From: Biofeedback for training balance and mobility tasks in older populations: a systematic review
A. Visual biofeedback-based training of balance in (frail) older adults | |||
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Ref | Qualitya EV PEDro | Analysisb Main short-term results | Effect sizes (absolute numbers) |
Hatzitaki et al[38] | 1 | 5 | rANOVA & post-hoc testing. Significant interactions between group and time, in favor of experimental group (E1c), for 2 of 4 asymmetry and 4 of 4 sway outcomes for tandem standing. | Asymmetry = 1.40 & 1.08 Sway = 0.38, 0.56, 0.69, 0.78 |
Heiden & Lajoie[39] | 1 | 5 | rANOVA & post-hoc testing. Significant interactions between group and time, in favor of experimental group, for RT and CB&M. | RT, CB&M = - (values are given in bar charts) |
Lajoie[42] | 1 | 4 | rANOVA & post-hoc testing. Significant between-group differences for RT and BBS at posttest in favor of experimental group. | RT, BBS = - (values are given in bar charts) |
Rose & Clark[46] | 1 | 2 | Doubly multivariate rANOVA & post-hoc testing. Significant interactions between group and time in favor of experimental group. | Sway = .51 Weight-shifting = .38 & .79 & .85 BBS = .46; TUG = .55 |
2 | 6 | rANOVA & Friedman's test. Significant interactions between group and time, in favor of experimental group, for 2 of 6 weight-shifting, 4 of 18 sway outcomes and BBS. Significant improvement in activity level in experimental group. | Sway = .56 & .86 to 1.12 Weight-shifting = .77 & 1.29 BBS = .34 Activity level = - (categorical variable) | |
Wolf et al[52] | 0 | 4 | rANOVA with baseline characteristics and sway as covariates & post-hoc testing. Significant between-group differences in improvement for 5 of 12 sway outcomes in favor of experimental group. | Sway = .43 & .89 to 1.71 |
B. Visual biofeedback-based training of balance in older patients post-stroke | |||
Ref | Quality a EV PEDro | Analysis b Main short-term results | Effect sizes (absolute numbers) |
Cheng et al[30] | 1 | 4 | rANOVA & post-hoc testing. Significant between-group differences in weight-shifting at posttest in favor of experimental group. | Weight-shifting = .59 & .78 to .90 |
Grant et al[35] | 2 | 5 | rANOVA & post-hoc testing. No significant between-group difference. | Â |
Sackley & Lincoln[47] | 2 | 6 | Student's t-test & Mann-Whitney U-test. Significant between-group differences in weight- distribution, ADL and motor function at post-test in favor of experimental group. | Weight-distribution = .99 ADL = 1.21 Motor function = .99 |
Shumway et al[57] | 2 | 4 | Chi-square test. Significant between-group difference in change score for weight-distribution in favor of experimental group. | Weight-distribution = - (values are given in box plots) |
Walker et al[51] | 2 | 6 | rANOVA & post-hoc testing. No significant between-group differences. | Â |
Yavuzer et al[55] | 2 | 6 | Mann-Whitney U-test. Significant between-group differences in change scores for 2 of 17 gait outcomes in favor of experimental group. | Pelvic obliquity = .55d Peak vGRF paretic side = .54 |
C. Auditory (& visual[28]) biofeedback-based training of gait in older patients post-stroke | |||
Ref | Quality a EV PEDro | Analysis b Main short-term results | Effect sizes (absolute numbers) |
Aruin et al[26] | 0 | 4 | rANOVA Significant between-group difference after the intervention in favor of experimental group. | Step width = - (mean (SE) are given: .09 m(.003) to .16 m(.006) vs. 10 m(.004) to .13 m(.003)) |
Bradley et al[28] | 2 | 5 | Mixed model rANOVA (sign. if ?). No significant between-group differences. | Â |
Montoya et al[44] | 1 | 3 | Factorial rANOVAe. Significant between-group difference, interaction between beginning/end and group, interaction between session and group, all in favor of experimental group. | Step length = 3.33 |
Morris et al[45] | 2 | 7 | Mann-Whitney U-test. Significant between-group difference for reduction in peak knee extension during phase 2 in favor of experimental group. | Peak knee extension = - (mean reduction (SD) are given: 1.7°(1.8) vs. 4°(3.1) (phase 2)) |
D. Visual[29]or auditory biofeedback-based training of sit-to-stand transfers in older patients post-stroke | |||
Ref | Quality a EV PEDro | Analysis b Main short-term results | Effect sizes (absolute numbers) |
Cheng et al[29] | 1 | 5 | - (only long-term results) | - (only long-term results) |
Engardt et al[32] | 2 | 5 | Student's t-test (sign. if p < .01) & Mann-Whitney U-test. Significant between-group differences in improvement for weight-distribution and functional sit-to-stand in favor of experimental group. | Weight-distribution = 1.16 & 1.47 Functional sit-to-stand = - (median (range) are given: 2(2) to 6(2-6) vs 2(2) to 4(2-6)) |
E. Auditory biofeedback-based training of weight-bearing during balance tasks[56]or gait tasks in older patients with lower-limb surgery | |||
Ref | Quality a EV PEDro | Analysis b Main short-term results | Effect sizes (absolute numbers) |
Gauthier et al[56] | 2 | 4 | Mann-Whitney U-test. No significant between-group differencesf. | Â |
Hershko et al[40] | 2 | 5 | Student's t-test & Chi-square test. The experimental groups improved significantly in PWB, whereas the control groups did not. | PWB = 1.22 (groups with Touch WB instruction) & 1.40 (groups with Partial WB instruction) |
Isakov[41] | 1 | 4 | Student's t-test. Significant between-group difference in improvement in favor of experimental group. | FWB = - (mean improvement (SD) are given: 7.9 kg(5.3) vs. 7 kg(2.4) |