xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT05992844</url>
    </required_header>
    <id_info>
      <org_study_id>STROKE-KBE-35</org_study_id>
      <nct_id>NCT05992844</nct_id>
    </id_info>
    <brief_title>Kinesthetic Brain Exercise in Hemiplegic Individuals With Stroke</brief_title>
    <official_title>Investigation of the Effect of Kinesthetic Brain Exercise on Fall Risk, Balance and Quality of Life in Hemiplegic Individuals With Stroke</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>Izmir Democracy University</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
    </sponsors>
    <source>Izmir Democracy University</source>
    <oversight_info>
      <has_dmc>No</has_dmc>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        The success of conventional physical therapy in the rehabilitation of stroke patients is&#xD;
        demonstrated in the light of studies. In this study, the effects of kinesthetic brain&#xD;
        exercises, which is a new exercise approach to be applied together with conventional&#xD;
        physiotherapy and rehabilitation, on fall risk, balance, and quality of life will be&#xD;
        investigated in hemiplegic individuals who have had a stroke. Thus, it is thought that the&#xD;
        effectiveness of kinesthetic brain exercises applied together with conventional physiotherapy&#xD;
        and rehabilitation will contribute to the literature for the creation of rehabilitation&#xD;
        programs.&#xD;
      </textblock>
    </brief_summary>
    <detailed_description>
      <textblock>
        Stroke is a clinically defined syndrome characterized by rapidly developing symptoms or signs&#xD;
        of cerebral dysfunction with no apparent cause other than vascular causes. Symptoms last more&#xD;
        than 24 hours and can lead to death. Findings after stroke; upper and lower extremity motor&#xD;
        dysfunctions, spasticity, loss of balance and coordination, walking, swallowing, vision, and&#xD;
        communication problems. It has been reported that the disability rate ranges from 13-66% and&#xD;
        the disability rate varies between 12-64% due to these functional losses that occur after&#xD;
        stroke.&#xD;
  &#xD;
        In stroke patients, hemiplegic picture occurs depending on the size and location of the&#xD;
        damage in the brain. hemiplegia: It is a paralysis that affects the upper and lower&#xD;
        extremities of one side of the body. A decrease in muscle strength, loss of sensation and&#xD;
        dysfunction occur on the affected side.&#xD;
  &#xD;
        After stroke, the lower extremities are severely affected in hemiplegic individuals.&#xD;
        Instability of ankle and knee joints is seen in hemiplegic lower extremities. However, due to&#xD;
        instability, the center of gravity shifts towards the unaffected side, which causes balance&#xD;
        and coordination disorders. Balance and coordination disorders in hemiplegic individuals&#xD;
        cause poor performance in activities and an increased incidence of falls.&#xD;
  &#xD;
        Kinesthetic brain exercises: Studies investigating the effects of movement, physical activity&#xD;
        and exercises on learning and cognitive development have shown that increased attention span,&#xD;
        better focus, better behavioral method, and physical activity that contributes to better&#xD;
        learning are supported. Conceptually, brain exercises are expressed by the formula: Physical&#xD;
        activity + Brain Activity = Better cognitive function.&#xD;
  &#xD;
        Neuroplasticity is the basis of kinesthetic brain exercises. In the light of research, it has&#xD;
        been found that the brain is in a state of re-activating the activity that cannot be done by&#xD;
        using other ways. In rehabilitation sessions, it is aimed to reconstruct these pathways by&#xD;
        transforming daily activities into purposeful exercises. According to Dennison, the founder&#xD;
        of kinesthetic brain exercises, brain exercises; It is a combination of physical and mental&#xD;
        training with a series of physical movements that activate the whole body in turn, improving&#xD;
        the neural connections between the two cerebral hemispheres to enhance learning. Kinesthetic&#xD;
        brain training consists of twenty-six simple movements combined with deep breathing. Most of&#xD;
        these movements are done diagonally. These diagonal movements result in stimulation and&#xD;
        integration of different parts of the brain, especially the corpus callosum, which enables&#xD;
        faster and more integrated communication between the two hemispheres in the long run. It is&#xD;
        claimed that this situation supports the formation of new neural connections between the two&#xD;
        hemispheres of the brain. Drabben et al. In their study, they suggest that brain exercises&#xD;
        may be considered a useful physical therapy strategy for older adults, as they can have a&#xD;
        positive effect on brain functioning.&#xD;
  &#xD;
        The aim of this study is to investigate the effects of kinesthetic brain exercises on lower&#xD;
