Stroke
Conditions
Keywords
Stroke, Tas-Oriented Training, Balance, Walking, Mobility, Activities of Daily Living, Quality of Life
Brief summary
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
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.
Interventions
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.
Conventional therapy will be consisted of balance,upper and lower extremity strengthening exercises.
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale(BBS) | six weeks | 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. |
| 10 Meter Walking Test(10MWT) | siz weeks | 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. |
| Timed Up And Go Test (TUG) | siz weeks | 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. |
| Stroke-Specific Quality of Life Scale(SS-QOL) | six weeks | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Ambulation Classification (FAC) | six weeks | 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 . |
| Functional Independence Scale (FIM) | six weeks | 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. |
| 5 Times Sit to Stand Test(5XSST) | six weeks | 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. |
Countries
Turkey (Türkiye)