Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial

Background: The purpose of this study was to investigate the effects of real-time feedback methods on static balance training in stroke patients. There are two types of real-time feedback methods, as follows: one is Knowledge of Result (KR), and the other is Knowledge of Performance (KP). Method: Th...

Full description

Bibliographic Details
Main Authors: Il-Ho Kwon, Won-Seob Shin, Kyu-Seong Choi, Myung-Sun Lee
Format: Article
Language:English
Published: MDPI AG 2024-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/12/7/767
_version_ 1797212605004120064
author Il-Ho Kwon
Won-Seob Shin
Kyu-Seong Choi
Myung-Sun Lee
author_facet Il-Ho Kwon
Won-Seob Shin
Kyu-Seong Choi
Myung-Sun Lee
author_sort Il-Ho Kwon
collection DOAJ
description Background: The purpose of this study was to investigate the effects of real-time feedback methods on static balance training in stroke patients. There are two types of real-time feedback methods, as follows: one is Knowledge of Result (KR), and the other is Knowledge of Performance (KP). Method: Thirty stroke patients participated in this study and were randomly assigned to the KR group (n = 15) or the KP group (n = 15). All of the groups underwent real-time feedback training for four weeks (30 min per session, five sessions per week). The primary outcomes were sway length, sway velocity, and area 95%, which were assessed before and after the intervention. The secondary outcomes included the Berg Balance Scale, the Fugl Meyer Assessment for Lower Extremity, the Postural Assessment Scale for Stroke Trunk Impairment Scale, and the Fall Efficacy Scale. A group × time interaction was assessed using two-way ANOVA with repeated measures. Result: There was a significant increase over time in all outcomes (<i>p</i> < 0.05). Significant differences were observed for a group × time interaction in sway length and area 95% (<i>p</i> < 0.05). Conclusions: Real-time feedback training for static balance enhanced stroke patients’ static balance abilities, clinical outcome assessments, and promoted self-efficacy against falls.
first_indexed 2024-04-24T10:45:02Z
format Article
id doaj.art-ec6bc8827a004c00a4762a198c839475
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-04-24T10:45:02Z
publishDate 2024-04-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-ec6bc8827a004c00a4762a198c8394752024-04-12T13:18:58ZengMDPI AGHealthcare2227-90322024-04-0112776710.3390/healthcare12070767Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled TrialIl-Ho Kwon0Won-Seob Shin1Kyu-Seong Choi2Myung-Sun Lee3Department of Physical Therapy, Graduate School of Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon 34520, Republic of KoreaDepartment of Physical Therapy, College of Health Medical Science, Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon 34520, Republic of KoreaDepartment of Physical Therapy, Graduate School of Health and Medicine, Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon 34520, Republic of KoreaDepartment of Beauty Design, College of Design and Art, Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon 34520, Republic of KoreaBackground: The purpose of this study was to investigate the effects of real-time feedback methods on static balance training in stroke patients. There are two types of real-time feedback methods, as follows: one is Knowledge of Result (KR), and the other is Knowledge of Performance (KP). Method: Thirty stroke patients participated in this study and were randomly assigned to the KR group (n = 15) or the KP group (n = 15). All of the groups underwent real-time feedback training for four weeks (30 min per session, five sessions per week). The primary outcomes were sway length, sway velocity, and area 95%, which were assessed before and after the intervention. The secondary outcomes included the Berg Balance Scale, the Fugl Meyer Assessment for Lower Extremity, the Postural Assessment Scale for Stroke Trunk Impairment Scale, and the Fall Efficacy Scale. A group × time interaction was assessed using two-way ANOVA with repeated measures. Result: There was a significant increase over time in all outcomes (<i>p</i> < 0.05). Significant differences were observed for a group × time interaction in sway length and area 95% (<i>p</i> < 0.05). Conclusions: Real-time feedback training for static balance enhanced stroke patients’ static balance abilities, clinical outcome assessments, and promoted self-efficacy against falls.https://www.mdpi.com/2227-9032/12/7/767static balanceknowledge of resultknowledge of performancestroke
spellingShingle Il-Ho Kwon
Won-Seob Shin
Kyu-Seong Choi
Myung-Sun Lee
Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial
Healthcare
static balance
knowledge of result
knowledge of performance
stroke
title Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial
title_full Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial
title_fullStr Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial
title_full_unstemmed Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial
title_short Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial
title_sort effects of real time feedback methods on static balance training in stroke patients a randomized controlled trial
topic static balance
knowledge of result
knowledge of performance
stroke
url https://www.mdpi.com/2227-9032/12/7/767
work_keys_str_mv AT ilhokwon effectsofrealtimefeedbackmethodsonstaticbalancetraininginstrokepatientsarandomizedcontrolledtrial
AT wonseobshin effectsofrealtimefeedbackmethodsonstaticbalancetraininginstrokepatientsarandomizedcontrolledtrial
AT kyuseongchoi effectsofrealtimefeedbackmethodsonstaticbalancetraininginstrokepatientsarandomizedcontrolledtrial
AT myungsunlee effectsofrealtimefeedbackmethodsonstaticbalancetraininginstrokepatientsarandomizedcontrolledtrial