The Relationship of Trunk Control With Balance, Upper Extremity and Lower Extremity Functions in Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- The Trunk Impairment Scale
研究概览
简要总结
The trunk is the key point of the body. Proximal trunk control is essential for distal extremity movements, balance and functional activities. The aim of the study is to examine the relationship of trunk control with balance, upper extremity and lower extremity functions in stroke patients.
详细描述
Stroke is the third leading cause of death in developed countries after heart disease and cancer. In adults, it ranks first among neurological diseases in terms of causing death and disability.
About one-third of stroke patients experience permanent physical dysfunction. This situation has a negative impact on the economic, social, psychological life and general quality of life of the patient and his family. Stroke is one of the leading causes of long-term disability in adults due to problems such as activity limitations and participation restrictions caused by disorders in body functions . At this point, rehabilitation in stroke patients has an important place in ensuring the social participation of the patient and minimizing the disorders.
When the literature is examined, it is stated that the best functional results are revealed by a good postural control. Because the trunk is the key point of the body. Proximal trunk control is essential for distal extremity movements, balance and functional activities. It provides trunk control, static and dynamic posture, upright posture of the body, and selective trunk movements .
There are many treatment approaches to increase trunk stabilization. Gaining early trunk control is one of the basic principles of Bobath, which adopts the neurodevelopmental behavior model from neurophysiological approaches.
In recent years, core stabilization exercises, which play an active role in trunk stabilization, have started to be included in the rehabilitation program of stroke patients. Haruyama et al. demonstrated the effectiveness of core stabilization exercises on trunk control, standing, and mobility. This study also indicated the importance of trunk stabilization in balance and mobility (5).
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 55 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •55-85 years old, had an ischemic stroke at least 6 months ago, was at stage 2 according to brunstroma, had a mini-mental test score above 22, could stand independently for 3-4 seconds,
- •Exclusion Criteraia had orthopedic problems.
排除标准
- 未提供
结局指标
主要结局
The Trunk Impairment Scale
时间窗: at baseline
The Trunk Impairment Scale (TIS) consists of 3 parts: 3 items as static sitting balance, 10 items as dynamic sitting balance, and 4 items as coordination. The maximum points received are 7, 10 and 6 points respectively. The total score of TIS is between 0 and 23. High scores indicate good trunk control (6). Turkish validity and reliability study of TIS was also conducted
Berg Balance Scale (BBS)
时间窗: at baseline
BBS: It is the gold standard scale that clinically evaluates balance and postural control. It is a 14-item scale that measures the ability to maintain balance while performing functional tasks. Each item is scored between 0 and 4. If the total score is 56 and above, the balance is considered good.
Fugl meyer upper extremity test
时间窗: at baseline
FMU: It includes subsections that evaluate joint movements, coordination and reflex activities related to shoulder, elbow, forearm, wrist and hand. The highest score that can be obtained from this assessment is 66.
Fugl meyer lower extremity test
时间窗: at baseline
FML: It includes subsections that evaluate hip, knee, ankle joint movements, coordination and reflex activities. The highest score that can be obtained from this assessment is 34.
次要结局
未报告次要终点
研究者
Zekiye İpek KATIRCI KIRMACI
ass. prof
Kahramanmaras Sutcu Imam University