        extremity coordination and balance in hemiplegic individuals who have had a stroke. Thus, it&#xD;
        is thought that the effectiveness of kinesthetic brain exercises applied together with&#xD;
        conventional physiotherapy and rehabilitation will contribute to the literature for the&#xD;
        creation of rehabilitation programs.&#xD;
  &#xD;
        Study Hypothesis as follows; Kinesthetic brain exercises have an effect on fall risk, balance&#xD;
        and quality of life in hemiplegic individuals who have had a stroke.&#xD;
      </textblock>
    </detailed_description>
    <overall_status>Not yet recruiting</overall_status>
    <start_date type="Anticipated">August 7, 2023</start_date>
    <completion_date type="Anticipated">May 7, 2024</completion_date>
    <primary_completion_date type="Anticipated">March 7, 2024</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <intervention_model_description>RANDOMIZED CONTROLLED</intervention_model_description>
      <primary_purpose>Treatment</primary_purpose>
      <masking>Single (Participant)</masking>
    </study_design_info>
    <primary_outcome>
      <measure>Evaluation of Spasticity</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>Upper and lower extremity spasticity status will be evaluated according to the modified Ashworth scale. Spasticity score will be calculated by adding upper extremity spasticity scores of fingers, wrist, elbow and shoulder spasticity scores for upper extremity, and spasticity scores for lower extremity by adding toes, ankle, knee and hip spasticity scores. Higher scores indicate high spasticity.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Brunnstrom Motor Staging</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>The Brunnstrom motor assessment is used to evaluate motor function of the hemiplegic side, upper-lower extremities, and hand. According to Brunnstrom, the healing process consists of 6 stages. While the 1st stage is the flaccid stage without isolated movement, the 6th stage is the isolated voluntary movement stage. Only the lower extremity section will be used in this study.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Functional Ambulation Classification (FAS)</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>The Functional Ambulation Classification is a widely used ambulation scale that evaluates gait. It is scored between 0 and 5 according to the amount of support the patients receive during walking and consists of 6 categories in total. A score of 0 indicates fully dependent ambulation, while a score of 5 indicates completely independent ambulation.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Activity-Specific Balance Confidence Scale</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>It is a self-report form that asks people to evaluate their balance performance during 16 activities determined in the home and outdoor environment. The scale consists of 16 different activities and each item is scored between 0-100. A score of 0 indicates no confidence, and a score of 100 indicates full confidence. The total score is obtained by summing each item score and dividing it by the number of items. A score below 50 indicates a low level, a score between 50-80 indicates a moderate level, and a score above 80 indicates a high level of physical activity.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Timed Sit to Stand Test</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>It is a test used to evaluate lower extremity performance and fall risk in stroke patients. During the test, the patient sits on the arm support chair with her back straight and is asked to get up and sit 5 times in quick succession, with her arms crossed on her chest. The elapsed time is recorded in seconds. The patient who cannot stand up unassisted is allowed to get support from the chair and is noted as such. The test is repeated 3 times and the average time is taken. The discrimination cut-off value of this test in stroke individuals is accepted as 12 seconds. If the test takes 15 seconds or more, it is accepted as a risk of repeated falls in elderly individuals.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Timed Up and Go Test</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>It is a clinical evaluation test used to evaluate fall risk and dynamic balance in individuals. Patients are asked to sit in an upright position on a chair with an upright back, and with the start command, they are asked to walk 3 meters and return to sit on the chair again. The elapsed time is recorded in seconds. If the patient is walking with an assistive device, he is allowed to walk with an assistive device. The test is repeated 3 times and the average time is recorded. If the test takes more than 14 seconds, it indicates an increased risk of falling in stroke patients.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>One Leg Standing Test</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>The one leg standing test is used to evaluate static balance and postural control. Patients are asked to stand on one leg. The test is finished when the patient touches the ground when he/she stands up or when he/she stands on one leg for 30 seconds. Both legs are repeated 3 times and the average elapsed time is recorded.