Validity and Reliability of the Turkish Version of the Post-Stroke Physical Activity Barriers Scale in Patients With Stroke - Trial NCT06011174

Timeline & Enrollment

Primary Outcome

the Barriers to Physical Activity After Stroke (BAPAS) SCALE

Summary

Stroke is one of the leading causes that negatively affects quality of life. The benefits of
 regular physical activity are well recognized. Physical activity after stroke may prevent
 disability and recurrence of stroke. Physical impairments seen after stroke may prevent
 exercise and limit subsequent recovery. According to a 2016 systematic review updated and
 published in the Cochrane Library, physical activity programs have positive effects on
 disability, physical abilities, quality of life, mood and cardiovascular. However, these
 effects tend to diminish unless the individual's physical activity level is maintained.
 Therefore, individuals who have had a stroke should be encouraged to exercise. However, it
 has been reported that most of the patients do not participate in exercise programs as
 recommended after stroke and there is a decrease in physical activity level. Previous studies
 have reported that approximately 77% of patients with stroke are sedentary or have low levels
 of physical activity and also reduced frequency of physical activity. This may be a
 consequence of the reduced movement speed seen due to severe motor impairments.
 Interestingly, even those with mild motor impairments, i.e. those walking at speeds above 0.8
 m/s and able to participate in community-based exercises, were found to have low levels of
 physical activity. Therefore, environmental and personal factors can also be barriers to
 exercise.
 
 Research supports the use of the theoretical model of behavior change developed by Prochaska
 et al. in physical activity promotion. Individuals are thought to progress through the stages
 of change at different rates. The concepts of self-efficacy and decision balance (perceived
 benefits and barriers) are particularly salient for individuals in the pre-thinking and
 thinking stages. Therefore, identifying and understanding perceived barriers to engaging in
 physical activity is an important step in creating change in physical activity behaviors. The
 International Classification of Functioning, Disability and Health defines functioning and
 disability as multidimensional concepts in which activity, especially physical activity, is
 influenced by organic and contextual factors. These dimensions often change after stroke and
 create multiple barriers that may prevent the patient from returning to a physically active
 lifestyle. Previous studies on barriers to physical activity in stroke survivors have used
 open-ended questionnaires. When we look at the scales examining exercise and physical
 activity barriers in the literature, it is seen that they were developed to measure physical
 activity barriers in the general population and in individuals with chronic conditions.
 Therefore, the Barriers to Physical Activity After Stroke (BAPAS) scale was developed by
 Drigny et al. in 2019 to help physicians and therapists identify potential targets for future
 interventions and optimize clinical follow-up in stroke patients and to assess barriers to
 physical activity after stroke. The original scale is in French and there is also an English
 version. Since the scale was recently developed, there is no Turkish version and no version
 in other languages.

ICD-10 Classifications