- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06202287
In Stroke Patients, the Relationship Between Social Participation Level, Balance, Walking, Pain, and Kinesiophobia
Investigation of the Relationship Between Social Participation Level, Balance,Gait and Pain With Kinesiophobia in Stroke Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Individuals aged 18-75 with post-stroke hemiplegia or hemiparesis, a minimum Functional Ambulation Scale score of 2, and no major neurological or rheumatological pathology affecting the musculoskeletal system other than stroke (e.g., Polyneuropathy, Parkinson's, Multiple Sclerosis, Rheumatoid Arthritis, etc.), as well as those without diseases affecting balance (e.g., Parkinson's, Cerebral trauma, Meniere's disease, ear infection, Benign Paroxysmal Positional Vertigo, Multiple Sclerosis), and not using medications that disrupt balance, will be included in the study. Detailed medical histories will be obtained from all included patients and/or caregivers, and comprehensive musculoskeletal examinations will be conducted. Patient information, including name, surname, age, gender, occupation, education level, marital status, body mass index, duration of illness, stroke type, affected side, dominant side, and comorbidities, will be recorded.
All included patients in the study will be assessed by the same physician using the Functional Ambulation Scale, Community Integration Questionnaire , Mini-BESTest (Mini-Balance Evaluation Systems Test), balance assessment on the Hur Smart balance device, The Timed Up and Go Test , Tinetti Balance and Gait Test, Vas Kinesiophobia Scale., and Tampa Kinesiophobia Scale.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Bedriye Başkan, Professor
- Phone Number: +905067296717
- Email: bmbaskan@gmail.com
Study Locations
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Ankara, Turkey, 06800
- Recruiting
- Ankara Bilkent City Hospital Physical Therapy and Rehabilitation Hospital
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Contact:
- Furkan Çakır, Medical Doctor
- Phone Number: +905072212915
- Email: dr.furkancakir@gmail.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Being between the ages of 18 and 75 years old
- Having experienced post-stroke hemiplegia or hemiparesis
- Scoring at level 2 or above on the Functional Ambulation Classification
- Being willing to participate in the study and signing the consent forms"
Exclusion Criteria:
- Patients who cannot undergo mental evaluation, are unable to complete scales, are illiterate, or have aphasia
- Having major neurological or rheumatological pathologies affecting the musculoskeletal system other than stroke (Polyneuropathy, Parkinson's, Multiple Sclerosis, Rheumatoid Arthritis, etc.)
- Patients with diseases affecting balance (Parkinson's, Cerebral trauma, Meniere's disease, ear infections, Benign Paroxysmal Positional Vertigo, Multiple Sclerosis, etc.)
- Patients using medications that may disrupt balance
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
stroke patient
The specified tests will be administered to 50 patients who have experienced strokes and meet the criteria.
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50 stroke patients will undergo balance measurements using the HUR Smart balance device and other tests.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Tampa Scale of Kinesiophobia
Time Frame: baseline
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Scale, "The Tampa Kinesiophobia Scale (TKS) is a self-reported, 17-item scale developed to measure the fear of movement.
A high score indicates a high level of fear of movement, while a low score suggests negligible levels of fear of movement.
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baseline
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Visual analogue scale
Time Frame: baseline
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The Visual Analog Scale (VAS) is evaluated on a scale ranging from "no pain" to "worst possible pain."
The value of 0 (zero) indicates "no pain," while the value of 10 (ten) indicates "the most severe pain imaginable."
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baseline
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Functional ambulation classification (FAC)
Time Frame: baseline
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Scale, The FAC has six categories ranging from 0 (non-functional ambulation) to 5 (independent).
The intermediary categories quantify levels of assistance, supervision, and independent but limited mobility.
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baseline
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Community Integration Questionnaire
Time Frame: baseline
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Questionnaire,The community integration questionnaire (CIQ) was designed to assess home integration, social integration and productive activity in persons with acquired brain injury. The instrument consists of 15 items and can be completed by self report or with the assistance of a family member or caregiver familiar with the person's health status and social activities. The community integration questionnaire (CIQ) was designed to assess home integration, social integration and productive activity in persons with acquired brain injury. The instrument consists of 15 items and can be completed by self report or with the assistance of a family member or caregiver familiar with the person's health status and social activities. |
baseline
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Mini-BESTest: Balance Evaluation Systems Test
Time Frame: baseline
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The Mini-BESTest includes four subscales: transitions/anticipatory postural control, reactive postural control, sensory orientation and stability in gait.
Each item is rated on a three-point ordinal scale(0 = severe to 2 = normal).The MiniBESTest consists of 14 items, with a maximum score of 28 points
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baseline
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The timed up and go test
Time Frame: baseline
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A 3-meter distance in front of the chair is designated.
The patient is asked to stand up from the chair, walk this distance, and then sit down again.
The elapsed time provides the result of the test.
If the patient takes longer than 12 seconds to complete this test, there is a risk of falling.
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baseline
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Tinetti balance and gait test
Time Frame: baseline
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This test measures the patient's balance and gait ability.
The maximum score for the gait component is 12, and for the balance component is 16.
The overall maximum score is 28.
Generally, patients scoring below 19 are at a high risk of falling.
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baseline
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VAS - Kinesiophobia Assessment
Time Frame: baseline
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To measure motion fear, a Visual Analog Scale was used.
A 10-centimeter horizontal line was drawn, ranging from 0 (no fear) at the beginning to 100 (severe fear) at the end.
Participants were asked to stand up just before starting exercise and mark the intensity of their motion fear at that moment on the scale.
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baseline
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HUR Smart balance device
Time Frame: baseline
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In the measurement of postural balance parameters, we utilized the HUR SMARTBALANCE BTG4 device and the accompanying software, HUR SmartBalance, available in our clinic.
The device, through the balance platform, enables force measurements and load distribution, while sensors detect postural changes.
The HUR SmartBalance software within the device provides various balance parameters based on these values, allowing for the assessment of the patient's balance
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baseline
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Wasiuk-Zowada D, Knapik A, Szefler-Derela J, Brzek A, Krzystanek E. Kinesiophobia in Stroke Patients, Multiple Sclerosis and Parkinson's Disesase. Diagnostics (Basel). 2021 Apr 28;11(5):796. doi: 10.3390/diagnostics11050796.
- Bak E, Mlynarska A, Marcisz C, Kadlubowska M, Marcisz-Dyla E, Sternal D, Mlynarski R, Krzeminska S. Kinesiophobia in Elderly Polish Patients After Ischemic Stroke, Including Frailty Syndrome. Neuropsychiatr Dis Treat. 2022 Mar 31;18:707-715. doi: 10.2147/NDT.S352151. eCollection 2022.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 10026499
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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