Abstract

Introduction: Stroke is the most common debilitating neurological disease in adults. Therefore, rehabilitation is a major consideration to reduce costs and relief disabilities. Biofeedback, a newly recommended method is claimed to be able to improve the consequences following stroke by enhancing the understanding of the psychological functions of the body. The purpose of this study was to investigate the effects of biofeedback on the motor– muscular situation in balance and ability to walk, muscle stiffness (spasticity), hand muscles strength of stroke patients. Methods: The present study was a randomized clinical trial done in 2016. The participants were randomly divided into 2 groups (case and control group). In the intervention group, biofeedback was performed. The check list of main variables, including balance and ability to walk, muscle stiffness (spasticity) and hand muscles strength was completed by a physician before the intervention and at the end of the intervention (16th session). The statistical analysis was conducted, using SPSS version 13. Results: The mean score of balance in intervention group versus control group showed significant differences. The results showed that by eliminating the effects of muscular strength before the intervention, this variable had made improvements and significant differences in both intervention and control groups after the intervention. Comparison of the average spasticity showed that spasticity evaluation score before and after the intervention revealed no significant difference between the two groups. Conclusion: Biofeedback therapy is a promising treatment modality for improving the motor–muscular situation of patients after stroke.

Highlights

  • Stroke is the most common debilitating neurological disease in adults

  • The purpose of this study was to investigate the effects of biofeedback on the motor– muscular situation in balance, the ability to walk, muscle stiffness and hand muscles strength of stroke patients

  • The inclusion criteria for this study encompass all the patients with stroke for the first time according to computed tomography (CT) scan and magnetic resonance imaging (MRI), with the length of disease exceeding 3 months and lower than 3 years, within the 90 | Journal of Caring Sciences, June 2018; 7 (2), 89-93 age bracket of 18-65 years, with the ability to walk for 10 meters with or without assisting devices, with hemiplegia and without any cognitive, verbal and visual disorders

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Summary

Introduction

Stroke is the most common debilitating neurological disease in adults. rehabilitation is a major consideration to reduce costs and relief disabilities. The purpose of this study was to investigate the effects of biofeedback on the motor– muscular situation in balance and ability to walk, muscle stiffness (spasticity), hand muscles strength of stroke patients. Upper- and lower-limb motion can be recovered within 3–6 months in approximately 80% of patients.[12] In recent years, a new method known as functional movement therapy has gained popularity for treating hemiplegia. This method consists of a combination of traditional methods and functional movements, involving weight-bearing or no weightbearing types to increase joint mobility and reduce hyper tonicity in the affected limbs. Electrical and functional stimulation, training methods of evolution in the motor nerves, and biofeedback for rehabilitation are available and used for this purpose.[13]

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