Kinesiophobia and Balance in Stroke Patients

Istanbul Physical Medicine Rehabilitation Training and Research Hospital138 enrolled

Overview

This is a cross-sectional clinical study planned to include 138 stroke patients receiving inpatient treatment at the Istanbul Physical Therapy and Rehabilitation Training and Research Hospital.Data on kinesiophobia (Tampa Kinesiophobia Scale-17) , balance performance (Berg Balance Scale) , balance confidence (Activities-specific Balance Confidence Scale-6) , fear of falling (Falls Efficacy Scale) , pain (VAS) , and mood (HADS) will be collected. Clinical and demographic data, including Brunnstrom stages and Barthel Index, will also be recorded. The relationships between these variables will be analyzed statistically.

This is a cross-sectional clinical study planned to include 138 stroke patients receiving inpatient treatment at the Istanbul Physical Medicine and Rehabilitation Training and Research Hospital. Data on kinesiophobia (Tampa Kinesiophobia Scale-17) , balance performance (Berg Balance Scale) , balance confidence (Activities-specific Balance Confidence Scale-6) , fear of falling (Falls Efficacy Scale) , pain (VAS) , and mood (HADS) will be collected. Clinical and demographic data, including Brunnstrom stages and Barthel Index, will also be recorded. The relationships between these variables will be analyzed statistically

Study Type

OBSERVATIONAL

Enrollment

138

Conditions

Stroke

Interventions

All participants in this single cohort will undergo a one-time, cross-sectional assessment. This assessment includes the collection of clinical and demographic data and the administration of scales for kinesiophobia (Tampa Kinesiophobia Scale-17), balance performance (Berg Balance Scale), balance confidence (ABC-6), fear of falling (Falls Efficacy Scale), pain (VAS), and mood (HADS). No intervention is administered.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Voluntary participation in the study * Male and female patients aged 18-80 * History of ischemic or hemorrhagic stroke * Functional Ambulation Scale level 3 or higher * Standardized mini mental test ≥ 24 * Individuals who agree to participate in the study. Exclusion Criteria: * History of musculoskeletal surgery within the last year * Trauma, fracture, dislocation, or tumor within the last year * Vestibular system disorder * Additional neurological disease that may affect balance (Parkinson's Disease, Multiple Sclerosis, vestibular system disorder) * Other rheumatological or psychiatric diseases * Chronic decompensated cardiac, renal, or hepatic failure

Outcomes

Primary Outcomes

Assessment of Kinesiophobia using the Tampa Kinesiophobia Scale-17

The Tampa Kinesiophobia Scale-17 (TKS-17) is a 17-item scale assessing fear of movement. It uses a 4-point Likert scale (1=Strongly disagree to 4=Strongly agree). Items 4, 8, 12, and 16 are reverse-scored. The total score ranges from 17 (minimum) to 68 (maximum). A higher score indicates a higher degree of kinesiophobia.