A STUDY ON EFFECT OF PHYSICAL THERAPY INTERVENTION WITH AND WITHOUT VISUAL AND VERBAL CUES ON BALANCE TRAINING IN THE RECOVERY STAGE OF STROKE

Authors

  • LAKSHITA SINGH RAO Pacific College of Physiotherapy, Pacific Medical College and Hospital, Udaipur-313001, Rajasthan, India
  • DEEPAK LOHAR Pacific College of Physiotherapy, Pacific Medical College and Hospital, Udaipur-313001, Rajasthan, India

DOI:

https://doi.org/10.22159/ijcpr.2023v15i4.3040

Keywords:

Stroke recovery, Balance training, Visual cues, Verbal cues

Abstract

Objective: Stroke is a leading cause of mortality and disability worldwide. Balance impairment is a common issue among stroke survivors, leading to increased fall risk and decreased quality of life. Visual and verbal cues have shown the potential in improving balance in stroke patients. This study aimed to compare the effectiveness of conventional therapy alone versus conventional therapy combined with visual and verbal cues in balance training during stroke recovery.

Methods: Thirty participants with post-stroke hemiplegia were randomly assigned to either a control group or an experimental group. The control group received conventional physical therapy, while the experimental group received additional visual and verbal feedback. The Berg Balance Scale was used to assess balance on the 1st, 15th, and 30th days of the study.

Results: Both groups showed improvements in balance over the course of the study. On the 15th day, the experimental group had a significantly higher mean Berg Balance Scale score compared to the control group (p = 0.001). On the 30th day, the experimental group still had a higher mean score, although the difference was not statistically significant (p = 0.048).

Conclusion: The addition of visual and verbal cues to conventional therapy showed a greater effect on balance training during stroke recovery compared to conventional therapy alone. These findings support the potential benefits of incorporating visual and verbal feedback in stroke rehabilitation programs. Further research should explore the long-term effects and sustainability of this approach to optimize balance recovery in stroke survivors.

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References

Luft KM. Definition of stroke. Stroke. 2018;49(3):e46. doi: 10.1161/STROKEAHA.117.018387.

Kuklina EV, Tong X, George MG, Bansil P. Epidemiology and prevention of stroke: a worldwide perspective. Expert Rev Neurother. 2012;12(2):199-208. doi: 10.1586/ern.11.99. PMID 22288675.

Roerdink M, Geurts AC, de Haart M. Constraints on the coordination of the lower limbs in stroke survivors. Exp Brain Res. 2009;195(4):577-90. doi: 10.1007/s00221-009-1782-0.

Muir SW, Berg K, Chesworth B, Speechley M. Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther. 2008;88(4):449-59. doi: 10.2522/ptj.20070251. PMID 18218822.

Berg KO, Wood Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83Suppl 2:S7-11. PMID 1468055.

Geiger RA, Allen JB, O’Keefe J, Hicks RR. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/force plate training. Phys Ther. 2001 Sep;81(4):995-1005. doi: 10.1093/ptj/81.9.995, PMID 11276182.

Hollands KL, Pelton TA, Wimperis A, Whitham D, Tan W, Jowett S. Feasibility and preliminary efficacy of visual cue training to improve the adaptability of walking after stroke: multi-center, single-blind randomised control pilot trial. Plos One. 2015;10(10):e0139261. doi: 10.1371/journal.pone.0139261. PMID 26445137.

Jandaghi S, Shafizadeh M, Nasl Saraji G, Shaterzadeh MJ, Shaban M. Comparison of three different methods of virtual reality-based balance training in subacute stroke patients. Iran Rehabil J. 2016;14(3):203-8.

Upadhyay S, Verma N. Effect of virtual reality on balance in individuals with chronic stroke: a systematic review and meta-analysis. J Bodyw Mov Ther. 2022 Jan;28:239-45. doi: 10.1016/j. jbmt.2021.08.013. PMID 35123838.

Rendos NK, Latham NK, Reisman DS. Effects of personalized verbal feedback on gait parameters in individuals post-stroke: a randomized controlled trial. Front Neurol. 2021 Feb 4;12:621989. doi: 10.3389/fneur.2021.621989, PMID 33613427, PMCID PMC7899201.

Janzen Koshimori T, Clark IB, Ramos Murguialday A, Grahn JA. Neural correlates of rhythm and meter in motor rehabilitation: a review. Neural Plast. 2022 Jan 19;2022:9999714. doi: 10.1155/2022/9999714, PMID 35124996, PMCID PMC8841266.

Published

15-07-2023

How to Cite

RAO, L. S., and D. LOHAR. “A STUDY ON EFFECT OF PHYSICAL THERAPY INTERVENTION WITH AND WITHOUT VISUAL AND VERBAL CUES ON BALANCE TRAINING IN THE RECOVERY STAGE OF STROKE”. International Journal of Current Pharmaceutical Research, vol. 15, no. 4, July 2023, pp. 96-98, doi:10.22159/ijcpr.2023v15i4.3040.

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