with a hand; Other: linguistic tasks
Sub-study E1, arm 6, healthy volunteers and no motor training (control group)Experimentalhealthy volunteers only undergo two linguistic tasks separated by a 30-minutes break (without motor activity (control group)).
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: linguistic tasks
Sub-study E2, arm 1, single case designExperimentalpatients undergo 4 weeks of tool motor training according to an on/off design.
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: on/off effect of tool motor training; Other: linguistic tasks
Sub-study E3, arm 1, patients and 4 week experimental sensorimotor protocolExperimentalpatients undergo 4 weeks of tool motor training
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: Motor training with a tool; Other: linguistic tasks
Sub-study E3, arm 2, control group of patientsExperimentalaphasic patients receiving the standard treatment as a control group
Receives: Other: Syntactic comprehension battery (BCS); Other: Montreal Cognitive Assessment (MOCA); Other: Purdue Pegboard Test; Other: The Box and Block Test (BBT); Other: linguistic tasks

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. reaction time

    This is defined as the time necessary to give a correct answer to the affirmation test. It is calculated at each trial of the syntactic task as the time between the appearance of the affirmation test and the time when a correct answer is provided by the patient. The unit of measure is millisecond. An average is then calculated for each condition (i.e. for each sentence type), at each time point.

    Measured: 4 weeks following the inclusion

  2. sensitivity index

    The sensitivity index is a measure of the accuracy of response which also takes into account the false alarms. It gives a measure of how the patient can distinguish the signal (correct syntax) from noise (incorrect syntax). It is calculated as the difference between the standardized proportion of correct responses (answer " True " correct) and the standardized proportion of fall alarms (answer " True " incorrect). It is expressed in zed points.

    Measured: 4 weeks following the inclusion

Secondary outcomes (1)
  1. number of inserted pieces

    The evolution of motor performance is represented by the number of inserted pieces during the nine training blocks of two minutes each.

    Measured: 4 weeks following the inclusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Mar 2023
  2. Study start26 May 2023
  3. Primary completion26 Dec 2024 (estimated)
  4. Study completion26 Dec 2024 (estimated)

Resources

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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
360 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05776368
Sponsor's protocol ID
69HCL22_0472
Other IDs
2022-A01229-34
Acronym
MOTOLANG-AVC
Status last verified
May 2023
First submitted
8 Mar 2023
Last updated
1 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Syntactic comprehension battery (BCS), Montreal Cognitive Assessment (MOCA) and Purdue Pegboard Test in people with Stroke and Aphasia, run by Hospices Civils de Lyon at 3 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 10 inclusion and 10 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: status not confirmed, as of the sponsor's last update on 1 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Claudio BROZZOLI (04 72 95 34 10 ext. +33, claudio.brozzoli@inserm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

reaction time (time frame: 4 weeks following the inclusion). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Jun 2023.

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