The Efficiency of Video-Based Exercises in Individuals With Stroke

Study Overview
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Brief Summary
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The aim of the study is to compare the video-based balance coordination exercise program and the video-based conventional exercise program in patients with subacute stroke.

Detailed Description
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Thanks to telerehabilitation, it will be possible for individuals to learn the exercise programs in the most appropriate way and to communicate easily with their physiotherapists with video images. In this way, it will be ensured that individuals can perform their exercises at the optimum level in non-clinical environments. The aim of the study is to compare the conventional home exercise program performed with video-based telerehabilitation and the balance coordination program in subacute stroke patients.

Official Title
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Efficacy of Video-Based Balance and Coordination Exercises in Individuals With Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: Conventional Exercise Group with Telerehabilitation
* Other: Balance Coordination Group with Telerehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male and female patients aged 40 - 65 years Having been diagnosed with stroke by a specialist physician and at least 3 months and maximum 6 months have passed since the diagnosis No serious medical complications Being able to understand verbal and visual commands Getting at least 24 points on the mini mental state test Able to walk at least 10 m without assistance using crutches or a walker Having signed the consent form Exclusion Criteria: Situations that will prevent assessments or communication with the individual Being on psychotropic medication People with ataxia or any other cerebellar symptoms Other problems that would preclude evaluation and/or treatment

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomised Controlled Trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Conventional Exercise Group with Telerehabilitation<br>Exercises such as muscle strengthening exercises applied to antigravity muscles, agonist antagonist spastic muscles, stretching exercises for spastic muscles, weight transfer will be applied, and a telerehabilitation platform will be used in the home exercise program. | Other: Conventional Exercise Group with Telerehabilitation<br>* Exercises such as conventional muscle strengthening and stretching given with telerehabilitation are applied.<br>|
| Experimental: Balance Coordination Group with Telerehabilitation<br>Sit and stand exercise from chair, standing posture, weight transfer to right and left extremities, stepping over obstacles, standing on one leg with support from the table, standing on two legs with support from the table, hip abduction with support from the table, extension, flexion, supported tandem walking exercises such as stepping on the stairs, standing functional stretches will be applied. Whatsapp application-based Telerehabilitation platform will be used to deliver the home exercise program. | Other: Balance Coordination Group with Telerehabilitation<br>* Functional muscle strengthening, stretching, balance and coordination exercises given with telerehabilitation are applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| FES-I | There are 16 items in FES-I that assess the fear of falling during daily activities. FES-I is scored from 0 to 64. Higher scores indicate higher concerns about falling. | Change from Baseline FES-I at 6 weeks | 
| ABC | This scale includes 16 tasks related to indoor and outdoor activities of daily living to measure balance confidence in the elderly with various levels of function. Higher scores indicate more confidence. ABC is scored from 0 to 100. Higher scores indicate higher function. | Change from Baseline ABC at 6 weeks | 
| SSEQ | The 13-item SSEQ is used to measure participants' self-efficacy levels in performing daily functional activities and self-management. SSEQ is scored from 0 to 130. Higher scores indicate higher confidence. | Change from Baseline SSEQ at 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| TSQ | This questionnaire consists of 14 items. The level of satisfaction of the patients with the software or system from which they receive treatment or other remote rehabilitation services is evaluated. TSQ is scored from 14 to 170. Higher scores indicate higher satisfaction. | Change from Baseline TSQ at 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, Telerehabilitation, Balance, Coordination