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

Last updated: May 31, 2023
Sponsor: Hospices Civils de Lyon
Overall Status: Active - Recruiting

Phase

N/A

Condition

Stroke

Communication Disorders

Speech Disorders

Treatment

Purdue Pegboard Test

Motor training with a hand

Syntactic comprehension battery (BCS)

Clinical Study ID

NCT05776368
69HCL22_0472
2022-A01229-34
  • Ages > 18
  • All Genders
  • Accepts Healthy Volunteers

Study 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. 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.

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

Eligibility Criteria

Inclusion

Inclusion Criteria: 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 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 ComprehensionBattery (BCS)

Exclusion

Exclusion Criteria: For all participants:

  • Cognitive abilities that prevent completion of the study tasks (assessed with theMOntreal 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 (pathologicalscore in the Purdue Pegboard Test and/or Box and Block Test).
  • Recurrence of a stroke impacting the reorganisation of neural networks
  • Persons deprived of their liberty by a judicial or administrative decision Persons oflegal age under a legal protection measure (guardianship, curatorship)
  • Pregnant women, women in labour or nursing mothers, confirmed by questioning theparticipant
  • Participation in another study at the same time as this one

Study Design

Total Participants: 360
Treatment Group(s): 8
Primary Treatment: Purdue Pegboard Test
Phase:
Study Start date:
May 26, 2023
Estimated Completion Date:
December 26, 2024

Connect with a study center

  • Hôpital neurologique Pierre Wertheimer

    Bron, 69500
    France

    Active - Recruiting

  • Equipe ImpAct CRNL

    Bron Cedex, 69500
    France

    Active - Recruiting

  • Hôpital Henry Gabrielle

    Saint-Genis-Laval, 69230
    France

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.