Clinical trial NCT05552885: The Reliability and Validity of the Figure of 8 Walk Test and Double Task Figure of 8 Walk Test in Persons With Stroke
Official title: The Reliability and Validity of the Figure of 8 Walk Test and Double Task Figure of 8 Walk Test in Persons With Stroke
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Stroke
Lead sponsor: Pamukkale University
Sponsor class: OTHER
First posted: 2022-09-23
Enrollment: 28
Sex: ALL
Minimum age (years): 50
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Since the incidence of stroke nearly doubles every ten years after the age of 55 (Feigin, Lawes, Bennett, \& Anderson, 2003), individuals with stroke aged 50 and over will be included in the study.

Brief summary: The validity of the dual-task F8W test in predicting falls in older adults has been confirmed. As far as we know, there are no studies evaluating the validity and reliability of the dual-task F8W test in stroke patients. Therefore, the aim of the study is to evaluate the validity and reliability of the F8W and dual-task F8W test in stroke patients.

Detailed description: Recently, the validity and reliability of assessment tools in which two tasks are performed simultaneously have been investigated. Although the utility of dual-task assessments in assessing falls in neurological diseases is uncertain, the reliability of dual-task assessments involving walking has shown quite good results. Stroke survivors have decreases in one or both (locomotor and cognitive) performances while walking and simultaneously performing a cognitive task. The tasks selected in dual-task evaluations may affect dual-task interactions, therefore, tasks that are compatible with daily living activities should be used in dual-task evaluations. A previous study confirmed the validity of the dual-task F8W test in predicting falls in older adults. Because of this reaason, stroke patients aged 50 and over will be included in the study.

Eligibility criteria: Inclusion Criteria:

* Being 50 years of age and older,
* Having only one unilateral stroke at least 6 months prior to the study,
* Being medically stable,
* Being able to walk at least 10 meters with a cane or independently,
* Getting 24 points or more from the Standardized Mini-Mental Test',
* Being to be able to perform the cognitive task (subtraction) to be given during the evaluations.

Exclusion Criteria:

* The presence of additional orthopedic, neurological or cardiovascular diseases that may affect balance and walking,
* Uncorrected vision and hearing problems.

Primary outcomes:
measure: Standardized Mini Mental Test
timeFrame: six months
measure: National Institutes of Health Stroke Scale Score-NIHSS
timeFrame: six months
measure: Figure of 8 Walk Test (F8WT)
timeFrame: six months
measure: Timed Up and Go Test (TUG)
timeFrame: six months
measure: Modified Four Square Step Test
timeFrame: six months
Secondary outcomes:
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Pamukkale University
state: Kınıklı/Pamukkale
Study officials:
affiliation: Pamukkale University
name: Güzin Kara, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hess RJ, Brach JS, Piva SR, VanSwearingen JM. Walking skill can be assessed in older adults: validity of the Figure-of-8 Walk Test. Phys Ther. 2010 Jan;90(1):89-99. doi: 10.2522/ptj.20080121. Epub 2009 Dec 3.
citation: Kim, Y.-H., & Lim, J.-H. The reliability and validity of figure-of-8 walk test in patients with stroke. Journal of the Korean Academy of Clinical Electrophysiology. 2012: 10(1); 29-37.
citation: Lowry KA, Brach JS, Nebes RD, Studenski SA, VanSwearingen JM. Contributions of cognitive function to straight- and curved-path walking in older adults. Arch Phys Med Rehabil. 2012 May;93(5):802-7. doi: 10.1016/j.apmr.2011.12.007.
citation: Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil. 2005 Aug;86(8):1641-7. doi: 10.1016/j.apmr.2005.01.011.
citation: Nualyong T, Siriphorn A. Accuracy of the figure of 8 walk test with and without dual-task to predict falls in older adults. J Bodyw Mov Ther. 2022 Apr;30:69-75. doi: 10.1016/j.jbmt.2022.02.001. Epub 2022 Feb 7.
citation: Roos MA, Reisman DS, Hicks G, Rose W, Rudolph KS. Development of the Modified Four Square Step Test and its reliability and validity in people with stroke. J Rehabil Res Dev. 2016;53(3):403-12. doi: 10.1682/JRRD.2014.04.0112.
citation: Son H, Park C. Effect of turning direction on Timed Up and Go test results in stroke patients. Eur J Phys Rehabil Med. 2019 Feb;55(1):35-39. doi: 10.23736/S1973-9087.18.05202-4. Epub 2018 Jul 6.
citation: Wong SS, Yam MS, Ng SS. The Figure-of-Eight Walk test: reliability and associations with stroke-specific impairments. Disabil Rehabil. 2013;35(22):1896-902. doi: 10.3109/09638288.2013.766274. Epub 2013 Apr 19.