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Berg Balance Scale</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>Berg balance scale is used to evaluate postural control and fall risk. Berg balance scale consists of 14 items. Each item is scored from 0-4 by observing the performance of the individual. A score of 0 indicates that the patient could not do the activity, and 4 points indicate that she completed the activity independently. According to the Berg balance scale, the highest score that can be obtained is 56, and a score below 45 indicates the risk of falling. A score of 0-20 indicates balance disorder, an acceptable balance between 21-40, and a good balance of 41-56 points.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Assessment of Fall Risk</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>This scale consists of 2 sections and 19 risk factors. Major risk factors are given 5 points and minor risk factors are given 1 point. Patients with a score of 5 or more on the scale are considered to have a high risk of falling, and patients with a score of less than 5 are considered to have a low risk of falling.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>Stroke-Specific Quality of Life Scale</measure>
      <time_frame>Change from Baseline at 3 weeks</time_frame>
      <description>This scale consists of 12 fields containing 49 items. These areas are; mobility (6 items), energy (3 items), upper extremity function (5 items), work/production (3 items), temperament (5 items), self-care (5 items), social role (5 items), family role ( It consists of 3 items), vision (3 items), language (5 items), thinking (3 items), and personality traits (3 items). Each fields has a maximum score of 5 and higher scores indicate better quality of life.</description>
    </primary_outcome>
    <number_of_arms>2</number_of_arms>
    <enrollment type="Anticipated">20</enrollment>
    <condition>Stroke</condition>
    <arm_group>
      <arm_group_label>KB Exercises plus Conventional Rehabilitation Group</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>While the participants in the study group will continue the conventional rehabilitation program described below for 3 weeks, lasting 45 minutes on average, 5 sessions a week, they will participate in a total of 9 sessions of kinesthetic brain exercises, 3 sessions a week lasting 30 minutes on average.&#xD;
  Kinesthetic Brain Exercises Program; The kinesthetic brain exercises program basically consists of 3 phases: warm-up phase, exercise phase and cool-down phase.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>Conventional Rehabilitation Group</arm_group_label>
      <arm_group_type>Other</arm_group_type>
      <description>Control Group; Conventional Rehabilitation program; strengthening exercises, balance/gait training, Proprioceptive Neuromuscular Facilitation techniques, neuromuscular electrical stimulation.</description>
    </arm_group>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>KB Exercises Program</intervention_name>
      <description>Kinesthetic Brain Exercises will carried out for 3 weeks, lasting 45 minutes on average, 5 sessions a week, they will participate in a total of 9 sessions of kinesthetic brain exercises, 3 sessions a week lasting 30 minutes on average.&#xD;
  Kinesthetic Brain Exercises Program; The kinesthetic brain exercises program basically consists of 3 phases: warm-up phase, exercise phase and cool-down phase.</description>
      <arm_group_label>KB Exercises plus Conventional Rehabilitation Group</arm_group_label>
      <other_name>KINESTHETIC BRAIN EXERCISES</other_name>
    </intervention>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>Conventional Rehabilitation program</intervention_name>
      <description>Conventional Rehabilitation program; strengthening exercises, balance/gait training, Proprioceptive Neuromuscular Facilitation techniques, neuromuscular electrical stimulation.</description>
      <arm_group_label>Conventional Rehabilitation Group</arm_group_label>
      <arm_group_label>KB Exercises plus Conventional Rehabilitation Group</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Inclusion Criteria:&#xD;
  &#xD;
            -  Being in the 30-60 age range&#xD;
  &#xD;
            -  Being in the subacute/chronic period (6 months and above).&#xD;
  &#xD;
            -  Having unsupported sitting balance.&#xD;
  &#xD;
            -  Having the ability to ambulate with and without support&#xD;
  &#xD;
            -  Not having botox application for the lower extremities in the last 6 months&#xD;
  &#xD;
            -  Being at least 3 and above according to the Functional Ambulation Scale&#xD;
  &#xD;
            -  At least level 3 or higher according to Bruunstrom Lower Extremity Motor Staging.&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  Having a rheumatological, orthopedic or cardiopulmonary disease that prevents&#xD;
               participation in exercises&#xD;
  &#xD;
