The Relationship Between Lower Limb Functionality, Foot Joint Position Sensation and Balance in Haemiplegic Patients

Stroke is defined as a neurological disorder resulting from acute focal damage to the central nervous system caused by vascular factors, which may include cerebral infarction, intracerebral haemorrhage and subarachnoid haemorrhage. Postural balance is a critical factor affecting walking and gait performance in the community after stroke. Gait disorders contribute significantly to functional disability in individuals after stroke. These impairments encompass a variety of changes, including muscle weakness in the affected lower limb, resulting in reduced weight bearing on that limb. This results in a slower and less safe gait. Given the impact on gait, functional mobility is also compromised, including daily activities such as sitting, standing, walking, turning and climbing or descending stairs. Proprioception is impaired in a large percentage of individuals following stroke. The presence of proprioception deficits has been identified as an important determinant of unfavourable functional outcomes after stroke, especially in terms of achieving independence in basic activities of daily living and length of hospital stay. In the literature, there are no studies investigating the relationship between ankle position sense and lower extremity functionality with balance and falls using Humac Norm Isokinetic Machine and Tecno Body Prokin Isokinetic Balance System simultaneously.

Study Overview

• Status: Completed
• Conditions: Being Between 40-80 Years Old; Being Diagnosed With Haemiplegia; Getting 20 Points or More in the Mini Mental Test; Volunteering to Participate in the Study; Level 2 or Above According to Functional Ambulation Classification
• Intervention / Treatment: Other: Humac Norm İsokinetic Machine

• Study Type: Observational
• Enrollment (Actual): 60

Contacts and Locations

Study Locations

• Turkey
  • Bolu, Turkey
    • Izzet Baysal Physical Therapy and Rehabilitation Education and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

Individuals with haemiplegia after stroke

Description

Inclusion Criteria:

• Individuals aged 40-80 years
• Volunteering to participate in the study

Exclusion Criteria:

• Being diagnosed with vertigo
• Having a history of serious neurological diseases such as Parkinson's disease, multiple sclerosis except hemiplegia
• Having a previous operation for the lower limb
• Poor co-operation

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tecno Body Prokin Isokinetic Balance System	It expresses the equilibrium rate and the probability of falling.	First Day
CSMI (CYBEX) Humac Norm Isokinetic Test and Exercise System	Measures ankle joint position sensation.	First day
Berg Balance Scale	It was developed for the evaluation of postural dominance.	First day
Fugl-Meyer Assessment of the lower extremity	Is used for the assessment of motor function after stroke. The total possible score for the lower limb is 34. The higher the score, the better the performance.	First day
Tinetti Fall Activity Scale	It measures how confident the individual is in performing some activities of daily living such as reaching shelves, walking around the house, dressing and undressing, and personal care without falling. There is a rating between 1-10. Each question is defined as 1 (very confident), 10 (not confident at all). If the total score is >70, there is fear of falling.	First day
Time Up Go Test	The purpose of the test is to provide an approach to observing gait. The patient is observed and timed while getting up from the chair, walking 3 metres, turning, walking back and sitting again.	First day
Mini Mental Test	The MMSE (Mini-Mental State Examination) is a 30-question assessment tool commonly used by health professionals to assess cognitive functioning, including elements such as thinking, communication, comprehension and memory, to detect potential disorders.	First day
Romberg Test	The Romberg sign is a potential indicator of a neurological disorder linked to proprioception, impairing the visual and vestibular elements that are crucial for maintaining balance.	First day

Collaborators and Investigators

• Sponsor: Karabuk University
• Collaborators: Bolu Izzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital
• Investigators: Study Director: Adnan Demirel, Izzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2023
• Primary Completion (Actual): January 1, 2024
• Study Completion (Actual): February 1, 2024

Study Registration Dates

• First Submitted: September 5, 2023
• First Submitted That Met QC Criteria: September 12, 2023
• First Posted (Actual): September 21, 2023

Study Record Updates

• Last Update Posted (Actual): April 2, 2024
• Last Update Submitted That Met QC Criteria: March 31, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Keywords: Balance; Stroke; Proprioception; Ankle joint; Lower limb functionality
• Other Study ID Numbers: BAIBÜFTR

Drug and device information, study documents

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