The most effective type of feedback for rehabilitation in different types of impairment of upper limb function in patients with chronic stroke

Abstract

DOI: 10.4328/JCAM.5894 Received: 01.05.2018 Accepted: 05.06.2018 Published Online: 05.06.2018 Printed: 01.03.2019 J Clin Anal Med 2019;10(2): 211-4 Corresponding Author: Walaa M Ragab, Neurology Department, Faculty of Physical Therapy, Cairo University, Egypt. E-Mail: Ragab_walla@yahoo.com Abstract Aim: The ultimate goal for many stroke patients is to achieve maximum level of functional independence that enables them to return home and reintegrate into community life as fully as possible. There are variable levels of impairment in stroke patients. Detecting the suitable type of feedback (visual or auditory) is important for improvement the impairment of stroke patients. Material and Method: Sixty left chronic stroke patients were representinging the samples of the study. The patients were assigned into four equal groups; The patients in group1(G1) and group 2 (G2) were of mild impairment of upper limb function while patients in group3 (G3) and group4 (G4) were of moderate impairment of upper limb function. Each group was tested by WMFT for detecting the function and time of motor performance of upper extremity( UE) . G1 and G3 received visual feedback training while G2 and G4 received auditory feedback training. Results: There was a significant increase in the degree of motor performance in all of the four groups G1, G2, G3 and G4 P value was less than with more evidence for .05 with more evidence for G1. Also there was a significant decrease in the time of motor performance in all the four groups P value was less than .05 with more evidence for G3. Discussion: Visual and auditory feedback have an effect on improving the motor performance of UE in mild and moderate impairment stoke patients with more evidence for visual feedback.