Impact of Basophobia on Balance and Functional Outcomes in Patients With Stroke

Not Applicable

Completed

• Conditions: Stroke, Ischemic; Stroke Hemorrhagic; Balance

• Registration Number: NCT06899451
• Lead Sponsor: Cairo University

Brief Summary

Several studies have reported that the physical functions associated with falls, including motor performance, postural balance, flexibility, and muscle strength, are also associated with FoF. Patients with stroke have trouble performing ADLs, including washing their face, eating, bathing, dressing, toileting, and walking, which also affect FoF. Anxiety and depression are common affective disorders in patients with stroke and significantly increase FoF .

Detailed Description

Systematic desensitization switches bad cognitive, emotional, or behavioral reactions to assist people acquire ways to cope as well as self-confidence. People who are afraid of falling because they can't keep their balance can utilize systematic desensitization to alter their self- defeating thoughts, enhance their balance self-confidence, as well as substitute their unrealistic expectations of falls and overestimated fear of falling impacts with a realistic, positive view of falls. This makes them less susceptible to fall and high tendency to prevent it.Goal-oriented therapy allows the motor cortex to reorganize and promotes neuroplasticity. It has additionally been demonstrated that goal-oriented therapy enhances the ability of participant to work after a stroke more than traditional therapy does. Moreover, this therapy enhances the overall quality of life of participants and gets results much quicker and easier

Study Timeline

• Study Start: 2024-09-09
• Status Verified: 2025-03
• Primary Completion: 2025-03-03
• Study Completion: 2025-03-03
• Study First Submitted: 2025-03-21
• Study First Submitted QC: 2025-03-21
• Last Update Submitted: 2025-03-27
• Study First Posted: 2025-03-28
• Last Update Posted: 2025-04-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

an ischemic stroke and having had the disease for longer than three months have frequent falling, having sufficient cognition (as measured by a Montreal Cognitive Assessment score of over 26) and having upper and lower extremity spasticity ranging from (grade 1+: 2) on a modified Ashworth scale

Exclusion Criteria

) Musculoskeletal issues, such as severe arthritis, total hip arthroplasty, knee surgery, lower extremity fractures within the previous six months, or contractures brought on by a fixed deformity and/or disparity in leg length, 2) Instable medical conditions (e.g., unstable angina, recent myocardial infarction, history of congestive heart failure, major heart valve problems, or unstable hypertension);

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Berg Balance Scale	5 months	is a five-point scaling score, a range of Zero - 4. "Zero" was given at the least level of function, while grade "4" will be given at the highest level of function. The scores are classified as follows: 41-56 = low fall risk, 21-40 = medium fall risk, and 0 -20 = high fall risk
The 16-item Fall Efficacy Scale-International	5 months	utilized to evaluate fear of falls.Varying from one (not concerned) to four (very concerned). For data analysis, the overall score, which was the sum of the 16 answers and ranged from 16 to 64 points, was utilized. A greater total score means the patients are more concerned about falling
Timed Up and Go Test (TUG)	5 months	starts with the patient getting up from the chair, walk 3 meters once a signal is given, walk 3 meters back to the chair, and then sit down calculating time taken by the patient

Secondary Outcome Measures

Name	Time	Method
fear of falling	5 months	Biodex Balance Systems

Trial Locations

Locations (1)

Cairou; 🇪🇬 Cairo, Egypt