            -  Having secondary diseases (MS, Parkinson's, spinal cord injuries, contractures, and&#xD;
               post-fracture deformities, etc.)&#xD;
  &#xD;
            -  Having cognitive, visual, and auditory problems that prevent communication&#xD;
  &#xD;
            -  Having vestibular system disorders.&#xD;
        </textblock>
      </criteria>
      <gender>All</gender>
      <minimum_age>30 Years</minimum_age>
      <maximum_age>60 Years</maximum_age>
      <healthy_volunteers>No</healthy_volunteers>
    </eligibility>
    <overall_official>
      <last_name>Hatice Resorlu, Assoc. Prof.</last_name>
      <role>Study Chair</role>
      <affiliation>Çanakkale 18 March University</affiliation>
    </overall_official>
    <overall_official>
      <last_name>Ferruh Taspinar, Prof. Dr.</last_name>
      <role>Study Chair</role>
      <affiliation>Izmir Democracy University</affiliation>
    </overall_official>
    <overall_contact>
      <last_name>Betul Taspinar, Prof. Dr.</last_name>
      <phone>+90 506 680 44 26</phone>
      <email>ptbetul@gmail.com</email>
    </overall_contact>
    <overall_contact_backup>
      <last_name>Salih Babaoglu, PT.</last_name>
      <phone>+90 507 637 18 23</phone>
      <email>fzt.salih.babaoglu@gmail.com</email>
    </overall_contact_backup>
    <verification_date>August 2023</verification_date>
    <study_first_submitted>July 27, 2023</study_first_submitted>
    <study_first_submitted_qc>August 11, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">August 15, 2023</study_first_posted>
    <last_update_submitted>August 11, 2023</last_update_submitted>
    <last_update_submitted_qc>August 11, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 15, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Principal Investigator</responsible_party_type>
      <investigator_affiliation>Izmir Democracy University</investigator_affiliation>
      <investigator_full_name>Betül Taşpınar</investigator_full_name>
      <investigator_title>PROF. DR.</investigator_title>
    </responsible_party>
    <keyword>STROKE</keyword>
    <keyword>HEMIPLEGIA</keyword>
    <keyword>COGNITIVE</keyword>
    <keyword>DYSFUNCTION</keyword>
    <keyword>EXERCISE</keyword>
    <condition_browse>
      <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
      <mesh_term>Stroke</mesh_term>
    </condition_browse>
    <patient_data>
      <sharing_ipd>No</sharing_ipd>
    </patient_data>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT05992844
  org study id: STROKE-KBE-35
  nct id: NCT05992844
  lead sponsor: 
  has dmc: No
  is fda regulated drug: No
  is fda regulated device: No
  The success of conventional physical therapy in the rehabilitation of stroke patients is
        demonstrated in the light of studies. In this study, the effects of kinesthetic brain
        exercises, which is a new exercise approach to be applied together with conventional
        physiotherapy and rehabilitation, on fall risk, balance, and quality of life will be
        investigated in hemiplegic individuals who have had a stroke. Thus, it is thought that the
        effectiveness of kinesthetic brain exercises applied together with conventional physiotherapy
        and rehabilitation will contribute to the literature for the creation of rehabilitation
        programs.
  Stroke is a clinically defined syndrome characterized by rapidly developing symptoms or signs
        of cerebral dysfunction with no apparent cause other than vascular causes. Symptoms last more
        than 24 hours and can lead to death. Findings after stroke; upper and lower extremity motor
        dysfunctions, spasticity, loss of balance and coordination, walking, swallowing, vision, and
        communication problems. It has been reported that the disability rate ranges from 13-66% and
        the disability rate varies between 12-64% due to these functional losses that occur after
        stroke.
  
        In stroke patients, hemiplegic picture occurs depending on the size and location of the
        damage in the brain. hemiplegia: It is a paralysis that affects the upper and lower
        extremities of one side of the body. A decrease in muscle strength, loss of sensation and
        dysfunction occur on the affected side.
  
        After stroke, the lower extremities are severely affected in hemiplegic individuals.
        Instability of ankle and knee joints is seen in hemiplegic lower extremities. However, due to
        instability, the center of gravity shifts towards the unaffected side, which causes balance
        and coordination disorders. Balance and coordination disorders in hemiplegic individuals
        cause poor performance in activities and an increased incidence of falls.
  
        Kinesthetic brain exercises: Studies investigating the effects of movement, physical activity
        and exercises on learning and cognitive development have shown that increased attention span,
        better focus, better behavioral method, and physical activity that contributes to better
        learning are supported. Conceptually, brain exercises are expressed by the formula: Physical
        activity + Brain Activity = Better cognitive function.
