Spinal Straightness, Posture And Balance, Physical Performance And Energy Consumption In Individuals With Stroke

Investigation Of The Relationship Between Spinal Straightness And Posture And Balance, Physical Performance And Energy Consumption In Individuals With Stroke

Patients diagnosed with ischemic or hemorrhagic stroke who applied to Kırıkkale University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation will be included in the study. The aim of our study is to investigate the relationship between spinal alignment, posture and weight transfer symmetry with balance, physical performance and energy expenditure in stroke patients.

Patients diagnosed with ischemic or hemorrhagic stroke who applied to Kırıkkale University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation will be included in the study. The number of patients to be included in our study will be determined by power analysis.

Sociodemographic information (Age, Gender, Body Mass Index, Dominant Side) of the individuals included in the study will be recorded.

Information about the stroke (cause of stroke, time elapsed since stroke, side of involvement, neglect after stroke, comorbidities, history of falls in the last six months and 1 year, use of assistive devices, etc.) will be recorded.

1. Motor assessment The motor level of the individuals will be assessed according to the Brunnstrom Assessment. Upper and lower extremities will be evaluated separately.
2. Posture assessment Within the scope of the posture assessment of the individuals, Spinal Mouse, a computer-aided device, will be used for spinal alignment, and Postural Symmetry Index and Weight Transfer Symmetry will be calculated.
3. Balance Trunk control will be assessed with the Postural Assessment Scale for Stroke Patients (PASS), standing balance will be assessed with the Minibestest, Functional reach test (FUT) and timed get up and walk test (ZKTY)
4. Physical performance assessment Six-minute walk test and 5 times sit and stand test will be used to evaluate physical performance. In addition, physiologic energy expenditure index will be calculated during the six-minute walk test.

When we examine the literature, there are many separate studies on the alignment of the pelvis after stroke, weight transfer symmetry, postural control and energy consumption of individuals with stroke. However, there is a lack of studies on spinal alignment in stroke patients in general. Therefore, the aim of this study was to investigate the relationship between spinal alignment, posture and weight transfer symmetry with balance, physical performance and energy expenditure in stroke patients.

Inclusion Criteria:

• Individuals between the ages of 18-75 years diagnosed with stroke
• Volunteering to participate in the study
• Diagnosis of hemorrhagic or ischemic stroke,
• No collaboration and communication problems
• Can walk with assistive device or independently

Exclusion Criteria:

• Have another neurological, cardiopulmonary or orthopedic problem other than stroke that may affect functionality, ambulation and balance
• Patients who refused to participate in the study and did not give written consent.
• Cooperation and communication problems were determined as