Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review
| Autor: | Catherine M. Dean, Elisabeth Preston, Louise Ada, Rosalyn Stanton |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment Biofeedback Physical Therapy Sports Therapy and Rehabilitation Walking Lower limb activities Sitting 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Intervention (counseling) medicine Humans Stroke business.industry lcsh:RM1-950 Outcome measures Stroke Rehabilitation Biofeedback Psychology Recovery of Function medicine.disease Exercise Therapy Improved performance Meta-analysis Treatment Outcome lcsh:Therapeutics. Pharmacology Lower Extremity Physical therapy Systematic review Exercise Movement Techniques 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Physiotherapy, Vol 63, Iss 1, Pp 11-16 (2017) |
| ISSN: | 1836-9553 |
| DOI: | 10.1016/j.jphys.2016.11.006 |
| Popis: | Question: Is biofeedback during the practice of lower limb activities after stroke more effective than usual therapy in improving those activities, and are any benefits maintained beyond the intervention? Design: Systematic review with meta-analysis of randomised trials with a PEDro score > 4. Participants: People who have had a stroke. Intervention: Biofeedback (any type delivered by any signal or sense) delivered concurrently during practice of sitting, standing up, standing or walking compared with the same amount of practice without biofeedback. Outcome measures: Measures of activity congruent with the activity trained. Results: Eighteen trials including 429 participants met the inclusion criteria. The quality of the included trials was moderately high, with a mean PEDro score of 6.2 out of 10. The pooled effect size was calculated as a standardised mean difference (SMD) because different outcome measures were used. Biofeedback improved performance of activities more than usual therapy (SMD 0.50, 95% CI 0.30 to 0.70). Conclusion: Biofeedback is more effective than usual therapy in improving performance of activities. Further research is required to determine the long-term effect on learning. Given that many biofeedback machines are relatively inexpensive, biofeedback could be utilised widely in clinical practice. [Stanton R, Ada L, Dean CM, Preston E (2016) Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review. Journal of Physiotherapy 63: 11–16] |
| Databáze: | OpenAIRE |
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