One of the most common complications in stroke patients is cognitive impairment. Cognitive impairment affects a large part of the life of stroke patients. However, the relationship between cognitive impairment and fear of falling in stroke patients has not been investigated in any study yet. Various treatment approaches have been developed to improve cognitive function. While some of these approaches focus on improving cognitive function, others aim to reach the maximum functional level with various compensation methods taught to the patient in the current cognitive situation. As a result of cognitive interventions, stroke patients' participation in daily life, adherence to treatment and quality of life increase. The aim of this study is to investigate the effects of cognitive interventions on motor performance, balance and fear of falling. This study will contribute to the literature by investigating these effects of cognitive rehabilitation.
Participants will be randomized into two groups as control and experimental groups. The control group will receive traditional rehabilitation intervention, while the experimental group will receive additional cognitive intervention to traditional rehabilitation. Two groups will be evaluated before and after the study. Participants' motor performance, balance and fear of falling will be determined by evaluation criteria.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
24
Language, memory, attention and executive function exercises are performed for the participants' deficient cognitive functions.
Strengthening, walking, balance and coordination exercises are performed according to the needs of the participants.
Montreal Cognitive Assessment
Developed to evaluate mild cognitive impairments, Montreal Cognitive Assessment assesses different cognitive abilities including executive functions, visuospatial skills, memory, language, attention concentration, abstract thinking, calculation and orientation. It takes about 10 minutes to administer and the highest total score that can be obtained from the test is 30. Accordingly, scores of 21 and above are considered normal.
Time frame: a day before the study start
Montreal Cognitive Assessment
Developed to evaluate mild cognitive impairments, Montreal Cognitive Assessment assesses different cognitive abilities including executive functions, visuospatial skills, memory, language, attention concentration, abstract thinking, calculation and orientation. It takes about 10 minutes to administer and the highest total score that can be obtained from the test is 30. Accordingly, scores of 21 and above are considered normal.
Time frame: through study completion, an average of 2 months
Fugl-Meyer Assessment
The Fugl-Meyer Assessment is used to evaluate any loss or abnormality in physiological, anatomical structure or function in motor function.
Time frame: a day before the study start
Fugl-Meyer Assessment
The Fugl-Meyer Assessment is used to evaluate any loss or abnormality in physiological, anatomical structure or function in motor function.
Time frame: through study completion, an average of 2 months
Tinetti Balance & Gait Test
Tinetti Balance and Gait Scale is used to evaluate patients' balance and gait.
Time frame: a day before the study start
Tinetti Balance & Gait Test
Tinetti Balance and Gait Scale is used to evaluate patients' balance and gait.
Time frame: through study completion, an average of 2 months
Falls Efficacy Scale International (FES-I)
FES-I is a self-report questionnaire that provides information on the level of anxiety about falls for 16 activities of daily living.
Time frame: a day before the study start
Falls Efficacy Scale International (FES-I)
FES-I is a self-report questionnaire that provides information on the level of anxiety about falls for 16 activities of daily living.
Time frame: through study completion, an average of 2 months
The Timed Up & Go (TUG) Test
TUG is a practical clinical assessment tool developed to measure the physical mobility and motor performance of elderly individuals. TUG measures the time for the person to stand up from the chair, walk 3 meters, and return to the chair and sit.
Time frame: a day before the study start
The Timed Up & Go (TUG) Test
TUG is a practical clinical assessment tool developed to measure the physical mobility and motor performance of elderly individuals. TUG measures the time for the person to stand up from the chair, walk 3 meters, and return to the chair and sit.
Time frame: through study completion, an average of 2 months
10 meter walking test
10-meter walking test is a practical clinical assessment tool developed to measure walking capacity and motor performance of elderly individuals. The 10-meter walking test is performed by measuring the time it takes for a person to walk at normal walking speed between two markers that are 10 meters apart.
Time frame: a day before the study start
10 meter walking test
10-meter walking test is a practical clinical assessment tool developed to measure walking capacity and motor performance of elderly individuals. The 10-meter walking test is performed by measuring the time it takes for a person to walk at normal walking speed between two markers that are 10 meters apart.
Time frame: through study completion, an average of 2 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.