Relation of Functional ındependence to Balance, Exercise Capacity, and Peripheral Muscle Strength

NCT ID: NCT05665673

Last Updated: 2025-04-15

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 52 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-12-19
• Study Completion Date: 2023-07-01

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.

Conditions

Functional Independence; Balance; Distorted; Exercise Capacity; Peripheral Muscle Strength

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Study Groups

Study Group

Sociodemographic information about the stroke patients included in the study will be obtained and some physical tests will be performed.

Physical functions test

Intervention Type: OTHER

Participants; sociodemographic and descriptive data will be recorded. The Standardized Mini-Mental Test will be used for the global cognitive assessment of participants, the Brunnstrom staging to assess lower extremity motor recovery and indicate at what motor level, and the Functional Ambulation Classification to classify them according to the basic motor skills required for functional ambulation. Gait and balance assessment will be evaluated with Tinetti Balance and Gait Assessment (POMA), functional exercise capacity will be evaluated with 6 Minute Walking Test (6MWT), and peripheral muscle strength will be evaluated with knee extension strength.

Interventions

Physical functions test

Participants; sociodemographic and descriptive data will be recorded. The Standardized Mini-Mental Test will be used for the global cognitive assessment of participants, the Brunnstrom staging to assess lower extremity motor recovery and indicate at what motor level, and the Functional Ambulation Classification to classify them according to the basic motor skills required for functional ambulation. Gait and balance assessment will be evaluated with Tinetti Balance and Gait Assessment (POMA), functional exercise capacity will be evaluated with 6 Minute Walking Test (6MWT), and peripheral muscle strength will be evaluated with knee extension strength.

Intervention Type: OTHER

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

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istinye University

OTHER

Sponsor Role: lead

Responsible Party

Yunus Emre Tutuneken

Lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Yunus Emre TÜTÜNEKEN

Istanbul, Zeytinburnu, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

5

Identifier Type: -

Identifier Source: org_study_id