Validity and Reliability of Modified Box and Block Test and Targeted Box and Block Test in Patients With Stroke

The aim of our study is investigated validity and reliabilty of Modified Box and Block Test and Targeted Box and Block Test in patients with stroke.

Study Overview

• Status: Completed
• Conditions: Stroke

Detailed Description

Fifty patients with stroke will included in the study. Box and Block Test, Modified Box and Block Test, Targeted Box and Block Test, 9 Hole Peg Test, Fugl-Meyer Assessment of the upper extremity will used to assess upper extremity. To evaluate validity between Modified and Targeted Box and Block Tests and Box and Block Test, 9 Hole Peg Test, Fugl-Meyer Assessment will used to correlation analysis tests. The investigator will evaluate after one week to test-retest reliability to patients. Other pyhsiotherapist will evaluate to patients inter-rater reliability.

• Study Type: Observational
• Enrollment (Actual): 50

Contacts and Locations

Study Locations

• Turkey
  • Kütahya, Turkey, 43100
    • Kütahya Health Sciences University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients with stroke

Description

Inclusion Criteria:

• Diagnosed with stroke and in the chronic phase (having been diagnosed with stroke at least 6 months ago),
• Over 18 years old,
• Mini Mental Test score ≥ 24 points,
• Able to grasp and release a 2.5 cm cube on both upper extremities,
• Brunnstrom Upper Extremity Staging ≥ 3
• Modified Ashworth Scale ≤ 2,
• Able to sit independently in a chair for 2 minutes

Exclusion Criteria:

• Having a neurological disease other than stroke
• Have had surgery in the last 6 months
• Severely affected upper extremity
• Uncooperative with physiotherapist
• Patients with neglect, aphasia and hemianopsia

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Modified Box and Block Test	The Modified Box and Block (mBBT) test is an upper extremity performance test.Unlike BBT, in mBBT, instead of randomly picking the cubes, 16 cubes are arranged in a certain order. The cubes are asked to take the other cubes in that row, starting from the innermost left cube, first to the right, and then to the next upper row. It is recorded how many seconds passed through 16 cubes placed at a certain level.	10 minute
Targeted Box and Block Test	In tBBT, as in mBBT, the time of passing 16 cubes over the obstacle to the other side is recorded. However, the difference from mKBT is that 16 cubes are placed at a certain level, but the patients are asked to place the cubes on the other side in 4 cm squares where the cube will be placed. These squares correspond to the left symmetrical position of the cube on the right. In this way, patients have to place the cube they grasp only at the desired point.	10 minute

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
9 Hole Peg Test	9HPT is a dexterity test.The patient is asked to place the 9 wooden blocks into the 9 holes in the maximum amount of time.Then he is asked to take it out and put it back in its place. The total time is recorded.	10 minute
Fugl-Meyer Assessment for Upper Extremity	The Fugl-Meyer Assessment is a disease-specific impairment index designed to assess motor function, balance, sensation qualities and joint function in hemiplegic post-stroke patients.The scale consists of four categories (Shoulder/Elbow/Forearm, Wrist, Hand/Finger, and Coordination) and evaluates 23 different movements in 33 sections.The maximum score is 66 points	15 minutes
Box and Block Test	Box and Block (mBBT) test is an upper extremity performance test. The patient is instructed to move as many blocks as possible, one at a time, from one compartment to the other for a period of 60 seconds. The number of cubes passed to the other side in 60 seconds is recorded.	5 minute

Collaborators and Investigators

• Sponsor: Kutahya Health Sciences University
• Investigators: Principal Investigator: Fatıma YAMAN, MD, Kütahya Health Sciences University

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2021
• Primary Completion (Actual): October 1, 2022
• Study Completion (Actual): October 1, 2022

Study Registration Dates

• First Submitted: January 19, 2022
• First Submitted That Met QC Criteria: January 19, 2022
• First Posted (Actual): January 31, 2022

Study Record Updates

• Last Update Posted (Estimate): January 13, 2023
• Last Update Submitted That Met QC Criteria: January 11, 2023
• Last Verified: January 1, 2023

More Information

Terms related to this study

• Keywords: Validity; Reliability; Upper Extremity; Modified Box and Block Test; Targeted Box and Block Test
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: KutahyaHSU3

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No