Relationship Between Balance, Arm Function and Body Awareness in People With Stroke
ConditionChronic Stroke Patient
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorBaskent University
About this trial
Stroke is one of the leading causes of long-term disability worldwide and is frequently associated with impairments in balance, upper extremity function, and body awareness. These impairments may negatively affect independence in activities of daily living and overall quality of life. Although previous studies have investigated the relationships between balance and upper extremity function after stroke, body awareness has received relatively limited attention.
The aim of this observational cross-sectional study is to investigate the relationship between balance, upper extremity skills, and body awareness in individuals with chronic stroke. Fifty-three individuals with chronic stroke will be recruited from the Department of Physical Medicine and Rehabilitation at Baskent University Hospital.
Balance will be assessed using the Berg Balance Scale and the Tetrax computerized posturography system. Upper extremity motor impairment and functional performance will be evaluated using the Fugl-Meyer Upper Extremity Assessment and the Wolf Motor Function Test. Body awareness will be assessed using the Body Awareness Questionnaire. Additional assessments will include lower extremity motor function, muscle tone, cognitive status, shoulder range of motion, and upper extremity reaction time.
The study is expected to provide a better understanding of the relationships among balance, upper extremity function, and body awareness in individuals with chronic stroke. The findings may contribute to the development of individualized rehabilitation strategies and improve clinical assessment approaches in stroke rehabilitation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals who experienced a cerebrovascular event at least 6 months previously
Individuals between 18 and 75 years of age
Individuals who have experienced stroke for the first time
Individuals with shoulder, elbow, wrist, and finger muscle tone graded as 2 or 3 according to the Modified Ashworth Scale (MAS)
Disqualifiers
Presence of communication problems such as difficulties in reading, writing, or speaking
Botulinum toxin injection within the last 3 months
Presence of hemispatial neglect syndrome
Presence of ataxia due to posterior circulation ischemia
Trial population
Individuals with chronic stroke who are receiving outpatient follow-up and rehabilitation services at the Department of Physical Medicine and Rehabilitation, Baskent University Hospital.
Trial design
Design model
Case-only
Time perspective
Cross-sectional
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
Berg Balance Scale Score
To assess balance performance, the Berg Balance Scale (BBS) will be used. The scale consists of 14 functional tasks including sitting to standing, transfers, turning, reaching forward, picking up an object from the floor, and standing on one leg. Each item is scored from 0 to 4. Total scores range from 0 to 56, with higher scores indicating better balance performance.
Time frame
Baseline (single assessment)2
Tetrax Fall Index
To assess fall risk the Tetrax Computerized Posturography System will be used. Measurements will be performed under eight different sensory conditions. The Fall Index ranges from 0 to 100, with higher scores indicating a greater risk of falling.
Time frame
Baseline (single assessment)3
Eyes Open Stability Index
To assess postural stability under eyes-open conditions, the Tetrax Computerized Posturography System will be used. The Stability Index obtained during the normal standing position with eyes open will be recorded. Higher values indicate poorer postural stability.
Time frame
Baseline (single assessment)4
Eyes Closed Stability Index
To assess postural stability without visual input, participants will stand on the Tetrax Computerized Posturography System with their eyes closed. The Stability Index obtained during this condition will be recorded. Higher values indicate poorer postural stability.
Time frame
Baseline (single assessment)Secondary outcomes
1
Upper Extremity Reaction Time
Upper extremity reaction time will be assessed using the Light Trainer Flash Light Exercise System. Participants will be instructed to deactivate illuminated LED targets as quickly as possible during a 60-second test. The average time required to deactivate the illuminated targets will be recorded. Shorter reaction times indicate better performance.
Time frame
Baseline (single assessment)2
Fugl-Meyer Lower Extremity Assessment Score
Lower extremity motor function will be assessed using the Fugl-Meyer Lower Extremity Assessment. The scale consists of 17 items evaluating movement, coordination, and motor performance of the lower extremity. Total scores range from 0 to 34, with higher scores indicating better lower extremity motor function.
Time frame
Baseline (single assessment)Sponsors and contacts
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Source ClinicalTrials.gov
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