Cosne Cours Sur Loire

Hemiparesis, a common motor disorder following a stroke, often results in patients not regaining functional use of their affected upper limb. This research aims to evaluate whether using mirror therapy through an Intensive Visual Simulation IVS device can improve motor function and abilities of the distal upper limb in patients with moderate to severe hemiparesis during the subacute phase, between 4 and 10 weeks after stroke. The study compares this approach to conventional rehabilitation care in a randomized controlled trial. Participants will receive treatment over 6 weeks with at least 4 sessions per week. One group will undergo conventional occupational therapy involving passive stretching, assisted active movements, and gripping tasks adapted to their abilities. The other group will receive a combination of 45 minutes of conventional therapy and 15 minutes using the IVS3 device, which projects the mirrored image of the unaffected limb to create the illusion of movement in the affected arm. The IVS3 device is designed to make mirror therapy immersive and ergonomic, supporting intensive movement repetition. During the 18-week participation, patients will be assessed at the start, end of the 6-week program, and 12 weeks later. Evaluations include motor performance using the Fugl-Meyer wristhand sub-score, motor capacity scales, spasticity measures, and stroke impact questionnaires. The study monitors patient comfort, adherence to therapy, and any potential discomfort in early device use. The research aims to understand if substituting part of routine care with IVS improves distal motor control compared to standard rehabilitation.