Changes in kinesiostabilogram parameters and movement speed of stroke patients while increasing their physical activity due to the use of biofeedback method

Abstract

Balance disorders are complications of stroke survivors. Aim of this study was the establish effectiveness of the biofeedback approach. In this intervention study 245 patients with early diagnosis of acute disturbance of cerebral circulation (ADCC) were examined. Patients able to move independently were treated by standard conservative ADCC therapy on an outpatient approach, but they continued to have problems with coordination of movement in upright position. Then they were submitted to an increasing physical activity based on five sessions of biofeedback, i.e., a complex rehabilitation of patients with motor pathology "Trust-M" according to TU 9442-001-63704475-2010. Mobility rates were assessed using a web camera. Patients' quality of life was evaluated by SF-36 questionnaire and the Hospital Anxiety and Depression Scale (HADS). All parameters were recorded before and after 5 sessions of biofeedback. After treatment, the stability indicators improved and all patients showed a significant increase in motion rate and quality of life. At the same time, the severity of pain and of depression and anxiety decreased. Negative correlations of average strength between the quadrant and patient HADS scaling rates were obtained. In conclusion, our work shows effectiveness of the biofeedback technique for correcting coordination in stroke survivors.

Effects of the different intensities of task-oriented training on the upper extremity motor function and self-care ability of stroke survivors: study protocol for a multiarm parallel-group randomised controlled trial in a tertiary hospital in China

“…In most cases, stroke survivors may depend on their caregivers to take care of them due to severe motor dysfunction and because of their significantly limited self-care ability and social participation skills 4 8 9. When it comes to stroke, the high cost of healthcare is partly due to the increasing demand of dependence 5 10. In the past decade, the annual hospitalisation costs of stroke survivors have continued to increase rapidly, with an average rise of nearly 38% annually 5 6 11.…”

“…Task-oriented training (TOT) has been increasingly reported in recent years, and most researchers believe that compared with other methods, TOT is more effective in the treatment of stroke 9 16–19. It has been reported that TOT can accelerate the overall recovery process of stroke survivors, and participants who had an acute, subacute and chronic stroke can benefit from it 10 20 21. Both the USA and Canada have recommended TOT with a high level of evidence in their stroke treatment guidelines published in recent years 11 22 23…”

“… 9 16–19 It has been reported that TOT can accelerate the overall recovery process of stroke survivors, and participants who had an acute, subacute and chronic stroke can benefit from it. 10 20 21 Both the USA and Canada have recommended TOT with a high level of evidence in their stroke treatment guidelines published in recent years. 11 22 23 …”