The Relationship of Trunk Control With Lower Extremity Sense, Balance and Gait in Stroke
연구 개요
상세 설명
When the literature is examined, it is stated that the best functional results are revealed by a good postural control. Because the trunk is the key point of the body. Proximal trunk control is essential for distal extremity movements, balance and functional activities. It provides trunk control, static and dynamic posture, upright posture of the body, and selective trunk movements. Studies have emphasized the importance of intensive rehabilitation therapy targeting trunk control after stroke. Several randomized controlled trials have looked at the effects of trunk exercises in people with stroke. Saeys and colleagues have shown that the effects of trunk exercises improve standing balance and mobility as well as trunk performance.
There are only a few clinical assessment tools in the literature to evaluate trunk performance. The Trunk Disorder Scale examines static and dynamic sitting balance and trunk coordination. "Postural Assessment Scale for Stroke Patients" (PASS) was developed to evaluate postural control and balance in detail in stroke patients. This scale helps to evaluate postural control and balance of stroke patients, to predict prognosis, to shape treatment, and to observe time-dependent development.
In the literature, the rate of sensory problems accompanying stroke is given differently. In the study conducted by Kim and Choi-Kwon in 67 individuals with acute stroke, two-point discrimination, localization identification, position sense, and stereognosis senses were evaluated and it was found that these senses were affected in 85% of the individuals. In another study, it was stated that sensory impairment in the lower extremities affected gait speed, gait symmetry, standing and walking balance.
However, the relationship between trunk control and lower extremity sense of stroke individuals has not been examined in the literature. In addition, studies on balance and walking have not been sufficiently observed.
연구 유형
등록 (실제)
연락처 및 위치
연구 장소
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Kahramanmaraş, 칠면조
- Kahramanmaras Sutcu Imam University
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
샘플링 방법
연구 인구
설명
Inclusion Criteria:
- Able to walk 10 m without physical assistance,
- Lower extremity functions are in stages 2-6 according to Brunnstrom motor recovery stages,
- At least 3 days and at most 24 months have passed since the stroke,
- Stroke individuals with a score of 7 or higher on the Hodkinson Mental score
Exclusion Criteria:
- Having neurological and orthopedic problems that may affect walking other than stroke,
- Having a history of cardiovascular and rheumatological diseases that prevent daily activities,
- Lesion or fracture in the lower extremity,
- Lower extremity spasticity 4 according to the modified Ashworth Scale,
- Individuals with aphasia and communication disorders
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
개입 / 치료 |
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One group
Stroke patients
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측정
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Trunk Impairment Scale
기간: At baseline
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The Trunk Impairment Scale consists of 3 subscales: static sitting balance (3 items), dynamic sitting balance (10 items) and coordination (4 items).
The maximum score of the owner is 7, 10 and 6 points respectively.
The Total Trunk Impairment Scale score ranges from 0 to 23, with higher scores indicating better trunk control.
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At baseline
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Tinetti Balance and Gait Test
기간: At baseline
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It consists of two parts, walking and balance.
Consisting of 16 questions in total, the scale consists of 9 questions in which balance is evaluated first, followed by 7 questions in which gait is evaluated.
The total score obtained by the evaluated participant from the first 9 questions constitutes the balance score, and the total score obtained from the following 7 questions constitutes the walking score. 2 points means that the requested task was done correctly, 1 point means that the task was done with adaptations, and 0 points means that the desired task could not be done.
A total test score of 18 or less indicates a high fall risk, a moderate fall risk of 19-24 points, and a low-level fall risk with a score above 24.
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At baseline
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Ten Meter Walking Test
기간: At baseline
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During the test, the patient walks at a normal walking pace for a distance of 10 meters and the time is recorded.
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At baseline
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Fugl Mayer Assesment of Sensorimotor Function
기간: At baseline
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The sensory subscale of FMA (FMA-S) consists of 12 sub-parameters; 4 items are for light touch and 8 items are for proprioception sense.
Scoring is between 0-24 points.
The light touch sensation is subjectively tested.
Joint position is tested on the thumb, wrist, elbow, and interphalangeal joint of the glenohumeral joint.
Position sense of the lower extremities is tested on the toe, ankle, knee and hip joint.
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At baseline
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Turkish version of Postural Assessment Scale for Stroke Patients (PASS-T)
기간: At baseline
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PASS is a special scale used to measure balance even in stroke patients with very low physical performance.
The PASS includes 12 items that measure a person's balance performance in situations where the degree of difficulty is different, that is, when changing positions while lying, sitting, standing or standing.
The scale is evaluated between 0-36.
Between 0-3, the feasibility of the movement is tested; "0" is the lowest; "3" is the highest value.
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At baseline
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공동 작업자 및 조사자
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기본 완료 (실제)
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연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
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추가 정보
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시험에 대한 임상 시험
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PATHUnited States Agency for International Development (USAID); Kintampo Health Research Centre...완전한
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Texas Cardiac Arrhythmia Research Foundation알려지지 않은
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National Institute of Respiratory Diseases, Mexico완전한
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University Hospital, Bordeaux알려지지 않은
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Kenya Medical Research InstituteFoundation for Innovative New Diagnostics (FIND)알려지지 않은