Kinesiophobia and Balance in Stroke Patients

NCT07241429 | Recruiting

• 1 other identifier: IstPRMTRH-EK4
• Study Type: observational
• Target: 138
• Locations: 1 country
• Sites: 1

Brief Summary

This is a cross-sectional clinical study planned to include 138 stroke patients receiving inpatient treatment at the Istanbul Physical Therapy and Rehabilitation Training and Research Hospital.Data on kinesiophobia (Tampa Kinesiophobia Scale-17) , balance performance (Berg Balance Scale) , balance confidence (Activities-specific Balance Confidence Scale-6) , fear of falling (Falls Efficacy Scale) , pain (VAS) , and mood (HADS) will be collected. Clinical and demographic data, including Brunnstrom stages and Barthel Index, will also be recorded. The relationships between these variables will be analyzed statistically.

Conditions

Stroke

Keywords

Kinesiophobia; Postural Balance; Fear of Falling; Stroke

Outcome Measures

Primary Outcomes (1)

• Assessment of Kinesiophobia using the Tampa Kinesiophobia Scale-17

  The Tampa Kinesiophobia Scale-17 (TKS-17) is a 17-item scale assessing fear of movement. It uses a 4-point Likert scale (1=Strongly disagree to 4=Strongly agree). Items 4, 8, 12, and 16 are reverse-scored. The total score ranges from 17 (minimum) to 68 (maximum). A higher score indicates a higher degree of kinesiophobia.

  at baseline assessment

Secondary Outcomes (4)

• Berg Balance Scale Score

  at baseline assessment

• Falls Efficacy Scale Score

  at baseline assessment

• Hospital Anxiety and Depression Scale Score

  at baseline assessment

• Barthel Index Score

  at baseline assessment

Study Arms (1)

Inpatient Stroke Survivors

This observational group consists of 138 participants with a history of stroke (ischemic or hemorrhagic) who are receiving inpatient treatment at the Istanbul Physical Therapy and Rehabilitation Training and Research Hospital.

Other: Survey using a questionnaire.

Interventions

Survey using a questionnaire. OTHER

All participants in this single cohort will undergo a one-time, cross-sectional assessment. This assessment includes the collection of clinical and demographic data and the administration of scales for kinesiophobia (Tampa Kinesiophobia Scale-17), balance performance (Berg Balance Scale), balance confidence (ABC-6), fear of falling (Falls Efficacy Scale), pain (VAS), and mood (HADS). No intervention is administered.

Inpatient Stroke Survivors

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The source population for this cross-sectional study is the adult patient population with a diagnosis of Stroke who are receiving inpatient physical medicine and rehabilitation services in a public training and research hospital setting in Turkey. Specifically, participants will be recruited from the İstanbul Physical Therapy and Rehabilitation Training and Research Hospital inpatient clinic. This setting provides access to a consecutive sample of individuals with varying degrees of functional deficits who are undergoing an organized rehabilitation program.

You may qualify if:

• Voluntary participation in the study
• Male and female patients aged 18-80
• History of ischemic or hemorrhagic stroke
• Functional Ambulation Scale level 3 or higher
• Standardized mini mental test ≥ 24
• Individuals who agree to participate in the study.

You may not qualify if:

• History of musculoskeletal surgery within the last year
• Trauma, fracture, dislocation, or tumor within the last year
• Vestibular system disorder
• Additional neurological disease that may affect balance (Parkinson's Disease, Multiple Sclerosis, vestibular system disorder)
• Other rheumatological or psychiatric diseases
• Chronic decompensated cardiac, renal, or hepatic failure

Sponsors & Collaborators

• Istanbul Physical Medicine Rehabilitation Training and Research Hospital: lead

Study Sites (1)

İstanbul Physical Therapy and Rehabilitation Training and Research Hospital

Istanbul, 34186, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Pin TW, Winser SJ, Chan WLS, Chau B, Ng S, Wong T, Mak M, Pang M. Association between fear of falling and falls following acute and chronic stroke: a systematic review with meta-analysis. J Rehabil Med. 2024 Jan 16;56:jrm18650. doi: 10.2340/jrm.v56.18650.

  PMID: 38226564 RESULT

• Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011 May 14;377(9778):1693-702. doi: 10.1016/S0140-6736(11)60325-5.

  PMID: 21571152 RESULT

• Batchelor FA, Mackintosh SF, Said CM, Hill KD. Falls after stroke. Int J Stroke. 2012 Aug;7(6):482-90. doi: 10.1111/j.1747-4949.2012.00796.x. Epub 2012 Apr 12.

  PMID: 22494388 RESULT

MeSH Terms

Conditions

Stroke; Kinesiophobia

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Phobic Disorders; Anxiety Disorders; Mental Disorders

Central Study Contacts

Eser Kalaoğlu, M.D.

CONTACT

+90 (212) 496 50 00; eserkalaoglu@hotmail.com

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 17, 2025
• First Posted: November 21, 2025
• Study Start: November 15, 2025
• Primary Completion: December 15, 2025
• Study Completion: December 31, 2025
• Last Updated: November 28, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Beginning 6 months and ending 1 year following article publication.
• Access Criteria: Qualified researchers who present a methodologically robust proposal aimed at fulfilling the objectives of the approved project.

Locations

TU (1)