Factors Affecting Participation in Activities of Daily Living in Individuals With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 49
- 试验地点
- 1
- 主要终点
- Stroke Impact Scale (SIS) for assessment of participation in activities of daily living.
研究概览
简要总结
The aim of this study is to identify the factors affecting participation in daily living activities in stroke individuals and their interrelationships. Participation in daily living activities and related factors such as spasticity, upper extremity function, cognitive status, and functional status were assessed in individuals diagnosed with stroke.
Hypothesis 1: Spasticity in stroke patients affects participation in daily living activities.
Hypothesis 2: Upper extremity function in stroke patients affects participation in daily living activities.
Hypothesis 3: Cognitive status in stroke patients affects participation in daily living activities.
Hypothesis 4: Functional status in stroke patients affects participation in daily living activities.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having a stroke diagnosis.
- •At least 3 months must have passed since the stroke.
- •Not having hearing, vision, or speech problems that would affect the tests.
- •Agreeing to participate in the study.
- •Not having any non-stroke neurological or orthopedic disease that could affect function.
排除标准
- •Having undergone musculoskeletal surgery on the upper extremity.
- •Less than 3 months having passed since the stroke.
- •Having hearing, vision, or speech problems severe enough to affect the tests.
- •Having any non-stroke neurological or orthopedic disease that may affect function.
结局指标
主要结局
Stroke Impact Scale (SIS) for assessment of participation in activities of daily living.
时间窗: The assessment was performed at least 3 months after the stroke.
The current SIS 3.0 is a revised version of the original SIS developed by Duncan et al. SIS 3.0 includes 59 items measuring eight domains, including strength, hand function, activities of daily living/instrumental activities of daily living, mobility, communication, emotion, memory/thinking, and participation, and one item assessing overall improvement. Items are rated using a Guttman-type scale with five response options. Patients are expected to complete the scale based on the difficulties they perceived last week. Scores of 5, 4, 3, 2, and 1 correspond to the options "not difficult at all," "very little difficult," "somewhat difficult," "very difficult," and "extremely difficult," respectively. Turkish validity and reliability were established by Hantal et al. in 2014, with Cronbachα values \> 0.70 and ICC 0.947 (0.947-0.999).
次要结局
- Muscle tone assessment using the Modified Ashworth Scale (MAS).(The assessment was performed at least 3 months after the stroke.)
- Nine Hole Peg Test (NHPT) Assessment of upper extremity function(The assessment was performed at least 3 months after the stroke.)
- Assessment of upper extremity dexterity with Dexterity Questionnaire-24 (DextQ-24)(The assessment was performed at least 3 months after the stroke.)
- Montreal Cognitive Assessment (MoCA) for cognitive status assessment.(The assessment was performed at least 3 months after the stroke.)
- Fatigue assessment using the Fatigue Severity Scale (FSS).(The assessment was performed at least 3 months after the stroke.)
- Assessment of balance using the Berg Balance Scale (BBS).(The assessment was performed at least 3 months after the stroke.)
- Gait assessment using the Time Up and Go Test (TUG).(The assessment was performed at least 3 months after the stroke.)
- Functional status assessment using the Modified Rankin Scale (mRS).(The assessment was performed at least 3 months after the stroke.)
- Comorbidity assessment using the Charlson Comorbidity Index (CCI)(The assessment was performed at least 3 months after the stroke.)
- Assessment of emotional state using Hospital Anxiety Depression Measure (HAD).(The assessment was performed at least 3 months after the stroke.)
研究者
Esra YILMAZ BEKTAŞ
Physiotherapist, MSc
Pamukkale University