Validity and Reliability of Modified Box and Block Test and Targeted Box and Block Test in Patients With Stroke

Study Overview
=================
Brief Summary
-----------------
The aim of our study is investigated validity and reliabilty of Modified Box and Block Test and Targeted Box and Block Test in patients with stroke.

Detailed Description
-----------------
Fifty patients with stroke will included in the study. Box and Block Test, Modified Box and Block Test, Targeted Box and Block Test, 9 Hole Peg Test, Fugl-Meyer Assessment of the upper extremity will used to assess upper extremity. To evaluate validity between Modified and Targeted Box and Block Tests and Box and Block Test, 9 Hole Peg Test, Fugl-Meyer Assessment will used to correlation analysis tests. The investigator will evaluate after one week to test-retest reliability to patients. Other pyhsiotherapist will evaluate to patients inter-rater reliability.

Official Title
-----------------
Validity and Reliability of Modified Box and Block Test and Targeted Box and Block Test in Patients With Stroke

Conditions
-----------------
Stroke

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Diagnosed with stroke and in the chronic phase (having been diagnosed with stroke at least 6 months ago), Over 18 years old, Mini Mental Test score ≥ 24 points, Able to grasp and release a 2.5 cm cube on both upper extremities, Brunnstrom Upper Extremity Staging ≥ 3 Modified Ashworth Scale ≤ 2, Able to sit independently in a chair for 2 minutes Exclusion Criteria: Having a neurological disease other than stroke Have had surgery in the last 6 months Severely affected upper extremity Uncooperative with physiotherapist Patients with neglect, aphasia and hemianopsia

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Box and Block Test | The Modified Box and Block (mBBT) test is an upper extremity performance test.Unlike BBT, in mBBT, instead of randomly picking the cubes, 16 cubes are arranged in a certain order. The cubes are asked to take the other cubes in that row, starting from the innermost left cube, first to the right, and then to the next upper row. It is recorded how many seconds passed through 16 cubes placed at a certain level. | 10 minute | 
| Targeted Box and Block Test | In tBBT, as in mBBT, the time of passing 16 cubes over the obstacle to the other side is recorded. However, the difference from mKBT is that 16 cubes are placed at a certain level, but the patients are asked to place the cubes on the other side in 4 cm squares where the cube will be placed. These squares correspond to the left symmetrical position of the cube on the right. In this way, patients have to place the cube they grasp only at the desired point. | 10 minute | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 9 Hole Peg Test | 9HPT is a dexterity test.The patient is asked to place the 9 wooden blocks into the 9 holes in the maximum amount of time.Then he is asked to take it out and put it back in its place. The total time is recorded. | 10 minute | 
| Fugl-Meyer Assessment for Upper Extremity | The Fugl-Meyer Assessment is a disease-specific impairment index designed to assess motor function, balance, sensation qualities and joint function in hemiplegic post-stroke patients.The scale consists of four categories (Shoulder/Elbow/Forearm, Wrist, Hand/Finger, and Coordination) and evaluates 23 different movements in 33 sections.The maximum score is 66 points | 15 minutes | 
| Box and Block Test | Box and Block (mBBT) test is an upper extremity performance test. The patient is instructed to move as many blocks as possible, one at a time, from one compartment to the other for a period of 60 seconds. The number of cubes passed to the other side in 60 seconds is recorded. | 5 minute | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Validity, Reliability, Modified Box and Block Test, Targeted Box and Block Test, Upper Extremity