The Effect of Vestibular Exercise Program on Fatigue, Balance and Gait in Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Fatigue Impact Scale
研究概览
简要总结
The goal of this clinical trial is to search effects of vestibuler exercises on post-stroke fatigue. The main question it aims to answer is:
wer are:
- Do vestibuler excercises decrease post-stroke perceived and physiologic fatigue?
Researchers will compare the effects of vestibuler exercises to conventional rehabilitation to find out the superior one.
Participants will:
- take a one-hour conventional rehabilitation or vestibuler exercise program three times in a week.
- be assessed in terms of fatigue before and after rehabilitation programs.
详细描述
One of the most common complications after stroke is fatigue. Fatigue prolongs the rehabilitation period and delays recovery. Although medical treatments, exercise programs and activity modifications are recommended to reduce fatigue after stroke, an effective evidence-based treatment method has not yet been developed. Vestibular exercises can improve oculomotor and postural control by trying to provide sensory integration through adaptation and compensatory mechanisms, thus increasing cortical excitability and reducing fatigue.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
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
- •Volunteering to participate in the study Being between the ages of 18-65 Having had an anterior circulation stroke at least 6 months ago Being at least stage 3 according to the Functional Ambulation Classification Scoring at least 22 on the Montreal Cognitive Assessment Scale
排除标准
- •Having another orthopedic, neurological or other systemic disease that prevents working Having severe aphasia Having a disease other than stroke that causes primary fatigue Using medication that will affect cognitive status Using medication that will affect fatigue
研究组 & 干预措施
Control group
Participants in the control group will participate in a one-hour conventional exercise program three times a week for eight weeks.
干预措施: Control (Standard treatment) (Other)
Vestibular Group
In vestibular group (study group) participants in the study group will receive 20 minutes of vestibular training in addition to a 40-minute conventional exercise program, three times a week for eight weeks.
干预措施: Vestibular exercise (Other)
结局指标
主要结局
Fatigue Impact Scale
时间窗: One week before rehabilitation program and one week after rehabilitation program.
The Fatigue Impact Scale (FIS) will be used. The FIS, which provides information on the presence and severity of fatigue, asks patients to evaluate 10 physical, 10 cognitive, and 20 psychosocial function-related statements within the scope of their fatigue levels in the last month. Each statement can take a value between 0 and 4. 0 indicates no problem, while 4 indicates the most severe problem. The total scale score varies between 0 and 160. A higher score indicates that the effect of fatigue is greater.
The Fatigue Assessment Scale
时间窗: One week before rehabilitation program and one week after rehabilitation program.
The Fatigue Assessment Scale (FAS) consists of 10 items. Responses are given on a five-point Likert scale, with 1 for "never" and 5 for "always". The FAS asks participants to rate how they feel on a daily basis.
次要结局
- Symbol Digit Modalities Test(One week before rehabilitation program and one week after rehabilitation program.)
- Six Minutes Walking Test(One week before rehabilitation program and one week after rehabilitation program.)
研究者
ayla fil balkan
associate professor
Hacettepe University