The Effect of Trunk Control on Sitting Balance and Upper Extremity Functions in Patients With Subacute Stroke

The study aims to examine whether trunk control affects sitting balance and upper extremity functions in patients with subacute stroke.

Study Overview

• Status: Completed
• Conditions: Stroke
• Intervention / Treatment: Other: Assessment

Detailed Description

Patients who meet the inclusion and exclusion criteria will be informed about the study and the participants who agree to participate in the study will be given the "Mini-Mental Test" and "Brunnstrom Upper Extremity Staging" tests, respectively. Then, Trunk Impairment Scale, Trunk Control Test, Function in Sitting Test, and "Fugl Meyer Upper Extremity Test" will be applied respectively.

Thirty patients with stroke will included in the study. Trunk Impairment Scale and Trunk Control Test will used to assess trunk control assessment. Fugl-Meyer Assessment of the upper extremity will used to assess upper extremity. Function in Sitting Test will used to assess sitting balance. To evaluate between correlation trunk control and upper extremity and sitting balance will used to correlation analysis tests

• Study Type: Observational
• Enrollment (Actual): 30

Contacts and Locations

Study Locations

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

Participation Criteria

Eligibility Criteria

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

• Sampling Method: Probability Sample

Study Population

Patients with stroke

Description

Inclusion Criteria:

• Being diagnosed with stroke and being in the subacute period (stroke onset time is between 0-6 months),
• Over 18 years old,
• Mini-Mental Test score ≥ 24 points,
• Able to sit independently in a chair for 10 minutes
• To be able to understand and follow simple explanations.

Exclusion Criteria:

• Having been diagnosed with a brain stem or cerebellar stroke,
• Having neurological or orthopedic pathology,
• Having acute low back pain,
• Having undergone surgery in the last 6 months,
• Having neglect, aphasia and heminanopsis.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Trunk Impairment Scale	It is a scale developed for the evaluation of the trunk after stroke. It consists of 3 parts:static sitting balance, dynamic sitting balance and coordination. A maximum of 23 points can be obtained, 3 from the static section, 10 from the dynamic section, and 4 from the coordination section. Except for the coordination part, each part is evaluated bilaterally.	Baseline (First assessment)
Trunk Control Test	Trunk Control Test is a test developed to evaluate trunk control. It consists of 4 parts. The test consists of the parameters of turning from the supine position to the weak and strong side, coming from the supine position to the sitting position and maintaining the sitting balance. The scoring of each section is 0-12-25. The total score is between 0-100. Higher scores indicate better trunk control of the patient.	Baseline (First assessment)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Fugl-Meyer Assessment	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	Baseline (First assessment)
Function in Sitting Test (FIST)	The FIST is a clinical examination of sitting balance, designed to be conducted at the patient's bedside. Consists of 14 functional, everyday activities as test items. Each item of the test is scored between 0-4. The total score range of FIST is 0-56.	Baseline (First assessment)

Collaborators and Investigators

• Sponsor: Kutahya Health Sciences University
• Investigators: Study Director: Lütfiye AKKURT, PhD, Kütahya Health Sciences University; Study Chair: Güllü A YAGCIOĞLU, PhD, Saglik Bilimleri Universitesi; Study Chair: Cihan Caner AKSOY, PhD, Kütahya Health Sciences University; Study Chair: Fatıma YAMAN, MD, Kütahya Health Sciences University

Study record dates

Study Major Dates

• Study Start (Actual): July 5, 2023
• Primary Completion (Actual): March 7, 2024
• Study Completion (Actual): March 8, 2024

Study Registration Dates

• First Submitted: July 11, 2023
• First Submitted That Met QC Criteria: September 26, 2023
• First Posted (Actual): September 28, 2023

Study Record Updates

• Last Update Posted (Actual): March 18, 2024
• Last Update Submitted That Met QC Criteria: March 15, 2024
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: stroke; upper extremity; trunk control; sitting balance
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: 2023/06-10

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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