Comparing the effects of rhythmic auditory cueing and visual cueing in acute hemiparetic stroke

Abstract

Introduction: Every individual requires proper upper limb functions as well as proper walking balance to meet day-to-day demands. Some of the most common problems faced after stroke are balance problems, which, in turn affect the recovery of activities of daily living (ADL), mobility, and lead to an increased risk of falls. In addition, about 80% of all stroke survivors have an upper limb paresis immediately after stroke affecting gross motor and fine motor problems. Objective: To evaluate the effectiveness of rhythmic auditory stimulation and conventional treatment on gross motor, fine motor activities, and walking imbalance; to evaluate the effectiveness of visual cues and conventional treatment on gross motor, fine motor activities, and walking imbalance; and to compare the effectiveness of rhythmic auditory stimulation and visual cueing with conventional treatment on gross motor, fine motor activities, and walking imbalance. Methodology: Design-a randomised controlled trial of 45 participants in acute stage were recruited. The subjects selected for the study were randomly allocated using sealed envelopes into three groups Group A-rhythmic auditory stimulation and conventional treatment, Group B-visual cueing and conventional treatment, Group C-conventional treatment. Outcome measures: Dynamic gait index and upper extremity Fugl Meyer motor score. Result: After one month of therapy a comparison of the groups showed a statistically significant improvement in all three groups independently (P=<0.05 in Group A, B, and C). On comparing post scores between the groups, a statistically significant difference was found between group A and C, and group B and C data (P=<0.05). Conclusion: Both the therapies were effective for gross motor, fine motor, and gait imbalance in acute hemiparetic stroke.