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Comparison of Single Session Auditory Versus Visual Feedback on Performance and Postural Balance in Hemiplegic

Ghaith Fadhil Lafta Alhashimi1, Azadeh Shadmehr1, Sara Fereydounnia1

  • 1Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, IRN.

Cureus
|August 7, 2024
PubMed

Insights

Visual feedback significantly improved postural balance and movement in children with hemiplegic cerebral palsy more than auditory feedback. Both feedback types enhance conventional therapy for this condition.

Area of Science:

  • Neurology
  • Pediatrics
  • Rehabilitation Medicine

Background:

  • Cerebral palsy (CP) is a pediatric neurological disorder impacting motor control.
  • CP affects posture, balance, and daily activities in affected children.
  • Hemiplegic CP specifically involves motor impairments on one side of the body.

Purpose of the Study:

  • To compare the effectiveness of single-session auditory versus visual feedback on performance and postural balance in children with hemiplegic cerebral palsy.
  • To evaluate the impact of different sensory feedback modalities on motor function in pediatric CP.

Main Methods:

  • A crossover clinical trial involving 25 children (6-12 years) with hemiplegic CP.
  • Participants received conventional balance therapy combined with either auditory or visual feedback, followed by a washout period and the alternative intervention.
  • Outcome measures included the Modified Ashworth Scale, Pediatric Balance Scale, timed one-leg stance, Time Up and Go test, and center of pressure displacement.

Main Results:

  • Both auditory and visual feedback, when combined with conventional therapy, improved balance, movement speed, and postural stability in children with hemiplegic CP (P < 0.05).
  • Visual feedback demonstrated significantly greater improvements in the Time Up and Go test, one-leg stand test, and center of pressure displacement compared to auditory feedback (P < 0.05).

Conclusions:

  • Combining auditory or visual feedback with conventional balance therapy is effective for treating hemiplegic spastic cerebral palsy.
  • Visual feedback appears to be more effective than auditory feedback for improving balance and motor performance in this population.
  • Further research is recommended to investigate the long-term effects of these feedback interventions.
Abstract

Keywords:
biofeedbackcerebral palsychildren with disabilitiespostural balancespastic hemiplegia

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