The Validity and Reliability of an Improved Paper Grasping Test for Stroke

NCT07181005 | Completed

• 1 other identifier: hakanpolat5
• Study Type: observational
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The study included volunteer patients diagnosed with stroke who applied to the Neurology Outpatient Clinic at SANKO University Sani Konukoğlu Application and Research Hospital. Patients who met the inclusion criteria were evaluated by Dr Hakan Polat and Physiotherapist Fatma Yılmaz in the application laboratory of the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, SANKO University. The assessment form prepared by the researchers will be completed face-to-face with the patients. First, the individuals' demographic information and disease information (how many years ago they were diagnosed with stroke, affected side, affected limb, etc.) will be recorded. The mini best test will be used to assess balance and gait. The muscle strength of the plantar flexor muscle groups in the ankle will be assessed using a manual muscle testing device. As fall problems in patients may be related to balance problems, lower limb muscle weakness, particularly in the ankle, and reduced quality of life, these parameters will also be evaluated. Therefore, in our study, while examining the validity and reliability of the modified paper grip test in individuals with stroke, its correlation with these parameters will also be examined. Before the tests are administered, the individuals will be given a practical explanation of how the tests are performed. The individuals will be allowed to rest before the assessments. In the tests, the paper grip test will first be administered by Dr Hakan Polat, followed by the mini best test, the assessment of the strength of the ankle plantar and dorsiflexor muscles. One week after the applications, only the paper grip test will be re-administered by Fzt. Fatma Yılmaz in the same environment. The individuals in this study will be assessed in the same environment in both sessions. In this way, the effect of environmental factors on the patients' performance will be minimised.

Conditions

Stroke; Balance; Validity and Safety

Keywords

stroke; balance; validity and safety

Outcome Measures

Primary Outcomes (3)

• Modified Mini Best Test

  This is one of the clinical tests used to assess walking and balance. It consists of four sub-parameters: preparatory movement, reactive postural control, sensory orientation, and dynamic walking, comprising a total of 14 items. It is a test scored out of a total of 28 points, taking an average of 10-15 minutes to complete. A high score indicates high function.

  1 years

• Manual muscle testing device

  muscle strength (right foot dorsiflexion, left foot dorsiflexion, right foot plantar flexion, left foot plantar flexion) will be measured using the Commander Echo brand manual muscle testing device. The participant will be a

  1 years

• Enhanced Paper Grasping Test

  During measurement, participants will sit in a calm environment on a chair without armrests, with their feet and knees at a 90-degree angle, and their upper limbs comfortably placed alongside their torso. This test involves

  1 years

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients admitted to the Neurology Outpatient Clinic of SANKO University Sani Konukoğlu Application and Research Hospital with a diagnosis of stroke

You may qualify if:

• Participants aged 18-65 with a diagnosis of ischaemic or haemorrhagic stroke
• Voluntarily participating in the study

You may not qualify if:

• Pregnant or within the first 3 months after giving birth
• Anyone who has taken any medication that affects their ability to walk or who has suffered an orthopaedic injury within the last month

Sponsors & Collaborators

• Sanko University: lead

Study Sites (1)

Sanko Unıversıty

Gaziantep, Gaziantep, 27090, Turkey (Türkiye)

Location

Related Publications (1)

• Polat H, Yilmaz F, Katirci Kirmaci ZI, Bagci B, Ekmekyapar Firat Y. Validity and reliability of the enhanced paper grip test in patients post-stroke. Top Stroke Rehabil. 2026 Mar 28:1-12. doi: 10.1080/10749357.2026.2651790. Online ahead of print.

  PMID: 41903154 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapy and Rehabilitation Department, Assistant Professor

Study Record Dates

• First Submitted: September 12, 2025
• First Posted: September 18, 2025
• Study Start: February 25, 2025
• Primary Completion: July 30, 2025
• Study Completion: September 10, 2025
• Last Updated: March 17, 2026

Record last verified: 2026-03

Locations

TU (1)