Physical Activity and Related Factors in a Sample of Turkish Patients With Stroke

Study Overview
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Brief Summary
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The aim of this study was to investigate the relationships between physical activity level and demographic factors, motor function, cognitive function, functional status, balance and quality of life in patients with chronic stroke and to compare physical activity levels with healthy individuals in the same population.

Detailed Description
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The aim of this study was to investigate the relationships between physical activity level and demographic factors, motor function, cognitive function, functional status, balance and quality of life in patients with chronic stroke and to compare physical activity levels with healthy individuals in the same population. It is a fact that the physical activity levels of individuals decrease significantly after stroke. However, there is no study examining to what extent the physical activity is affected and the factors related to the decrease in the level of physical activity. The primary aim of stroke rehabilitation is to recognize and prevent complications, to minimize disturbances, to maximize functions. Secondary objectives; to prevent stroke recurrence. Physical activity has been shown to reduce the risk of stroke, stroke severity and other consequences. The risk of a reduction in physical capacity occurs over time and it is assumed that normal physical activity can prevent recurrent stroke. Therefore, it is necessary to continuously assess physical activity levels after stroke. In order to increase physical activity levels, it is important to identify people with low levels of physical activity and to understand the factors that may be associated. Therefore, in this study, we aimed to provide a comprehensive analysis by including most of the factors that may be related to physical activity in patients with stroke. In this study, unlike previous studies on physical activity in stroke, the relationships between physical activity and factors such as motor function, quality of life and cognitive skills as well as balance measurements and walking speed parameters which will be obtained from computerised posturography will be examined. In previous studies Physical Activity Scale for Elderly (PASE) questionnaire or the accelerometer device are used for the measurement of physical activity level. In this study, both of these tools will be used and the correlation between these two assessment tools will be demonstrated. In this study, patients with stroke will be evaluated by using PASE scale and accelerometer results (accelerometer will be held from Monday to Friday) for physical activity and Mini Mental test for cognitive function, Fugl Meyer Scale for motor function, Berg Balance Test and computerized posturography analysis for balance, Barthel Index for daily activities, Stroke Impact Scale for quality of life, Brunnstrom stage for motor recovery status. Each of the tests lasts about 5-10 minutes. Healthy control group will also be assessed via accelerometer and PASE questionnaire for physical activity and computerized posturography for balance. With this study, physical activity which is protective for recurrent stroke, will be evaluated comprehensively and factors associated with physical activity will be revealed. Thus, in order to increase the physical activity, it will be concluded which factor should be treated or evaluated, and these results will be very helpful for further studies.

Official Title
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Evaluation of Physical Activity and Related Factors in a Sample of Turkish Patients With Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: physical activity measurement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient group Patients with first ever, unilateral stroke Patients with stroke who can walk independently or with an assistive device Being at between the ages of 40-80 Control group 1. Being at between the ages of 40-80 and having not previously diagnosed with any neurologic disease Exclusion Criteria: Patient group Having uncontrolled hypertension, cardiopulmonary disease Presence of neglect, dementia, apraxia Mini mental scale >24 or being able to complete study outcomes

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with subacute chronic stroke<br>Patients with subacute chronic stroke | Other: physical activity measurement<br>* Physical activity will be measured via accelerometer and self reported questionnaire (Physical activity scale for elderly)<br>|
| Control group<br>Healthy control group age and sex matched | Other: physical activity measurement<br>* Physical activity will be measured via accelerometer and self reported questionnaire (Physical activity scale for elderly)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ACtotal | Total activity count (AC) obtained from accelerometer | Day 0 | 
| EEtotal | Total energy expenditure (EE) obtained from accelerometer | Day 0 | 
| PASE | Physical Activity Score for Elderly (PASE) | Day 0 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AC moderate | activity counts derived from accelerometer during moderate physical activity | Day 0 | 
| EE moderate | energy expenditure obtained from accelerometer during moderate physical activity | Day 0 | 
| AC light | activity counts derived from accelerometer during light physical activity | Day 0 | 
| EE light | energy expenditure obtained from accelerometer during light physical activity | Day 0 | 
| AC vigorous | activity counts derived from accelerometer during vigorous physical activity | Day 0 | 
| EE vigorous | energy expenditure obtained from accelerometer during vigorous physical activity | Day 0 | 
| AC sedentary | activity counts derived from accelerometer during sedentary physical activity | Day 0 | 
| EE sedentary | energy expenditure obtained from accelerometer during sedentary physical activity | Day 0 | 
| step count | total step count obtained from accelerometer | Day 0 | 
| Stroke Impact Scale | Stroke Impact Scale | Day 0 | 
| Berg Balance Score | Berg Balance Score | Day 0 | 
| Barthel Index for Activities of Daily Living | Barthel Index for Activities of Daily Living | Day 0 | 
| FMA-UE | The Fugl-Meyer Assessment for upper extremity | Day 0 | 
| FMA-LE | The Fugl-Meyer Assessment for lower extremity | Day 0 | 
| FMA-total | The Fugl-Meyer Assessment total score | Day 0 | 
| Brunnstrom stage for proximal upper extremity | Brunnstrom stage for proximal upper extremity | Day 0 | 
| Brunnstrom stage for distal upper extremity | Brunnstrom stage for distal upper extremity | Day 0 | 
| Brunnstrom stage for lower extremity | Brunnstrom stage for lower extremity | Day 0 | 
| FAS stage | Functional Ambulation Scale (FAS) stage | Day 0 | 
| Mini Mental Test | Mini Mental Test | Day 0 | 
| stroke duration | stroke duration | Day 0 | 
| WA step width | Walk Across step width obtained from Neurocom forceplate | Day 0 | 
| WA step length | Walk Across step width obtained from Neurocom forceplate | Day 0 | 
| WA walking speed | Walk Across walking speed obtained from Neurocom forceplate | Day 0 | 
| Modified Clinical Test of Sensory Interaction on Balance | Modified Clinical Test of Sensory Interaction on Balance obtained from Neurocom forceplate | Day 0 | 
| LOS RT | Limits of Stability reaction time obtained from Neurocom forceplate | Day 0 | 
| LOS VL | Limits of Stability movement velocity obtained from Neurocom forceplate | Day 0 | 
| LOS EPE | Limits of Stability endpoint excursion obtained from Neurocom forceplate | Day 0 | 
| LOS MXE | Limits of Stability maximum excursion obtained from Neurocom forceplate | Day 0 | 
| LOS DCL | Limits of Stability directional control obtained from Neurocom forceplate | Day 0 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stroke, physical activity