Application of the Validity and Reliability of the Enhanced Paper Grasping Test in Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Manual muscle testing device
研究概览
简要总结
The study included volunteer patients diagnosed with stroke who applied to the Neurology Outpatient Clinic at SANKO University Sani Konukoğlu Application and Research Hospital.
Patients who met the inclusion criteria were evaluated by Dr Hakan Polat and Physiotherapist Fatma Yılmaz in the application laboratory of the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, SANKO University.
The assessment form prepared by the researchers will be completed face-to-face with the patients. First, the individuals' demographic information and disease information (how many years ago they were diagnosed with stroke, affected side, affected limb, etc.) will be recorded. The mini best test will be used to assess balance and gait. The muscle strength of the plantar flexor muscle groups in the ankle will be assessed using a manual muscle testing device.
As fall problems in patients may be related to balance problems, lower limb muscle weakness, particularly in the ankle, and reduced quality of life, these parameters will also be evaluated. Therefore, in our study, while examining the validity and reliability of the modified paper grip test in individuals with stroke, its correlation with these parameters will also be examined.
Before the tests are administered, the individuals will be given a practical explanation of how the tests are performed. The individuals will be allowed to rest before the assessments. In the tests, the paper grip test will first be administered by Dr Hakan Polat, followed by the mini best test, the assessment of the strength of the ankle plantar and dorsiflexor muscles. One week after the applications, only the paper grip test will be re-administered by Fzt. Fatma Yılmaz in the same environment. The individuals in this study will be assessed in the same environment in both sessions. In this way, the effect of environmental factors on the patients' performance will be minimised.
详细描述
Stroke is one of the most significant diseases causing death and disability worldwide. Stroke is a disease that leads to neurological disorders as a result of the sudden interruption of blood flow in the vessels supplying the brain. It is divided into haemorrhagic and ischaemic stroke. Symptoms vary depending on the affected area of the brain. Common symptoms observed in stroke patients include muscle weakness, reduced upper limb function, difficulty walking, balance and coordination problems, and communication problems.
Stroke patients are at high risk of falling, particularly due to balance problems. Consequently, fear of falling in stroke patients leads to kinesiophobia (fear of movement) and decreases in activities of daily living and difficulties in adaptation.
Balance problems are primary abnormal motor characteristics in individuals who have had a stroke, and it has been shown that they are the primary problem in approximately 80% of cases, leading to walking disorders, posture disorders, and falling problems.
Based on this information, balance rehabilitation must be a primary focus in stroke rehabilitation for falling problems. A detailed balance assessment is of great importance for rehabilitation treatment. According to research in the literature, balance assessment in individuals who have suffered a stroke is generally performed statically and dynamically. The functional reach test, functional balance scale, and timed up and go test are generally preferred. However, it is thought that the main source of balance problems is lower extremity muscle strength loss. Although there is a significant relationship between lower extremity muscle strength loss and increased risk of falling in individuals with stroke, current assessment tools do not include direct quantitative assessment, which may weaken their effectiveness.
The Enhanced Paper Grip Test (EPGT) can fill this gap in the literature. The EPGT offers a simple measurement using hallux plantar flexion strength, without the need for special devices or equipment.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants aged 18-65 with a diagnosis of ischaemic or haemorrhagic stroke
- •Voluntarily participating in the study
排除标准
- •-Pregnant or within the first 3 months after giving birth
- •Anyone who has taken any medication that affects their ability to walk or who has suffered an orthopaedic injury within the last month
结局指标
主要结局
Manual muscle testing device
时间窗: 1 years
muscle strength (right foot dorsiflexion, left foot dorsiflexion, right foot plantar flexion, left foot plantar flexion) will be measured using the Commander Echo brand manual muscle testing device. The participant will be a
Enhanced Paper Grasping Test
时间窗: 1 years
During measurement, participants will sit in a calm environment on a chair without armrests, with their feet and knees at a 90-degree angle, and their upper limbs comfortably placed alongside their torso. This test involves
Modified Mini Best Test
时间窗: 1 years
This is one of the clinical tests used to assess walking and balance. It consists of four sub-parameters: preparatory movement, reactive postural control, sensory orientation, and dynamic walking, comprising a total of 14 items. It is a test scored out of a total of 28 points, taking an average of 10-15 minutes to complete. A high score indicates high function.
次要结局
未报告次要终点
研究者
Hakan Polat
Physiotherapy and Rehabilitation Department, Assistant Professor
Sanko University