The Relationship of Trunk Control With Lower Extremity Sense, Balance and Gait in Stroke

NCT05244850 | Completed

• 1 other identifier: ipekkkkirmaci
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebrovascular accident is the third leading cause of death in developed countries after heart disease and cancer. In adults, it ranks first among neurological diseases in terms of causing death and disability. About one-third of stroke patients experience permanent physical dysfunction. This situation has a negative impact on the economic, social, psychological life and general quality of life of the patient and his family. Stroke is one of the leading causes of long-term disability in adults due to problems such as activity limitations and participation restrictions caused by disorders in body functions. Movement disorder is one of the most common symptoms of stroke, and people with stroke often have trouble falling while walking after they are discharged from the hospital. Therefore, one of the main goals of stroke rehabilitation is to regain independent mobility with a safe and stable gait pattern. In addition to all these, one of the problems faced by most stroke patients is sensory-perception disorders. Sensory impairment can be experienced as the inability to perceive the senses or the inability to distinguish the senses. It should be considered that sensory awareness decreases as more than one sensory impulse competes with each other at the same time, and this situation should not be ignored during the evaluation. Although motor movement is governed by the normal motor field, the adjustment of our position in space is entirely the task of the sensory field. It is not possible to initiate and coordinate movement without sensory control. Since environmental change cannot be perceived during movement, it is not possible to provide environmental adaptation.

Conditions

Stroke

Keywords

trunk control; balance; Lower extremity sense

Outcome Measures

Primary Outcomes (4)

• Trunk Impairment Scale

  The Trunk Impairment Scale consists of 3 subscales: static sitting balance (3 items), dynamic sitting balance (10 items) and coordination (4 items). The maximum score of the owner is 7, 10 and 6 points respectively. The Total Trunk Impairment Scale score ranges from 0 to 23, with higher scores indicating better trunk control.

  At baseline

• Tinetti Balance and Gait Test

  It consists of two parts, walking and balance. Consisting of 16 questions in total, the scale consists of 9 questions in which balance is evaluated first, followed by 7 questions in which gait is evaluated. The total score obtained by the evaluated participant from the first 9 questions constitutes the balance score, and the total score obtained from the following 7 questions constitutes the walking score. 2 points means that the requested task was done correctly, 1 point means that the task was done with adaptations, and 0 points means that the desired task could not be done. A total test score of 18 or less indicates a high fall risk, a moderate fall risk of 19-24 points, and a low-level fall risk with a score above 24.

  At baseline

• Ten Meter Walking Test

  During the test, the patient walks at a normal walking pace for a distance of 10 meters and the time is recorded.

  At baseline

• Fugl Mayer Assesment of Sensorimotor Function

  The sensory subscale of FMA (FMA-S) consists of 12 sub-parameters; 4 items are for light touch and 8 items are for proprioception sense. Scoring is between 0-24 points. The light touch sensation is subjectively tested. Joint position is tested on the thumb, wrist, elbow, and interphalangeal joint of the glenohumeral joint. Position sense of the lower extremities is tested on the toe, ankle, knee and hip joint.

  At baseline

Secondary Outcomes (1)

• Turkish version of Postural Assessment Scale for Stroke Patients (PASS-T)

  At baseline

Study Arms (1)

One group

Stroke patients

Other: Test

Interventions

Test OTHER

Measurements

One group

Eligibility Criteria

• Age: 30 Years - 85 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Stroke Patients

You may qualify if:

• Able to walk 10 m without physical assistance,
• Lower extremity functions are in stages 2-6 according to Brunnstrom motor recovery stages,
• At least 3 days and at most 24 months have passed since the stroke,
• Stroke individuals with a score of 7 or higher on the Hodkinson Mental score

You may not qualify if:

• Having neurological and orthopedic problems that may affect walking other than stroke,
• Having a history of cardiovascular and rheumatological diseases that prevent daily activities,
• Lesion or fracture in the lower extremity,
• Lower extremity spasticity 4 according to the modified Ashworth Scale,
• Individuals with aphasia and communication disorders

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

Study Sites (1)

Kahramanmaraş Sutcu Imam University

Kahramanmaraş, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Zekiye İpek Katırcı Kırmacı

  Kahramanmaras Sutcu Imam University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst. Prof.

Study Record Dates

• First Submitted: February 8, 2022
• First Posted: February 17, 2022
• Study Start: January 15, 2021
• Primary Completion: June 1, 2021
• Study Completion: June 15, 2021
• Last Updated: February 17, 2022

Record last verified: 2022-02

Locations

TU (1)