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Comparison of Rhythmic Auditory Stimulation Gait Training with and Without Vibrotactile Feedback on Balance and Gait in Persons with Stroke: A Randomized Controlled Trial

Year: 2025

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: Background: Although both rhythmic auditory stimulation (RAS) and vibrotactile feedback have been shown to yield beneficial effects in stroke rehabilitation, evidence regarding their combined application remains limited. This study investigates the effects of RAS gait training alone (RG) versus RAS combined with vibrotactile feedback (RAS-V) on balance and gait in individuals post-stroke. Methods: Twenty-two people with stroke were randomly assigned to either an RAS-V or an RG group. The RAS-V group performed RAS gait training combined with vibrotactile feedback while the RG group performed RAS gait training. Both groups participated in 30-min gait training sessions, 5 times a week for 4 weeks. Balance ability was assessed using the Berg Balance Scale (BBS) and Timed Up and Go test (TUG). Gait ability was evaluated using the G-Walk gait analyzer and the 10-m Walk Test (10 mWT), including gait cadence, velocity, and stride length. Results: Within-group comparisons showed significant improvements in BBS (p < 0.001) and TUG scores (p < 0.05) in both groups. The RAS-V group demonstrated significant post-intervention improvements in gait velocity, 10 mWT (p < 0.05), and gait cadence (p < 0.001). Between-group comparisons revealed that the RAS-V group achieved significantly greater improvements than the RG group in TUG, gait cadence, gait velocity, and 10 mWT (p < 0.05). Conclusions: RAS gait training with vibrotactile feedback enhances balance and gait ability more effectively than RAS gait training alone, suggesting additional benefits of incorporating vibrotactile feedback.

Source: Bioengineering

DOI: 10.3390/bioengineering12111177

Authors: Su-Jin Kim, Sun-Min Kim, Sang-Hun Jang

Institutions: Korea National University of Transportation, Gimcheon University

Language: English

Topic: Stroke Rehabilitation and Recovery

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,258