Effects Of Task-Oriented Training In Individuals With Stroke

Study Overview
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Brief Summary
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The purpose of this study is to investigate the effects of task-oriented training on balance,functional mobility,walking, activities of daily living and quality of life in individuals with stroke.

Detailed Description
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Eligible participants will be randomized to task-oriented group or control group.Control group will receive conventional therapy generally consisted of neurophysiological approaches for 6 weeks 5 times a week for 1 hour per session.Task-oriented group will receive conventional therapy and task-oriented training for 6 weeks 5 times a week 1,5 hours per session.Each participant will be assessed before and after the 6 weeks of treatment.

Official Title
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Effects Of Task-Oriented Training on Balance,Walking,Functional Mobility,Activities Of Daily Living and Quality Of Life In Individuals With Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: Task-Oriented Training
* Other: Conventional Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Modified Rankin score between 0-3 Having a stroke for the first time At least 1 month has passed since the stroke Able to walk 10 M with or without assistance Having a Mini Mental Test score of 24 and above Volunteering to participate in the study Being fluent in Turkish language Exclusion Criteria: Having an additional neurological disease other than stroke Having an additional disease that prevents mobility Having a condition that prevents you from exercising Receiving an existing additional medical treatment for spasticity treatment Having a history of multiple strokes Having severe visual problems post stoke

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 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
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Control Group<br>Participants in control group will receive an exercise program consisted of upper and lower extremity strengthening and balance exercises.The exercises will be started as 8-10 repetitions and one set and the number of sets will be increased according to the progression of the patient. Exercises will be applied for 6 weeks, 5 days a week, for a total of 30 sessions, each session for 1 hour. | Other: Conventional Therapy<br>* Conventional therapy will be consisted of balance,upper and lower extremity strengthening exercises.<br>|
| Experimental: Task-Oriented Training Group<br>Participants in the task-oriented training group will receive the same treatment given to the control group, with an additional 30 minutes of task-oriented training.Task-Oriented Training Program will include several everyday tasks (Getting up from the chair, walking 10 steps taking a book from the table and walking backwards to sit on the chair,Walking forward and sideways over obstacles...etc.).The exercises will be started as 12-15 repetitions and 1 set at the beginning, and the number of sets will be increased according to the progression of the patient. A total of 30 sessions will be applied, 5 days a week for 6 weeks, with a total of 1.5 hours of exercises. | Other: Task-Oriented Training<br>* Participants in this group will receive 30 minutes of task-oriented training and 1 hour of conventional therapy for 6 weeks 5 times a week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Scale(BBS) | BBS, evaluates daily activities including static sitting and standing balance, as well as transfers, turning, and picking up objects from the ground, in 14 items.Scoring is given as 0-4. It scores from 4 (normal performance) to 0 (not able to do the movement) according to the person's ability to do what is asked of them safely and independently. The total score is 56 points. 0-20 indicates high risk, 21-40 indicates medium risk, and 41-64 indicates low risk. | six weeks | 
| 10 Meter Walking Test(10MWT) | This test calculates the unassisted walking speed of individuals at a distance of 10 meters. In this test, the person will be asked to walk at their normal pace in a pre-measured 10 meter area. | siz weeks | 
| Timed Up And Go Test (TUG) | It is a frequently used test that evaluates functional mobility and dynamic balance. At the beginning of the test, individuals sit in a chair. A distance of 3 m is set in front of the patient. With the start command, the patient gets up from his seat and walks 3 m, turns around and walks back and sits. With the start command, the time until the moment of sitting on the chair is recorded in seconds.Shorter duration indicates better functional mobility. | siz weeks | 
| Stroke-Specific Quality of Life Scale(SS-QOL) | The Stroke-Specific Quality of Life Scale evaluates the quality of life in post-stroke individuals. It consists of 49 items from 12 areas;energy, family roles, language, mobility, mood, personality, self-care, social roles, thinking, upper extremity function, vision, work/productivity. Each item is evaluated on a 5-point Likert scale. Maximum score is 245, high scores indicates good quality of life. | six weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 5 Times Sit to Stand Test(5XSST) | The 5 Repetitive Sit-Rise Test (5XSST) is a practical test that evaluates lower extremity functional strength and balance.The individual rests on a standard 43 cm chair, arms crossed over shoulders, feet on the floor.Individual will be asked to sit and stand up quickly 5 times. Duration of 5 repetitions will be recorded in seconds.Results below 15 seconds indicate good stability, while 15 seconds and above indicate impaired balance and function. | six weeks | 
| Functional Ambulation Classification (FAC) | Functional Ambulation Classification (FAC) is a common clinical gait assessment method. Walking ability is scored between 0-5 according to the amount of support needed during the training and classification is made over 6 categories.. 5 points indicate fully independent ambulation while 0 points indicate non-functional ambulation . | six weeks | 
| Functional Independence Scale (FIM) | Functional Independence Scale is used to evaluate activities of daily living.- It consists of a total of 18 items(13 physical,5 social) that include cognitive status assessment. Each item is scored between 1 and 7. 7 means that the specified item is performed completely independently, while 1 indicates the need of full assistance. The maximum score that can be obtained from the scale is 126, indicating good performance. The lowest score is 18 and shows poor performance. | six weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, Tas-Oriented Training, Balance, Walking, Mobility, Activities of Daily Living, Quality of Life