Stroke
Conditions
Keywords
Kinesiophobia, Postural Balance, Fear of Falling, Stroke
Brief summary
This is a cross-sectional clinical study planned to include 138 stroke patients receiving inpatient treatment at the Istanbul Physical Therapy and Rehabilitation Training and Research Hospital.Data on kinesiophobia (Tampa Kinesiophobia Scale-17) , balance performance (Berg Balance Scale) , balance confidence (Activities-specific Balance Confidence Scale-6) , fear of falling (Falls Efficacy Scale) , pain (VAS) , and mood (HADS) will be collected. Clinical and demographic data, including Brunnstrom stages and Barthel Index, will also be recorded. The relationships between these variables will be analyzed statistically.
Detailed description
This is a cross-sectional clinical study planned to include 138 stroke patients receiving inpatient treatment at the Istanbul Physical Medicine and Rehabilitation Training and Research Hospital. Data on kinesiophobia (Tampa Kinesiophobia Scale-17) , balance performance (Berg Balance Scale) , balance confidence (Activities-specific Balance Confidence Scale-6) , fear of falling (Falls Efficacy Scale) , pain (VAS) , and mood (HADS) will be collected. Clinical and demographic data, including Brunnstrom stages and Barthel Index, will also be recorded. The relationships between these variables will be analyzed statistically
Interventions
All participants in this single cohort will undergo a one-time, cross-sectional assessment. This assessment includes the collection of clinical and demographic data and the administration of scales for kinesiophobia (Tampa Kinesiophobia Scale-17), balance performance (Berg Balance Scale), balance confidence (ABC-6), fear of falling (Falls Efficacy Scale), pain (VAS), and mood (HADS). No intervention is administered.
Sponsors
Study design
Eligibility
Inclusion criteria
* Voluntary participation in the study * Male and female patients aged 18-80 * History of ischemic or hemorrhagic stroke * Functional Ambulation Scale level 3 or higher * Standardized mini mental test ≥ 24 * Individuals who agree to participate in the study.
Exclusion criteria
* History of musculoskeletal surgery within the last year * Trauma, fracture, dislocation, or tumor within the last year * Vestibular system disorder * Additional neurological disease that may affect balance (Parkinson's Disease, Multiple Sclerosis, vestibular system disorder) * Other rheumatological or psychiatric diseases * Chronic decompensated cardiac, renal, or hepatic failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Kinesiophobia using the Tampa Kinesiophobia Scale-17 | at baseline assessment | The Tampa Kinesiophobia Scale-17 (TKS-17) is a 17-item scale assessing fear of movement. It uses a 4-point Likert scale (1=Strongly disagree to 4=Strongly agree). Items 4, 8, 12, and 16 are reverse-scored. The total score ranges from 17 (minimum) to 68 (maximum). A higher score indicates a higher degree of kinesiophobia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale Score | at baseline assessment | A 14-item scale assessing postural control. Each item is scored 0 (unable) to 4 (normal performance), with a maximum score of 56. |
| Falls Efficacy Scale Score | at baseline assessment | A 10-item scale rating confidence in performing activities on a scale from 1 to 10. Total score ranges from 10 (minimum) to 100 (maximum). Higher scores indicate a higher level of fear of falling. |
| Hospital Anxiety and Depression Scale Score | at baseline assessment | A 14-item scale with 7 items for anxiety and 7 for depression, each scored 0-3. Each subscale (Anxiety, Depression) has a maximum score of 21 |
| Barthel Index Score | at baseline assessment | Assessment of functional independence in activities of daily living. |
Countries
Turkey (Türkiye)