ALTERNATIVE METHODS FOR IMPROVING BALANCE IN STROKE RECOVERY: VISUAL AND VERBAL CUES AS COST-EFFECTIVE MODALITIES

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
  • JAFAR KHAN Pacific College of Physiotherapy, Pacific Medical College and Hospital, Udaipur-313001, Rajasthan, India
  • SHUBHAM KALYANA Pacific College of Physiotherapy, Pacific Medical College and Hospital, Udaipur-313001, Rajasthan, India

DOI:

https://doi.org/10.22159/ijcpr.2023v15i4.3042

Keywords:

Stroke rehabilitation, Balance impairment, Visual and verbal cues, Conventional therapy

Abstract

Objective: Stroke is a significant global health concern, leading to high mortality and disability rates. Prompt assessment, management, and rehabilitation are crucial for improving clinical outcomes. Balance impairment is a common consequence of stroke, affecting the majority of survivors and increasing the risk of falls and disability.

Methods: The study included 30 post-stroke hemiplegic individuals, randomly assigned to a control group and 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 days 1, 15, and 30.

Results: Both groups showed improvements in balance scores over time. However, the experimental group consistently had higher scores, indicating a greater effect of incorporating visual and verbal cues with conventional therapy.

Conclusion: Our study demonstrates that the combination of visual and verbal cues with conventional therapy leads to improved balance outcomes in stroke recovery. These findings support the benefits of visual feedback, verbal feedback, and mirror therapy in stroke rehabilitation. Incorporating these alternative methods can be cost-effective and accessible interventions to enhance balance, reduce fall risk, and improve the overall recovery and quality of life in stroke survivors.

Downloads

Download data is not yet available.

References

World Health Organization. Stroke. 1989. Available from: https://www.who.int/news-room/fact-sheets/detail.

Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA. Global and regional burden of stroke during 1990-2010: findings from the global burden of disease study 2010. Lancet. 2014;383(9913):245-54. doi: 10.1016/s0140-6736(13)61953-4, PMID 24449944.

Katan M, Luft A. Global burden of stroke. Semin Neurol. 2018;38(2):208-11. doi: 10.1055/s-0038-1649503, PMID 29791947.

Hemphill JC, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015;46(7):2032-60. doi: 10.1161/STR.0000000000000069, PMID 26022637.

George MG. Public health strategies for preventing and treating stroke: a scientific statement from the American Heart Association/American Stroke Association. Stroke. 2013;44(10):2915-43.

Cuadrado Godia E, Ois A, Roquer J. Heart failure in acute ischemic stroke. Curr Cardiol Rev. 2010;6(3):202-13. doi: 10.2174/157340310791658776. PMID 21804779.

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;81(4):995-1005. doi: 10.1093/ptj/81.4.995, PMID 11276182.

Hollands KL, Pelton TA, Tyson SF, Hollands MA, van Vliet PM. Interventions for coordination of walking following stroke: a systematic review. Gait Posture. 2012;35(3):349-59. doi: 10.1016/j.gaitpost.2011.10.355. PMID 22094228.

Jandaghi S, Tafakhori A, Azimi AR. The effect of visual feedback training on balance in elderly with stroke: a pilot randomized controlled trial. J Med Life. 2016;9(4):377-82.

Upadhyay S, Verma N. Effect of visual feedback training on balance in stroke patients: a systematic review. Indian J Phys Rehabil. 2022;33(1):33-8.

Rendos NK, Widlansky ME, Lamberth J, McAuley E. Effects of personalized gait instructions on lower extremity gait mechanics in individuals with poststroke hemiparesis. Arch Phys Med Rehabil. 2021;102(1):70-7.

Janzen Koshimori TB, Clark TN, Foussias G. The effect of music on gait in Parkinson disease. Neurorehabil Neural Repair. 2022;36(2):175-85.

Debnath MK, Anand M. Effects of verbal feedback and visual feedback on functional outcome in patients with acute hemiparetic stroke. J Clin Diagn Res. 2022;16(6):12-6.

Published

15-07-2023

How to Cite

RAO, L. S., D. LOHAR, J. KHAN, and S. KALYANA. “ALTERNATIVE METHODS FOR IMPROVING BALANCE IN STROKE RECOVERY: VISUAL AND VERBAL CUES AS COST-EFFECTIVE MODALITIES”. International Journal of Current Pharmaceutical Research, vol. 15, no. 4, July 2023, pp. 102-4, doi:10.22159/ijcpr.2023v15i4.3042.

Issue

Section

Original Article(s)

Most read articles by the same author(s)

1 2 > >>