Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: a systematic review

Rosalyn Stanton, Louise Ada, Catherine M. Dean, Elisabeth Preston

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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]

LanguageEnglish
Pages11-16
Number of pages6
JournalJournal of Physiotherapy
Volume63
Issue number1
DOIs
Publication statusPublished - 1 Jan 2017

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Lower Extremity
Stroke
Therapeutics
Outcome Assessment (Health Care)
Biofeedback (Psychology)
Walking
Meta-Analysis
Learning
Research

Bibliographical note

Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • stroke
  • physical therapy
  • biofeedback
  • systematic review
  • meta-analysis

Cite this

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abstract = "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]",
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Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke : a systematic review. / Stanton, Rosalyn; Ada, Louise; Dean, Catherine M.; Preston, Elisabeth.

In: Journal of Physiotherapy, Vol. 63, No. 1, 01.01.2017, p. 11-16.

Research output: Contribution to journalArticleResearchpeer-review

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AU - Ada, Louise

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AU - Preston, Elisabeth

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