RecruitingNCT06699381

Spinal Straightness, Posture And Balance, Physical Performance And Energy Consumption In Individuals With Stroke

Investigation Of The Relationship Between Spinal Straightness And Posture And Balance, Physical Performance And Energy Consumption In Individuals With Stroke

Sponsor

Kırıkkale University

Enrollment

30 participants

Start Date

Mar 5, 2024

Study Type

OBSERVATIONAL

Conditions

Stroke Energy Supply; Deficiency Postural; Defect

Summary

Patients diagnosed with ischemic or hemorrhagic stroke who applied to Kırıkkale University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation will be included in the study. The aim of our study is to investigate the relationship between spinal alignment, posture and weight transfer symmetry with balance, physical performance and energy expenditure in stroke patients.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria5

Individuals between the ages of 18-75 years diagnosed with stroke
Volunteering to participate in the study
Diagnosis of hemorrhagic or ischemic stroke,
No collaboration and communication problems
Can walk with assistive device or independently

Exclusion Criteria3

Have another neurological, cardiopulmonary or orthopedic problem other than stroke that may affect functionality, ambulation and balance
Patients who refused to participate in the study and did not give written consent.
Cooperation and communication problems were determined as

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Interventions

DEVICEuse of spinal mouse

Spinal Mouse (SM) is an external non-invasive measurement device that evaluates the spinal angle and shape in the frontal and sagittal planes

DIAGNOSTIC_TESTBrunnstrom's Hemiplegia Recovery Staging

According to Brunnstrom's stages of recovery, the individual will be identified at which stage

DIAGNOSTIC_TESTThe six minute walking test (6MWT)

It evaluates the functional capacity of the individual and it provides valuable information regarding all the systems during physical activity, including pulmonary and cardiovascular systems, blood circulation, neuromuscular units, body metabolism, and peripheral circulation

DIAGNOSTIC_TESTFunctional Reach Test (FRT)

Functional Reach Test (FRT) is a clinical outcome measure and assessment tool for ascertaining dynamic balance in in simple task. In standing, measures the distance between the length of an outstretched arm in a maximal forward reach, while maintaining a fixed base of support. This information is correlated with risk of falling A number of factors exert a major influence on this evaluation: Research revealed that movement strategy and reduced spinal flexibility both affect reach distance.

DIAGNOSTIC_TESTMini Balance Evaluation Systems Test (Mini-BESTest)

This test measures dynamic balance, functional mobility, and gait. It is commonly used in populations who have or have had multiple sclerosis (MS), Parkinson disease (PD), strokes, spinal cord injury (SCI), or cancer. The Mini-BESTest was developed in 2010 from the Balance Evaluation Systems Test (BESTest), then revised in 2013 to clarify inconsistencies in scoring. The scoring instructions were different in the published and online versions. The revision clarified that the Mini-BESTest should be scored out of 28 points. Explanations for how to score items 3, 6, and 14 were also given. The Mini-BESTest consists of 14 items, including 4 of the 6 sections (anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait) from the BESTest.

DIAGNOSTIC_TESTThe five Times Sit to Stand Test (5x Sit-To-Stand Test)

It's used to asses functional lower limbs strength, transitional movements, balance, and fall risk in older adults.

DIAGNOSTIC_TESTThe Postural Assessment Scale for Stroke (PASS)

The Postural Assessment Scale for Stroke (PASS) is an outcome measure specifically designed to assess and monitor postural control after stroke. It was developed in 1999 as an adaptation of the Fugl-Meyer Assessment balance subscale\[1\]. It contains 12 four-level items of varying difficulty for assessing ability to maintain or change a given lying, sitting or standing posture

DIAGNOSTIC_TESTPostural Symmetry Index and Weight Transfer Symmetry

It is a form of measurement in which two scales are used to calculate the weight transferred to the intact and stroke limb. The values obtained as a result of the test are calculated with formulas.

DIAGNOSTIC_TESTMeasurement of the craniovertebral angle

Measurement of the craniovertebral angle; the patient is asked to find the most natural position by flexion and extension of the head in the standing position and a photograph is taken with a digital camera from a distance of 1.5 m to the shoulder level of the patient and this process is repeated 3 times. The images obtained are then digitally calculated with the help of an appropriate program.