Clinical trial NCT05665673: Relation of Functional ındependence to Balance, Exercise Capacity, and Peripheral Muscle Strength
Official title: Relation of Functional ındependence to Balance, Exercise Capacity, and Peripheral Muscle Strength in Individuals With Chronic Stroke
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Functional Independence
Balance; Distorted
Exercise Capacity
Peripheral Muscle Strength
Lead sponsor: Istinye University
Sponsor class: OTHER
First posted: 2022-12-27
Enrollment: 52
Sex: ALL
Minimum age (years): 40
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Individuals with chronic stroke

Brief summary: Stroke is one of the leading causes of death worldwide and is among the most important diseases that cause long-term disability in adults. In high-income countries, the incidence of stroke has decreased significantly with increased use of preventive therapies and control of risk factors. Stroke has a significant impact on individuals' independence and productivity.

Walking capacity is limited due to motor control, balance, and muscle strength disorders after stroke. In addition, it was determined that the functional exercise capacity of stroke patients decreased when compared to healthy individuals of the same age. The quantitative decrease in muscle mass due to physical inactivity is accompanied by sarcopenia, which worsens the situation. Although the primary impairments affecting gait are muscle strength weakness and loss of coordination, impaired cardiorespiratory fitness can also affect walking performance by limiting endurance. Depending on the change in each parameter after stroke, the functional independence and daily living activities of individuals are affected.

A correlation was found between balance and functional mobility and the level of functional independence in stroke patients. It has been found that having a good balance function after stroke significantly increases the likelihood of being functionally independent. When the studies in the literature were examined, no study was found that directly showed the relationship between functional exercise capacity and muscle strength in stroke patients. Therefore, in our study, we aimed to investigate the relationship between balance, functional exercise capacity, peripheral muscle strength, and functional independence level in stroke patients.


Eligibility criteria: Inclusion Criteria:

* Having had a stroke for the first time at least 6 months ago
* Being 40 years or older
* Having a Mini-Mental Test result of more than 24 points
* The lower extremity score for Brunnstrom is 5-7
* Being 3 and above according to the functional ambulation scale
* Willingness and willingness to work
* Being able to speak and understand Turkish

Exclusion Criteria:

* Having a different neurological, orthopedic, and rheumatological disease
* Having a visual or hearing impairment
* Having uncontrollable cardiopulmonary and unstable chronic diseases
* Having had a transient ischemic attack or multiple strokes
* Lack of independent sitting and standing balance

Primary outcomes:
measure: Tinetti balance and walking test
timeFrame: 1 day
measure: Timed up and go test (TUG)
timeFrame: 1 day
measure: Measuring peripheral muscle strength
timeFrame: 1 day
measure: 6-Minute Walk Test
timeFrame: 1 day
measure: Functional independence scale (FIM)
timeFrame: 1 day
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Yunus Emre TÜTÜNEKEN
state: Zeytinburnu
Study officials:
References: