Physical Activity and Related Factors in a Sample of Turkish Patients With Stroke
- Conditions
- Stroke
- Interventions
- Other: physical activity measurement
- Registration Number
- NCT04084002
- Lead Sponsor
- Marmara University
- Brief Summary
The aim of this study was to investigate the relationships between physical activity level and demographic factors, motor function, cognitive function, functional status, balance and quality of life in patients with chronic stroke and to compare physical activity levels with healthy individuals in the same population.
- Detailed Description
The aim of this study was to investigate the relationships between physical activity level and demographic factors, motor function, cognitive function, functional status, balance and quality of life in patients with chronic stroke and to compare physical activity levels with healthy individuals in the same population. It is a fact that the physical activity levels of individuals decrease significantly after stroke. However, there is no study examining to what extent the physical activity is affected and the factors related to the decrease in the level of physical activity. The primary aim of stroke rehabilitation is to recognize and prevent complications, to minimize disturbances, to maximize functions. Secondary objectives; to prevent stroke recurrence. Physical activity has been shown to reduce the risk of stroke, stroke severity and other consequences. The risk of a reduction in physical capacity occurs over time and it is assumed that normal physical activity can prevent recurrent stroke. Therefore, it is necessary to continuously assess physical activity levels after stroke. In order to increase physical activity levels, it is important to identify people with low levels of physical activity and to understand the factors that may be associated. Therefore, in this study, we aimed to provide a comprehensive analysis by including most of the factors that may be related to physical activity in patients with stroke. In this study, unlike previous studies on physical activity in stroke, the relationships between physical activity and factors such as motor function, quality of life and cognitive skills as well as balance measurements and walking speed parameters which will be obtained from computerised posturography will be examined. In previous studies Physical Activity Scale for Elderly (PASE) questionnaire or the accelerometer device are used for the measurement of physical activity level. In this study, both of these tools will be used and the correlation between these two assessment tools will be demonstrated. In this study, patients with stroke will be evaluated by using PASE scale and accelerometer results (accelerometer will be held from Monday to Friday) for physical activity and Mini Mental test for cognitive function, Fugl Meyer Scale for motor function, Berg Balance Test and computerized posturography analysis for balance, Barthel Index for daily activities, Stroke Impact Scale for quality of life, Brunnstrom stage for motor recovery status. Each of the tests lasts about 5-10 minutes. Healthy control group will also be assessed via accelerometer and PASE questionnaire for physical activity and computerized posturography for balance.
With this study, physical activity which is protective for recurrent stroke, will be evaluated comprehensively and factors associated with physical activity will be revealed. Thus, in order to increase the physical activity, it will be concluded which factor should be treated or evaluated, and these results will be very helpful for further studies.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 50
Patient group
-
Patients with first ever, unilateral stroke
-
Patients with stroke who can walk independently or with an assistive device
-
Being at between the ages of 40-80 Control group
-
Being at between the ages of 40-80 and having not previously diagnosed with any neurologic disease
Patient group
- Having uncontrolled hypertension, cardiopulmonary disease
- Presence of neglect, dementia, apraxia
- Mini mental scale >24 or being able to complete study outcomes
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Control group physical activity measurement Healthy control group age and sex matched Patients with subacute chronic stroke physical activity measurement Patients with subacute chronic stroke
- Primary Outcome Measures
Name Time Method ACtotal Day 0 Total activity count (AC) obtained from accelerometer
EEtotal Day 0 Total energy expenditure (EE) obtained from accelerometer
PASE Day 0 Physical Activity Score for Elderly (PASE)
- Secondary Outcome Measures
Name Time Method Mini Mental Test Day 0 Mini Mental Test
WA step width Day 0 Walk Across step width obtained from Neurocom forceplate
step count Day 0 total step count obtained from accelerometer
LOS RT Day 0 Limits of Stability reaction time obtained from Neurocom forceplate
AC light Day 0 activity counts derived from accelerometer during light physical activity
Brunnstrom stage for lower extremity Day 0 Brunnstrom stage for lower extremity
LOS EPE Day 0 Limits of Stability endpoint excursion obtained from Neurocom forceplate
Modified Clinical Test of Sensory Interaction on Balance Day 0 Modified Clinical Test of Sensory Interaction on Balance obtained from Neurocom forceplate
FAS stage Day 0 Functional Ambulation Scale (FAS) stage
WA step length Day 0 Walk Across step width obtained from Neurocom forceplate
AC moderate Day 0 activity counts derived from accelerometer during moderate physical activity
EE moderate Day 0 energy expenditure obtained from accelerometer during moderate physical activity
EE light Day 0 energy expenditure obtained from accelerometer during light physical activity
AC sedentary Day 0 activity counts derived from accelerometer during sedentary physical activity
Barthel Index for Activities of Daily Living Day 0 Barthel Index for Activities of Daily Living
EE vigorous Day 0 energy expenditure obtained from accelerometer during vigorous physical activity
EE sedentary Day 0 energy expenditure obtained from accelerometer during sedentary physical activity
Stroke Impact Scale Day 0 Stroke Impact Scale
FMA-LE Day 0 The Fugl-Meyer Assessment for lower extremity
Brunnstrom stage for proximal upper extremity Day 0 Brunnstrom stage for proximal upper extremity
Brunnstrom stage for distal upper extremity Day 0 Brunnstrom stage for distal upper extremity
WA walking speed Day 0 Walk Across walking speed obtained from Neurocom forceplate
LOS VL Day 0 Limits of Stability movement velocity obtained from Neurocom forceplate
AC vigorous Day 0 activity counts derived from accelerometer during vigorous physical activity
Berg Balance Score Day 0 Berg Balance Score
FMA-UE Day 0 The Fugl-Meyer Assessment for upper extremity
FMA-total Day 0 The Fugl-Meyer Assessment total score
stroke duration Day 0 stroke duration
LOS MXE Day 0 Limits of Stability maximum excursion obtained from Neurocom forceplate
LOS DCL Day 0 Limits of Stability directional control obtained from Neurocom forceplate
Trial Locations
- Locations (1)
Marmara University School of Medicine, Pendik Research and Education Hospital, Department of Physical Medicine and Rehabilitation
🇹🇷Istanbul, Turkey