PURPOSE: The purpose of this study was to determine the comparison of visual and auditory biofeedback during sit-to-stand training in patients with stroke. METHODS: Thirty-five subjects with chronic stroke were divided into three groups: a visual feedback group (12 subjects), an auditory feedback group (12 subjects) and a control group (11 subjects). All Groups received neurodevelopmental treatment, and sit-to-stand training for 30minutes three times a week for four weeks. During the sit to stand training, the experimental groups received visual feedback and auditory feedback, whereas the control group performed sit-to-stand training without feedback. Five times sit-to-stand test (FTSST), motion analysis and postural sway during sit-to-stand were used to evaluate sit to stand performance ability. In addition, Berg balance scale (BBS) was performed for evaluation of balance function in participants. RESULTS: All groups showed significant increase on FTSST and BBS between pre- and post-intervention. The BBS scores in visual feedback group was significant increase than control group. The motion analysis and postural sway, more improvement was observed in the visual and auditory feedback groups compared with the control group. The only visual feedback group was a better performance of midline excursion during sit-to-stand than control group. CONCLUSION: These findings suggest that sit-to-stand training using a biofeedback may help to improve sit to stand performance and balance ability of stroke patients.
Ahn MH, Park KD, You YY. The effect of feedback on somesthetic video game training for improving balance of stroke patients. J Korean soc phys med. 2012;7(4):401-09.
Berg K, Wood-Dauphinee S, Williams J. The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
Bohannon RW, Smith MB. Interrater reliability of a modified ashworth scale of muscle spasticity. Phys Ther. 1987; 67(2):206-7.
Bonan IV, Yelnik AP, Colle FM, et al. Reliance on visual information after stroke. Part ii: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: A randomized controlled trial. Arch Phys Med Rehabil. 2004;85(2):274-8.
Briere A, Nadeau S, Lauziere S, et al. Knee efforts and weight-bearing asymmetry during sit-to-stand tasks in individuals with hemiparesis and healthy controls. J Electromyogr Kinesiol. 2013;23(2):508-15.
Camargos ACR, Rodrigues-de-Paula-Goulart F, Teixeira-Salmela LF. The effects of foot position on the performance of the sit-to-stand movement with chronic stroke subjects. Arch Phys Med Rehabil. 2009;90(2):314-9.
Carr J, Shepherd R. Neurological rehabilitation: Optimizing motor performance(2nd ed) London. Churchill Livingstone. 2010.
Cheng PT, Chen CL, Wang CM, et al. Leg muscle activation patterns of sit-to-stand movement in stroke patients. Am J Phys Med Rehabil. 2004;83(1):10-6.
Cheng PT, Wu SH, Liaw MY, et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001;82 (12):1650-4.
Cho HY, An SH, Lee YB, et al. The usability of sit to stand test performance in chronic stroke. J Korean soc phys med. 2013;8(4):549-58.
Choi HS, Shin WS. Validity of the lower extremity functional movement screen in patients with chronic ankle instability. J Phys Ther Sci. 2015;27(6):1923.
Chou SW, Wong AM, Leong CP, et al. Postural control during sit-to stand and gait in stroke patients. Am J Phys Med Rehabil. 2003;82(1):42-7.
Dickstein R, Nissan M, Pillar T, et al. Foot-ground pressure pattern of standing hemiplegic patients major characteristics and patterns of improvement. Phys Ther. 1984;64(1):19-23.
Engardt M, Ribbe T, Olsson E. Vertical ground reaction force feedback to enhance stroke patients' symmetrical body-weight distribution while rising/sitting down. Scand J Rehabil Med. 1993;25(1):41-8.
Fujimoto M, Chou LS. Dynamic balance control during sit-to-stand movement: An examination with the center of mass acceleration. J Biomech. 2012;45(3): 543-8.
Hughes MA, Schenkman ML. Chair rise strategy in the functionally impaired elderly. J Rehabil Res Dev. 1996;33(4):409.
Ji SG, Nam GW, Kim MK, et al. The effect of visual feedback training using a mirror on the balance in hemiplegic patients. J Korean soc phys med. 2011;6(2):153-63.
Jun HJ, Lee JS, Kim KJ, et al. Effect of auditory biofeedback training and kicking training on weight-bearing ratio in patients with hemiplegia. J Korean soc phys med. 2014;9(4):363-73.
Ki KI. The Effect of repetitive feedback training of plantar pressure sense for weight shift during gait in chronic hemiplegia patients. Doctor's Degree. Daejeon University. 2014.
Kim SK. The effective factors on balance in stroke patients. Korea Sport Research. 2008;19(6):125-34.
Lee KY, Shin WS. The effects of closed kinetic and open kinetic chain exercises using knee reposition sense in chronic stroke patients. J Kor Phys Ther. 2014;26(3):182-90.
Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture. 2005;22(2): 126-31.
Mercer VS, Freburger JK, Chang SH, et al. Measurement of paretic-lower-extremity loading and weight transfer after stroke. Phys Ther. 2009;89(7):653-64.
Mirelman A, Herman T, Nicolai S, et al. Audio-biofeedback training for posture and balance in patients with parkinson's disease. J Neuroeng Rehabil. 2011;8:35.
Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation a challenge to rehabilitation strategies. Stroke. 1995;26 (5):838-42.
Park DS, Lee DY, Choi SJ, et al. Reliability and validity of the balancia using wii balance board for assessment of balance with stroke patients. J Korea Acad Industr Coop Soc. 2013;14(6):2767-72.
Park JH, Kim YM, Lee NK. The effects of repetitive sit-to-stand training with a paretic-side asymmetrical foot position on the balance of chronic stroke subjects. J Kor Phys Ther. 2015;27(3):169-73.
Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: Effects on stance symmetry and function. Disabil Rehabil. 1997;19(12): 536-46.
Seo DK, Oh DW, Lee SH. Effectiveness of ankle visuoperceptual-feedback training on balance and gait functions in hemiparetic patients. J Kor Phys Ther. 2010;22(4):35-41.
Shepherd RB. Exercise and training to optimize functional motor performance in stroke: Driving neural reorganization? Neural Plast. 2001;8(1-2):121-9.
Tung FL, Yang YR, Lee CC, et al. Balance outcomes after additional sit-to-stand training in subjects with stroke: a randomized controlled trial. Clin Rehabil. 2010; 24(6):533-542.
Van Vliet PM, Wulf G. Extrinsic feedback for motor learning after stroke: what is the evidence? Disabil Rehabil. 2006;28(13-14):831-40.
Whitney SL, Wrisley DM, Marchetti GF, et al. Clinical measurement of sit-to-stand performance in people with balance disorders: Validity of data for the five-times-sit-to-stand test. Phys Ther. 2005;85(10): 1034-45.
Yoon MR, Choi HS, Shin WS. Effects of the abdominal drawing-in maneuver and the abdominal expansion maneuver on grip strength, balance and pulmonary function in stroke patients. J kor phys ther. 2015;27(3): 147-53.