COMBINED EFFECTS OF AUDITORY AND VISUAL RHYTHMICAL CUEING ON LOWER LIMB SENSORIMOTOR RECOVERY AND GAIT PARAMETERS IN PATIENTS WITH HEMIPLEGIA
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Keywords
Auditory rhythmical cueing, Gait Parameters, Hemiplegia, Sensorimotor Recovery, Visual Cues
Abstract
Background: Post-stroke gait impairments significantly limit mobility. Auditory rhythmical cueing (ARC) has shown potential benefits, prompting the need for a trial to evaluate the effects of combined auditory and visual rhythmical cueing (AVRC) on gait and motor recovery in hemiplegic patients. This study aimed to assess the effects of AVRC on the recovery of lower limb sensorimotor function and gait parameters in hemiplegic individuals.
Methods: In this multicenter randomized clinical trial (NCT06059781), 24 patients participated. The experimental group received standard rehabilitation supplemented by auditory cues (Metronome App) and visual cues (white chalk lines), while the control group received standard rehabilitation with auditory cues only. Assessments were conducted using the Fugl-Meyer Assessment for Lower Extremities (FMA-LE) and the Dynamic Gait Index (DGI), focusing on sensorimotor function and gait. The intervention lasted four weeks, with three 45-minute sessions weekly.
Results: Both groups showed improvement, with the experimental group displaying significantly better outcomes in range of motion, pain management, movement speed, coordination (FMA-LE), and safe ambulation (DGI). The combined cueing approach led to greater enhancements in gait parameters.
Conclusion: The combined auditory and visual cueing approach significantly improved lower limb sensorimotor recovery and gait parameters, suggesting that multimodal sensory stimulation is a beneficial addition to rehabilitation for hemiplegic patients.
References
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Sehrish Naureen
Physiotherapist, MS-NMPT, Department of Rehabilitation & Allied Health Sciences/ Physiotherapist at Al-Rehman Hospital, Lahore Campus, Pakistan, Email: sehrishkemcolian94@gmail.com ORDIC ID: https://orcid.org/0009-0000-9780-2904
Rabia Nishat
Physiotherapist, Saad Hospital and Cardiac Center, Daska , Pakistan, Email: nishatrabia16@gmail.com
Zaib-Un-Nisa
Physiotherapist, Indus Hospital and Health Network, Lahore, Pakistan,
Email: zaib.nisa01@tih.org.pk ORCID ID: https://orcid.org/0009-0008-0789-3258
Rana Muhammad Hassan
Physiotherapist, Department of Rehabilitation & Allied Health Sciences/ Riphah International University, Lahore Campus, Pakistan, Email: drhassaanrana@gmail.com ORCID ID: https://orcid.org/0009-0001-4855-020X
Tayyaba Zaman
Physiotherapist, Combined Military Hospital, Lahore, Pakistan, Email: tayyabadhillon@gmail.com , ORCID ID: https://orcid.org/0009-0005-8028-641X
Areej Akmal Bajwa
Physiotherapist, University of Antwerp, Belgium, Email: areejakmal75@gmail.com
Muhammad Faisal Bashir
Physiotherapist, Bashir Rehab and Peads Disable Clinic, Kabirwala, Pakistan, Email: mehrfaisalbashir@gmail.com
Shehzeena Ashraf
Physiotherapist, University of Lahore, Lahore campus, Pakistan, Email: shahzeena.ashraf@gmail.com, ORCID ID: https://orcid.org/0009-0007-4158-8743