Which Balance Test is More Effective When Evaluating Stroke Patients With a Tele-assessment?

Study Overview
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Brief Summary
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The aim of this study is to compare the feasibility levels and advantages of balance tests applied with tele-assessment methods to clinical application methods in stroke patients and to reveal their effectiveness.

Detailed Description
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The aim of this study is to compare the feasibility levels and advantages of balance tests applied with tele-assessment methods to clinical application methods in stroke patients and to reveal their effectiveness. Stroke patients who are referred to İstinye University Bahçeşehir Liv Hospital Physiotherapy and Rehabilitation Unit at March-September for physiotherapy and meet the inclusion criteria will be included in the study. The Patient Assessment Form which were prepared by the researcher and the Standardized Mini Mental Test, The Rankin Scale, Timed Get Up and Go Test, Berg Balance Scale, Tinetti Balance and Gait Test in order to evaluate the balance and walking of the participants due to stroke and to compare the applicability level of the tests applied with the tele- assessment method and tests will be completed by individuals who agreed to participate in the study and / or the researchers who carried out the study.

Official Title
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Tele-Assessment in Patients With Stroke: Which of the Berg Balance Scale, Tinetti Balance and Walk Test, Timed Up and Go Tests is More Effective in Balance Assessment?

Conditions
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Stroke

Intervention / Treatment
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* Other: Berg Balance Test
* Other: Tinetti Balance And Gait Test
* Other: Time Up And Go Test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sufficient cognitive function for communication (Standardized Mini-Mental Test score> 24) Not dependent on bed or wheelchair. (1 ≤ Modified Rankin Scale score <5) Balance problem (Timed Get Up and Go Test score> 12 sec) Providing the necessary technological competence for remote video communication at home Near a relative who can accompany you during the assessment Age 20-80 years Speaking Turkish Exclusion Criteria: Individuals with a neurological and orthopedic disease other than stroke, whose vision and auditory function are affected by stroke, and those with aphasia will not be included in the study.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 80 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Tele- Assessment Group<br>Balance Assessment | Other: Berg Balance Test<br>* Patients evaluate with Berg Balance Test for balance<br>Other: Tinetti Balance And Gait Test<br>* Patients evaluate with Tinetti Balance And Gait Test for balance<br>Other: Time Up And Go Test<br>* Patients evaluate with Time Up And Go Test for balance<br>|
| Face To Face (Clinic) Group<br>Balance Assessment | Other: Berg Balance Test<br>* Patients evaluate with Berg Balance Test for balance<br>Other: Tinetti Balance And Gait Test<br>* Patients evaluate with Tinetti Balance And Gait Test for balance<br>Other: Time Up And Go Test<br>* Patients evaluate with Time Up And Go Test for balance<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Test | Berg Balance Test is consisting of 14 items and measures the ability of individuals to maintain balance while performing functional tasks. Each task is scored from 0 (cannot perform independently) to 4 (stated best performance). 0-20 points are interpreted as high risk of falling, between 21-40 points as medium risk of falling, and between 41-56 points as low risk. The validity and reliability study of the Turkish version in stroke patients was performed by Şahin et al. | 12 weeks | 
| Tinetti Balance And Gait Scale | Tinetti Balance And Gait Scale is a total of 28 points, with a maximum of 16 and a walking score of 12 points. Those who score 26 and below are thought to have problems; It is observed that the risk of self-falling is five times higher in those who score 19 and below compared to normal individuals (17). Its adaptation to Turkish, validity and reliability study was carried out by Ağırcan in 2009. | 12 weeks | 
| Timed Up And Go Test | Timed Up And Go Test is a simply and widely used and rapid test for assessing mobility and dinamic balance. The person is asked to stand up from the chair, walk 3 meters safely and at a normal pace, turn around, walk back, sit back on the chair, and the time is recorded in seconds (sec). The test is started with the patient's feet flat on the floor and arms resting on the armrest of the chair, and is performed in three repetitions and the best result is recorded. Walking longer than 12 seconds indicates a risk of falling. | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tele-assessment, Balance, Stroke