Segmental Exclusion of the Upper Limb and Peri-personal Space

NCT04778111 | Completed

• 1 other identifier: IRR-CLP-2021-3
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study is based on previous studies on the search of the limit of the peri-personal space. In a previous study, Gouzien et al. (2017) evaluated the peri-personal space of action of patients with upper limb amputations and sought a link between this space and the level of integration of their myoelectric prosthesis. We have decided to implement part of this protocol to evaluate the peri-personal space for another population with upper limb patholog: segmental exclusion of the upper limb. Exclusion is a phenomenon that is very little studied but known to orthopedic surgeons and physical medicine and rehabilitation physicians. It is characterized by the non-use or underuse of a limb segment in the absence of central nervous system involvement. This phenomenon is compared to peripheral neglect. Most of the time, the patient is unaware of his disorder "he forgets his finger without realizing it", but this phenomenon can be reversible under verbal exhortation from a third party. The aim of this study is to observe if there is a change in peri-personal space in patients with unilateral segmental exclusion.

Conditions

Patients With Musculoskeletal Disorders of the Upper Limb With Symptoms of Exclusion

Outcome Measures

Primary Outcomes (1)

• Delta-MRD

  Difference (in cm or in % of error) between actual maximum reachable distance and perceived maximum reachable distance

  During one evaluation session

Study Arms (2)

Patients with exclusion

Other: Measurement of the actual and perceived maximum reachable distance

Control

Other: Measurement of the actual and perceived maximum reachable distance

Interventions

Measurement of the actual and perceived maximum reachable distance OTHER

A device (a table) will present luminous targets (green circles) to the subjects. Subjects will be asked to determine whether or not they are able to reach this target with their upper limb.

Control; Patients with exclusion

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The patients included in this study are patients with upper extremity musculoskeletal disorders of traumatic origin. To these disorders is added a segmental exclusion syndrome, which is defined as the under-use or non-use of part of the upper limb.

You may qualify if:

• Adult (age greater than or equal to 18 years old).
• Person with no contraindication to hard work in activities of daily living due to the lesions.
• Person who has given informed consent.

You may not qualify if:

• Person under 18 years of age.
• Person with visual impairment
• A person with a central neurological pathology.
• A person with cognitive impairment related to a brain injury, psychiatric illness or intellectual disability.
• A person who has difficulty understanding instructions.
• A person of full age who is subject to a legal protection measure or who is unable to give consent.

Sponsors & Collaborators

• Union de Gestion des Etablissements des Caisses d'Assurance Maladie - Nord Est: lead

Study Sites (1)

Institut Régional de Médecine Physique et de Réadaptation

Nancy, 54000, France

Location

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 26, 2021
• First Posted: March 2, 2021
• Study Start: May 2, 2021
• Primary Completion: December 2, 2021
• Study Completion: December 31, 2021
• Last Updated: January 18, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)