Comparison of Face-to-face, Synchronous and Asynchronous Use of Methods Tele-Assessment

NCT05263063 | Completed

• 1 other identifier: strokeandteleassesment
• Study Type: observational
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to examine the reliability and validity of the synchronous and asynchronous application of Berg Balance Scale and Tinetti Balance Test in stroke patients.

Conditions

Stroke Patients

Keywords

Stroke; Balance; Synchronous tele-assessment; Asynchronous tele-assessment

Outcome Measures

Primary Outcomes (1)

• Berg Balance Scale

  Berg balance scale is a 14-item scale that evaluates the tasks frequently used in daily living activities. Standing without sitting, sitting without support, standing without support, sitting standing, transfers, standing with eyes closed, standing with legs together, reaching forward while standing, picking up objects from the ground, looking back from both sides, turning 360 degrees, stepping alternately It includes functions such as picking up, standing with one foot forward and standing on one foot. Each item is scored between 0-4; 0 indicates that the individual could not fulfill the task, and 4 indicates that he was successful in the task. The total score of the test is between 0-56. 0-20 points: wheelchair dependent, 21-40: assisted walking, 41-56: independent ambulation

  15 minutes

Secondary Outcomes (4)

• Tinetti Balance Scale

  10 minutes

• Foot Pressure Distribution and Postural Oscillations

  5 minutes

• Stroke Rehabilitation Assessment of Movement Scale

  10 minutes

• Modified Ashworth Scale

  5 minutes

Interventions

Comparison of Face-to-face, Synchronous and Asynchronous Use of Methods Used for Balance Assessment in Individuals With Chronic Stroke OTHER

On the first day, information about the patient and the disease, filling in the patient data form and face-to-face evaluation will be made face to face with the patients. The next day, one of the synchronous and asynchronous tele-evaluation methods will be applied. Face-to-face interview and face-to-face evaluation will be made by the first physiotherapist in a clinical setting. The synchronous tele-assessment will be evaluated online in real time by the second physiotherapist. For asynchronous tele-assessment, a reference evaluation video will be sent to the patients. Relatives of the patients will be asked to watch this video, make the evaluation and take a video recording at the same time. Then, these video recordings will be evaluated separately by the first and second physiotherapists and the results will be compared. Each assessment will take approximately 30 minutes.

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 stroke patients to be included in the study will be selected from among the stroke individuals who applied to Hacettepe University, Faculty of Physical Therapy and Rehabilitation for routine physiotherapy and rehabilitation practices, and those who were eligible according to the inclusion and exclusion criteria and agreed to participate in the study by signing their consent forms.

You may qualify if:

• have been diagnosed with stroke,
• aged 18 and over,
• literate,
• stroke caused by anterior circulation,
• computer, phone and tablet etc. Having experience in the use of technological devices and experienced caregivers in this regard,
• at least Stage 3 in the lower extremities according to Brunnstrom Recovery Stages,
• A score of 24 and above in the Mini Mental State Test

You may not qualify if:

• vestibular lesion/dysfunction,
• auditory and visual lesion/dysfunction,
• accompanying neurological disorders (Multiple sclerosis, Parkinson, Ataxia, dystonia, dyskinesia, etc.)
• psychiatric disorders
• patients with aphasia to a degree that causes communication problems will not be included.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University Faculty of Physical Therapy and Rehabilitation

Ankara, 06100, Turkey (Türkiye)

Location

Related Publications (1)

• Onal B, Kose N, Onal SN, Zengin HY. Validity and Reliability of the Berg Balance Scale in Different Tele-Assessment Methods in Patients With Stroke. J Eval Clin Pract. 2025 Jun;31(4):e70141. doi: 10.1111/jep.70141.

  PMID: 40492944 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Birol Önal

  Hacettepe Univeristy Faculty of Physical Therapy and Rehabilitation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 3 Days
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: February 21, 2022
• First Posted: March 2, 2022
• Study Start: June 28, 2022
• Primary Completion: April 28, 2023
• Study Completion: August 16, 2023
• Last Updated: September 15, 2023

Record last verified: 2023-09

Locations

TU (1)