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Chronic StrokeNCT07065292

Plantar Sensation, Position Sense, and Weight-Bearing Asymmetry Related to Balance and Mobility Post-Stroke

An observational study of Chronic Stroke and Sensory Impairments, run by Afyonkarahisar Health Sciences University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aims to examine how sensory deficits and weight-bearing asymmetry affect posture, balance, and mobility in individuals with chronic stroke. The research focuses on evaluating the relationships between plantar foot sensation, lower extremity position sense, and asymmetrical weight distribution with… Read more about this study

Who is it for?
Ages 18 years and older
How many people
22 participants
Where
1 siteTurkey (Türkiye)
Study dates
20 May 2025to 20 Jan 2026
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population consists of adult individuals diagnosed with chronic stroke who are currently receiving rehabilitation services. These individuals are being treated by a licensed physiotherapist and are enrolled in individualized rehabilitation programs.

Who may be able to join

  • Diagnosis of stroke confirmed by a physician (via official report)
  • Minimum of 6 months since stroke onset
  • Aged 18 years or older
  • Mini-Mental State Examination score ≥ 20
  • Brunnstrom lower extremity stage ≥ 3
  • Ability to complete assessments with or without walking aids
  • Voluntary participation

Who cannot join

  • Additional neurological, metabolic, or orthopedic conditions
  • Severe vision or hearing impairments
  • Modified Ashworth Score of 4 in any lower limb muscle

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site

  • Turkuaz Academy Private Education Center

    Afyonkarahisar, Center

Other trials in Turkey (Türkiye)

About this study

Official title: Investigation of the Relationship Between Plantar Sensation, Lower Extremity Position Sense, and Weight-Bearing Asymmetry With Posture, Balance, and Mobility in Individuals With Chronic Stroke

This study aims to examine how sensory deficits and weight-bearing asymmetry affect posture, balance, and mobility in individuals with chronic stroke. The research focuses on evaluating the relationships between plantar foot sensation, lower extremity position sense, and asymmetrical weight distribution with functional abilities such as walking and postural control.

Participants will undergo non-invasive assessments, including sensation tests, mobility and balance evaluations, and postural measurements. A total of 24 individuals with chronic stroke who are receiving physiotherapy at a rehabilitation center in Konya, Türkiye, will be included.

The results of this observational, cross-sectional study may contribute to a better understanding of the sensory-motor interactions in stroke survivors and support the development of more targeted rehabilitation strategies.

Read the detailed description

Stroke is a leading cause of long-term disability and functional impairment worldwide. Chronic stroke survivors often experience sensory deficits, particularly in the plantar surface of the foot and in lower limb proprioception. These impairments may contribute to asymmetrical weight-bearing, postural instability, and reduced mobility, all of which can negatively impact independence and quality of life.

This observational, cross-sectional study is designed to explore the associations between sensory functions (plantar sensation and lower extremity position sense), weight-bearing asymmetry, and functional outcomes including posture, balance, and walking ability. The study will be conducted on 24 individuals diagnosed with chronic stroke who are currently receiving physiotherapy as part of a personalized rehabilitation program.

All participants will be evaluated using standardized clinical assessment tools commonly employed in neurorehabilitation. These include the Semmes-Weinstein Monofilament Test for plantar sensation, a clinical position sense test for proprioception, dual-scale measurements for weight-bearing asymmetry, and functional tests such as the Postural Assessment Scale for Stroke Patients (PASS-T), Timed Up and Go Test (TUG), STREAM mobility subtests, Berg Balance Scale, Tinetti Performance-Oriented Mobility Assessment, and the Activity-Specific Balance Confidence Scale.

By identifying the relationships among sensory deficits, postural control, and functional mobility, the findings of this study may provide valuable insights for physiotherapists and rehabilitation teams in designing more effective, individualized treatment plans for chronic stroke patients.

Keywords
Chronic Stroke, Somatosensory Function, Plantar Sensation, Balance Assessment, Weight-Bearing Asymmetry

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Plantar Sensation Loss (%)

    Plantar sensation will be assessed using the Semmes Weinstein Monofilament Test. Sensory loss will be calculated as a percentage difference compared to the unaffected (healthy) side.

    Measured: Baseline

  2. Lower Extremity Joint Position Sense

    Position sense will be evaluated with the Lower Extremity Position Test. Evaluates proprioception by measuring the accuracy of toe placement on predefined distances with visual input blocked.

    Measured: Baseline

  3. Weight-Bearing Asymmetry (%)

    Weight distribution on affected and unaffected limbs will be measured using two calibrated scales. Postural symmetry index and asymmetry percentages will be calculated.

    Measured: Baseline

Secondary outcomes (6)

  1. Postural Assessment

    Postural control and balance will be assessed using the Postural Assessment Scale for Stroke Patients of Turkish Version (PASS-T)

    Measured: Baseline

  2. Functional Mobility

    Timed Up and Go Test (TUG) will be used to measure the time taken to stand up, walk 3 meters, turn, return, and sit down.

    Measured: Baseline

  3. Berg Balance Scale

    It evaluates both static and dynamic balance, with total scores ranging from 0 to 56, where higher scores reflect superior balance performance.

    Measured: Baseline

  4. Tinetti Balance and Gait Test

    Tinetti Balance and Gait Test consists of two sections evaluating activities related to balance and gait. The first section includes 9 items assessing balance, while the second section comprises 7 items assessing gait. Each activity is scored based on specific observational criteria. The maximum total score is 28, with higher scores indicating better balance and gait performance. Lower scores reflect impaired balance and a higher risk of falling. Specifically, scores below 19 indicate a high risk of falls, scores between 19 and 23 indicate a moderate risk, and scores of 24 or above indicate a low risk of falling.

    Measured: Baseline

  5. The Activities-specific Balance Confidence Scale

    The Activities-specific Balance Confidence Scale is a self-reported questionnaire used to assess balance confidence in individuals with stroke. It evaluates the patient's perceived sense of safety while performing various daily activities. Each item is rated individually based on the patient's response, indicating how confident they feel about not losing their balance or falling during the activity. Scores range from 0% (no confidence at all) to 100% (complete confidence), with higher scores reflecting greater balance confidence and a lower perceived risk of falling.

    Measured: Baseline

  6. Mobility & Motor Recovery

    The Stroke Rehabilitation Assessment of Movement (STREAM) evaluates lower extremity movements and basic mobility using the final three sections of the scale. It is scored out of 35 points, with higher scores indicating better motor function.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jul 2025
  2. Study start20 May 2025
  3. Primary completion20 Jan 2026
  4. Study completion20 Jan 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07065292
Sponsor's protocol ID
2025/5-223
Status last verified
Jun 2026
First submitted
26 Jun 2025
Last updated
28 Jul 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Stroke and Sensory Impairments, run by Afyonkarahisar Health Sciences University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Plantar Sensation Loss (%) (time frame: Baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07065292.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2026.

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