  
        Neuroplasticity is the basis of kinesthetic brain exercises. In the light of research, it has
        been found that the brain is in a state of re-activating the activity that cannot be done by
        using other ways. In rehabilitation sessions, it is aimed to reconstruct these pathways by
        transforming daily activities into purposeful exercises. According to Dennison, the founder
        of kinesthetic brain exercises, brain exercises; It is a combination of physical and mental
        training with a series of physical movements that activate the whole body in turn, improving
        the neural connections between the two cerebral hemispheres to enhance learning. Kinesthetic
        brain training consists of twenty-six simple movements combined with deep breathing. Most of
        these movements are done diagonally. These diagonal movements result in stimulation and
        integration of different parts of the brain, especially the corpus callosum, which enables
        faster and more integrated communication between the two hemispheres in the long run. It is
        claimed that this situation supports the formation of new neural connections between the two
        hemispheres of the brain. Drabben et al. In their study, they suggest that brain exercises
        may be considered a useful physical therapy strategy for older adults, as they can have a
        positive effect on brain functioning.
  
        The aim of this study is to investigate the effects of kinesthetic brain exercises on lower
        extremity coordination and balance in hemiplegic individuals who have had a stroke. Thus, it
        is thought that the effectiveness of kinesthetic brain exercises applied together with
        conventional physiotherapy and rehabilitation will contribute to the literature for the
        creation of rehabilitation programs.
  
        Study Hypothesis as follows; Kinesthetic brain exercises have an effect on fall risk, balance
        and quality of life in hemiplegic individuals who have had a stroke.
  allocation: Randomized
  intervention model: Parallel Assignment
  intervention model description: RANDOMIZED CONTROLLED
  primary purpose: Treatment
  masking: Single (Participant)
  measure: Evaluation of Spasticity
  time frame: Change from Baseline at 3 weeks
  description: Upper and lower extremity spasticity status will be evaluated according to the modified Ashworth scale. Spasticity score will be calculated by adding upper extremity spasticity scores of fingers, wrist, elbow and shoulder spasticity scores for upper extremity, and spasticity scores for lower extremity by adding toes, ankle, knee and hip spasticity scores. Higher scores indicate high spasticity.
  measure: Brunnstrom Motor Staging
  time frame: Change from Baseline at 3 weeks
  description: The Brunnstrom motor assessment is used to evaluate motor function of the hemiplegic side, upper-lower extremities, and hand. According to Brunnstrom, the healing process consists of 6 stages. While the 1st stage is the flaccid stage without isolated movement, the 6th stage is the isolated voluntary movement stage. Only the lower extremity section will be used in this study.
  measure: Functional Ambulation Classification (FAS)
  time frame: Change from Baseline at 3 weeks
  description: The Functional Ambulation Classification is a widely used ambulation scale that evaluates gait. It is scored between 0 and 5 according to the amount of support the patients receive during walking and consists of 6 categories in total. A score of 0 indicates fully dependent ambulation, while a score of 5 indicates completely independent ambulation.
  measure: Activity-Specific Balance Confidence Scale
  time frame: Change from Baseline at 3 weeks
  description: It is a self-report form that asks people to evaluate their balance performance during 16 activities determined in the home and outdoor environment. The scale consists of 16 different activities and each item is scored between 0-100. A score of 0 indicates no confidence, and a score of 100 indicates full confidence. The total score is obtained by summing each item score and dividing it by the number of items. A score below 50 indicates a low level, a score between 50-80 indicates a moderate level, and a score above 80 indicates a high level of physical activity.
  measure: Timed Sit to Stand Test
  time frame: Change from Baseline at 3 weeks
  description: It is a test used to evaluate lower extremity performance and fall risk in stroke patients. During the test, the patient sits on the arm support chair with her back straight and is asked to get up and sit 5 times in quick succession, with her arms crossed on her chest. The elapsed time is recorded in seconds. The patient who cannot stand up unassisted is allowed to get support from the chair and is noted as such. The test is repeated 3 times and the average time is taken. The discrimination cut-off value of this test in stroke individuals is accepted as 12 seconds. If the test takes 15 seconds or more, it is accepted as a risk of repeated falls in elderly individuals.
  measure: Timed Up and Go Test
  time frame: Change from Baseline at 3 weeks
  description: It is a clinical evaluation test used to evaluate fall risk and dynamic balance in individuals. Patients are asked to sit in an upright position on a chair with an upright back, and with the start command, they are asked to walk 3 meters and return to sit on the chair again. The elapsed time is recorded in seconds. If the patient is walking with an assistive device, he is allowed to walk with an assistive device. The test is repeated 3 times and the average time is recorded. If the test takes more than 14 seconds, it indicates an increased risk of falling in stroke patients.
