The primary aim of this study is to evaluate the relationship between the CONUT score, which reflects nutritional status, and balance performance in patients with chronic stroke. The secondary aims are to investigate the association between the CONUT score and functional status and stroke-specific quality of life, as well as to assess the relationships of mid-upper arm circumference, an anthropometric indicator of nutritional status, and ultrasonographic rectus femoris muscle thickness, which reflects muscle mass, with balance performance, functional status, and stroke-specific quality of life. In addition, the study aims to examine the relationships between bone mineral density and balance, functional status, and ambulation level in patients with chronic stroke.
Who can participate
Age range18 Years – 85 Years
SexALL
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Inclusion Criteria:
* Being 18 years of age or older
* Having a diagnosis of ischemic or hemorrhagic stroke
* At least 6 months having elapsed since the stroke event (chronic phase)
* Being clinically stable
* Being able to participate in standing and balance assessments (walking with an assistive device is acceptable)
* Having sufficient cognitive capacity to understand and respond to the assessment scales used in the study
* Voluntarily agreeing to participate in the study and providing written informed consent
Exclusion Criteria:
* Acute or subacute stroke phase (\< 6 months)
* Inability to administer assessment scales due to severe cognitive impairment or aphasia
* Presence of other neurological disorders that may significantly affect balance and functional status (e.g., Parkinson's disease, multiple sclerosis, peripheral neuropathy)
* Significant orthopedic conditions unrelated to stroke (e.g., advanced hip or knee osteoarthritis, lower extremity amputation)
* Presence of active infection, malignancy, or systemic inflammatory disease (as these conditions may affect the CONUT score)
* Cerebellar localization of the cerebrovascular event
* History of major surgery or intensive care unit admission within the past 3 months
* Inability to safely perform balance tests due to severe visual or hearing impairment
* Patients with incomplete laboratory data or insufficient information to calculate the CONUT score