The Validity and Reliability of an Improved Paper Grasping Test for Stroke

The study included volunteer patients diagnosed with stroke who applied to the Neurology Outpatient Clinic at SANKO University Sani Konukoğlu Application and Research Hospital. Patients who met the inclusion criteria were evaluated by Dr Hakan Polat and Physiotherapist Fatma Yılmaz in the application laboratory of the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, SANKO University. The assessment form prepared by the researchers will be completed face-to-face with the patients. First, the individuals' demographic information and disease information (how many years ago they were diagnosed with stroke, affected side, affected limb, etc.) will be recorded. The mini best test will be used to assess balance and gait. The muscle strength of the plantar flexor muscle groups in the ankle will be assessed using a manual muscle testing device. As fall problems in patients may be related to balance problems, lower limb muscle weakness, particularly in the ankle, and reduced quality of life, these parameters will also be evaluated. Therefore, in our study, while examining the validity and reliability of the modified paper grip test in individuals with stroke, its correlation with these parameters will also be examined. Before the tests are administered, the individuals will be given a practical explanation of how the tests are performed. The individuals will be allowed to rest before the assessments. In the tests, the paper grip test will first be administered by Dr Hakan Polat, followed by the mini best test, the assessment of the strength of the ankle plantar and dorsiflexor muscles. One week after the applications, only the paper grip test will be re-administered by Fzt. Fatma Yılmaz in the same environment. The individuals in this study will be assessed in the same environment in both sessions. In this way, the effect of environmental factors on the patients' performance will be minimised.

NCT Number	NCT07181005
Lead Sponsor	Sanko University
Conditions	Stroke, Balance, Validity and Safety
Enrollment	44 participants
Start Date	2025-02-25
Primary Completion	2025-07-30 (estimated)
Study Completion	2025-09-10 (estimated)
Updated on ClinicalTrials.gov	2026-03-17