Comparison of Dual-Task Timed Up and Go Test (Cognitive) and 3-m Backwards Walk Test

Study Overview
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Brief Summary
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Two balance assessment tools that have been used recently have attracted considerable attention: the Dual-Task Timed Up and Go Test (cognitive) (DTUG) and the 3-m Backward Walk Test (3MBWT). The aim of this study is to compare the psychometric properties of two clinically proven balance assessment tools.

Detailed Description
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There are unidimensional and multidimensional scales used to evaluate gait balance after stroke. Unidimensional scales (DTUG, 3MBWT) can be useful in clinical practice and in screening for basic balance problems. Two balance assessment tools that have been used recently have attracted considerable attention: the Dual-Task Timed Up and Go Test (cognitive) (DTUG) and the 3-m Backward Walk Test (3MBWT). The aim of this study is to compare the psychometric properties of two clinically proven balance assessment tools. In the study, construct validity, concurrent validity, reliability, and cut-off score (for determining falling risk) of the two tests will be calculated.

Official Title
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Psychometric Evaluation of Dual-Task Timed Get Up and Go Test (Cognitive) and 3-m Backwards Back Test in Community-dwelling Stroke Individuals

Conditions
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Stroke

Intervention / Treatment
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* Other: Dual-Task Timed Up and Go Test (cognitive)
* Other: 3-m Backward Walk Test
* Other: Modified Four Square Step Test
* Other: Timed Up and Go Test
* Other: Berg Balance Test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Single stroke with unilateral hemiparesis at least 6 months prior to the study, Be in the age range of 50-85 years Able to walk at least 10 meters independently with or without a walking aid, Getting at least 24 points from the Standardized Mini-Mental Test It is to be able to follow two-stage commands and perform subtraction. Exclusion Criteria: Presence of additional orthopedic or neurological diseases that may affect balance and walking, Having uncorrected vision and hearing problems

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Dual-Task Timed Up and Go Test (cognitive)|It evaluates balance with a simultaneous cognitive and motor task. The cognitive task of the test is serial triple subtraction while the TUG test is a motor task. Balance performance will be recorded in seconds.|
|Other: 3-m Backward Walk Test|It is used to assess fall risk and balance. It is calculated in how many seconds an individual can walk backward a marked distance of 3 meters.|
|Other: Modified Four Square Step Test|It is a performance test that evaluates dynamic balance in stroke individuals with the ability to avoid obstacles and take steps in all directions. Balance performance is recorded in seconds.|
|Other: Timed Up and Go Test|It is used to assess balance and functional mobility. The participant is asked to get up from the chair she/he is sitting in, walk the marked distance of 3 meters and return to her/his seat again. The elapsed time is recorded in seconds.|
|Other: Berg Balance Test|It consists of 14 items and evaluates dynamic balance and functional mobility in stroke. The maximum score is 56. Higher scores indicate better balance.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dual-Task Timed Up and Go Test (cognitive) | It evaluates balance and functional mobility with a simultaneous cognitive and motor task. The cognitive task of the test is 3-series subtraction, while the TUG test is the motor task. Performance is recorded in seconds. | 5 minutes | 
| 3-m Backward Walk Test | It is used to assess fall risk and balance. It is calculated in how many seconds an individual can walk backwards a marked distance of 3 meters. | 5 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Reliability and Validity, Postural Balance, Stroke, Falling