Clinical trial NCT04229914: Validity Reliability of 3 Meter Backward Walk Test in Stroke Patients
Official title: Validity Reliability of 3 Meter Backward Walk Test in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke Syndrome
Balance; Distorted
Walking, Difficulty
Lead sponsor: Kırıkkale University
Sponsor class: OTHER
First posted: 2020-01-18
Enrollment: 40
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SEQUENTIAL
Primary purpose: OTHER

Brief summary: The 3 m walk-back test is used to assess neuromuscular control, proprioception, protective reflexes, fall risk, and balance. In a study of healthy elderly adults, a 3-m walk-back test showed better diagnostic accuracy compared to the most commonly used measurement methods for falls in the past year. Reliability is extremely important, especially for research and clinical applications. In order to assess the risk of falling, measurement methods need to be reliable and change accurately over time. 3 m walk back test was found to be reliable in healthy elderly individuals. However, there are no studies investigating the validity and reliability of this test in stroke patients.

Detailed description: Balance; within the limits of the stability of the center of gravity can be controlled on the surface. Balance can be affected due to muscle weakness after stroke, abnormal muscle tone, loss of deep sensation and disturbances in vestibular mechanisms. Among all sensorimotor results of stroke, it is stated that the balance of postural control has the greatest effect on daily living activities and gait. Accurate assessment of balance in stroke patients is important in identifying appropriate aids for mobility, choosing an effective treatment program, determining safe and unsafe activities, and setting rehabilitation goals. The most common risk factor for falls is one of the most important risk factors for stroke. Therefore, reliable and accurate measurement of dynamic gait balance is an important issue in stroke patients.The 3 m walk-back test is used to assess neuromuscular control, proprioception, protective reflexes, fall risk, and balance. In a study of healthy elderly adults, a 3-m walk-back test showed better diagnostic accuracy compared to the most commonly used measurement methods for falls in the past year. Reliability is extremely important, especially for research and clinical applications. In order to assess the risk of falling, measurement methods need to be reliable and change accurately over time. 3 m walk back test was found to be reliable in healthy elderly individuals. However, there are no studies investigating the validity and reliability of this test in stroke patients.

Eligibility criteria: Inclusion Criteria:

* 40 years or older,
* Getting a diagnosis of stroke,
* Not having cooperation and communication problems
* To be able to walk 10 m independently with or without device

Exclusion Criteria:

1. Have a neurological or orthopedic problem other than stroke that will affect functionality and balance
2. Individuals with contraindications for advanced cardiovascular disease and mobilization will not be included in the study.

Primary outcomes:
measure: 3-m backwards walk test,
timeFrame: first day and second day
measure: timed up and go test
timeFrame: first day
measure: 10 m walking test
timeFrame: first day
measure: Berg balance test
timeFrame: first day
measure: Functional reach test
timeFrame: first day
Secondary outcomes:
Other outcomes:
Locations:
city: Kırıkkale
country: Turkey
facility: Ayşe Abit Kocaman
Study officials:
affiliation: Kırıkkale University
name: Ayşe A Abit Kocaman
role: PRINCIPAL_INVESTIGATOR
References:
citation: Carter V, Jain T, James J, Cornwall M, Aldrich A, de Heer HD. The 3-m Backwards Walk and Retrospective Falls: Diagnostic Accuracy of a Novel Clinical Measure. J Geriatr Phys Ther. 2019 Oct/Dec;42(4):249-255. doi: 10.1519/JPT.0000000000000149.