  measure: One Leg Standing Test
  time frame: Change from Baseline at 3 weeks
  description: The one leg standing test is used to evaluate static balance and postural control. Patients are asked to stand on one leg. The test is finished when the patient touches the ground when he/she stands up or when he/she stands on one leg for 30 seconds. Both legs are repeated 3 times and the average elapsed time is recorded.
  measure: Berg Balance Scale
  time frame: Change from Baseline at 3 weeks
  description: Berg balance scale is used to evaluate postural control and fall risk. Berg balance scale consists of 14 items. Each item is scored from 0-4 by observing the performance of the individual. A score of 0 indicates that the patient could not do the activity, and 4 points indicate that she completed the activity independently. According to the Berg balance scale, the highest score that can be obtained is 56, and a score below 45 indicates the risk of falling. A score of 0-20 indicates balance disorder, an acceptable balance between 21-40, and a good balance of 41-56 points.
  measure: Assessment of Fall Risk
  time frame: Change from Baseline at 3 weeks
  description: This scale consists of 2 sections and 19 risk factors. Major risk factors are given 5 points and minor risk factors are given 1 point. Patients with a score of 5 or more on the scale are considered to have a high risk of falling, and patients with a score of less than 5 are considered to have a low risk of falling.
  measure: Stroke-Specific Quality of Life Scale
  time frame: Change from Baseline at 3 weeks
  description: This scale consists of 12 fields containing 49 items. These areas are; mobility (6 items), energy (3 items), upper extremity function (5 items), work/production (3 items), temperament (5 items), self-care (5 items), social role (5 items), family role ( It consists of 3 items), vision (3 items), language (5 items), thinking (3 items), and personality traits (3 items). Each fields has a maximum score of 5 and higher scores indicate better quality of life.
  arm group label: KB Exercises plus Conventional Rehabilitation Group
  arm group type: Experimental
  description: While the participants in the study group will continue the conventional rehabilitation program described below for 3 weeks, lasting 45 minutes on average, 5 sessions a week, they will participate in a total of 9 sessions of kinesthetic brain exercises, 3 sessions a week lasting 30 minutes on average.
  Kinesthetic Brain Exercises Program; The kinesthetic brain exercises program basically consists of 3 phases: warm-up phase, exercise phase and cool-down phase.
  arm group label: Conventional Rehabilitation Group
  arm group type: Other
  description: Control Group; Conventional Rehabilitation program; strengthening exercises, balance/gait training, Proprioceptive Neuromuscular Facilitation techniques, neuromuscular electrical stimulation.
  intervention type: Other
  intervention name: KB Exercises Program
  description: Kinesthetic Brain Exercises will carried out for 3 weeks, lasting 45 minutes on average, 5 sessions a week, they will participate in a total of 9 sessions of kinesthetic brain exercises, 3 sessions a week lasting 30 minutes on average.
  Kinesthetic Brain Exercises Program; The kinesthetic brain exercises program basically consists of 3 phases: warm-up phase, exercise phase and cool-down phase.
  arm group label: KB Exercises plus Conventional Rehabilitation Group
  other name: KINESTHETIC BRAIN EXERCISES
  intervention type: Other
  intervention name: Conventional Rehabilitation program
  description: Conventional Rehabilitation program; strengthening exercises, balance/gait training, Proprioceptive Neuromuscular Facilitation techniques, neuromuscular electrical stimulation.
  arm group label: Conventional Rehabilitation Group
  arm group label: KB Exercises plus Conventional Rehabilitation Group
  criteria: 
  gender: All
  minimum age: 30 Years
  maximum age: 60 Years
  healthy volunteers: No
  last name: Hatice Resorlu, Assoc. Prof.
  role: Study Chair
  affiliation: Çanakkale 18 March University
  last name: Ferruh Taspinar, Prof. Dr.
  role: Study Chair
  affiliation: Izmir Democracy University
  last name: Betul Taspinar, Prof. Dr.
  phone: +90 506 680 44 26
  email: ptbetul@gmail.com
  last name: Salih Babaoglu, PT.
  phone: +90 507 637 18 23
  email: fzt.salih.babaoglu@gmail.com
  responsible party type: Principal Investigator
  investigator affiliation: Izmir Democracy University
  investigator full name: Betül Taşpınar
  investigator title: PROF. DR.
  mesh term: Stroke
  sharing ipd: No