Effects of Auditory Cueing in Gait Training for Stroke Patients
It is very necessary to develop knowledge about the ever developing field of physiotherapy and also medical sciences. That is the main reason why we bring to you here the article on Effects of Auditory Cueing in Gait Training for Stroke Patients. Learn more about it and also try to implement this information in your life if you have or haven’t suffered from stroke.
Firstly, stroke is defined as “A clinical syndrome consisting of rapidly developing clinical signs of focal disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than a vascular origin”.
Hemiplegic is accompanied by increase in postural instability, asymmetrical weight bearing, impairment of body weight transfer capabilities and also decrease in postural stability. So below we talk about Effects of Auditory Cueing in Gait Training for Stroke Patients.
Causes of Stroke:
Stroke is also one of the third most leading cause of death in western world and most common cause of long term adult disability. The most profound Causes for stroke are hypertension (54%), hypercholesterolemia (15%) , tobacco and smoking(12%) also.
Epidemiology of Stroke:
The estimated adjusted prevalence rate of stroke range 84-262/100,000 in rural 334-424/100,000 in urban areas. The incidence rate is 119-145/100,000 based on recent population based studies.
Functional Limitations of Stroke:
- Patient with stroke experience a number of physical disorders, including movement, cognitive, sensory, language and visual disorders. Patient may be present with weakness of arm and hand immediately after stroke.
- Impairments of body function such as deviation in neuromuscular system and movement related function related to joint mobility, muscle power, muscle tone and involuntary movements. Among them movement disorder can limit muscle control and motor function as well as loss of balance control abilities. Many patient experiences with daily living activities such as balance, climbing stairs, gait and walking.
Types of Feedback:
- It can simply define of furnishing individual information of his body function, so as to get some control over it.
- It can be used to access physiological functions then to improve it by having proper control over it.
- Feedback is of 2types:
- Intrinsic(inherent): occurring as natural result of movement.(for example: Proprioceptive, visual, vestibular and cutaneous signals)
- Extrinsic (augmented): incorporating sensory cues provided that is not normally received during movement. (For example: Visual, auditory and tactile cues).
- During therapy, both intrinsic and extrinsic feedback can be manipulated to enhance motor learning.
Effects of Auditory Cueing in Gait Training for Stroke Patients
An effectiveness of Auditory Stimulation in Stroke Patients:
- Auditory Stimulation used of focused sounds to produce an effect on nervous system.
- Auditory stimulation in stroke patients provided as means of increasing excitability of spinal motor neurons via reticulospinal pathway, thus decrease amount of time required for muscular response to a given motor command.
- Rhythmic auditory stimulation is also training method that enhances motor skills by providing rhythmic simulation to motor centre of brain.
- The Stride length, Gait speed and symmetry of stroke patients trained with rhythmic auditory stimulation were found to increase.
- The effect of gait training with rhythmic auditory stimulation proved to increase cadence, step length, stride length and dynamic gait index.
Treatment of Gait Training for Stroke Patients:
The below given details are related to the effective treatment of gait training for the patients suffering from stroke. You can also implement all the below given exercises and see a change for yourself.
- Supine to sit on bed
- Sit to stand on bed
- Sit to stand on chair by stabilizing knee
- Walking short distance
- Increase Walking
- Walk on parallel bars
- Reach outs
- Upper limb active ADL activities with assistance
- Standing for short time then increase time gradually
- Placing feet forward, backward and sideways
- Squatting with support of wall
- Partial squatting
- Stepping on stool
- Crossing obstacle
- Picking up object from floor
- Functional strengthening exercise
- Pouring water
- Holding bucket with half water filled and walk
- Stair climbing
- Treadmill walking
- Sit to stand on stool
- Kicking ball
- Opening and closing cap of bottle
- Mirror biofeedback
- Electrical stimulation
- Walking on cushion uneven surface
- Bicycle ergo meter
A metronome is a device that produce an audible beat – A click or other sound at regular intervals that user can set in beats per min (BPM).
- Metronome typically includes synchronized visual motion (for example: Swinging pendulum or blinking light).
- Metronome –coconut.inc / unit software.
- A simple metronome application.
- Beats are set as appropriate to patient’s gait in beats/min.
- Auto correct beat intervals.
- Auto stop if inaccurate rhythm detected.
- Support 6 to 299 beats per min.
- Learn to play a steady tempo and develop you inner sense of rhythm.
- Refine your sense of timing.
- Keep better in time with other musicians.
- Stay exactly on beat, or play ahead or behind the beat by as much as you like whenever you want to.
- I also, improve sensitivity to beat variations within bar Respond to tempo changes quickly change tempo gradually over a number of bars in smooth professional way.
- Swings the beat cleanly.
- Improve coordination with other players and play difficult passages cleanly and confidently.
Metronome Training in Gait for Stroke Patients:
- Stroke patients have to walk on beats of metronome device.
- Beats are without music lyrics.
- Take records after patient’s performance of: cadence, stride length, step length.
- Measure distance by measure tap and gait speed by taking follow-up 10meter walk test, dynamic gait index, time up and also go test at baseline, end of 1st weak and end of 2nd
- Gradually increase beats as improvement is seen in follow-up.
- It is given for 30minutes after regular treatment of stroke with rest time period of 10min; it also used once in 5days per week for 2 weeks.
- This therapy will improve gait speed, balance, stride length, step length and also ambulatory level.
- This will assure higher walking speed than patient self comfortable walking speed.
- Progression of patient noted based on that metronome is readjusted and based on if patient as treated are readjusted speed during next week.
Limitations of Metronome Training in Gait for Stroke Patients:
- Limited applicability in larger population.
- Range and also strength related components never included, so unable to no an ice improvement in that area.
We hope that you find Effects of Auditory Cueing in Gait Training for Stroke Patients article helpful. Visit carebaba.com for more articles.