Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke

A systematic review

Rosalyn Stanton, Louise Ada, Catherine Dean, Elisabeth PRESTON

Research output: Contribution to journalArticle

12 Citations (Scopus)
3 Downloads (Pure)

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.
Original languageEnglish
Pages (from-to)11-16
Number of pages6
JournalJournal of Physiotherapy
Volume63
Issue number1
DOIs
Publication statusPublished - 2017

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

Cite this

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title = "Biofeedback improves performance in lower limb activities more than usual therapy in people following stroke: A systematic 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.",
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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; PRESTON, Elisabeth.

In: Journal of Physiotherapy, Vol. 63, No. 1, 2017, p. 11-16.

Research output: Contribution to journalArticle

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