Article

PURPOSE: To identify and review the evidence to determine the current scientific
basis underpinning the use of visual and/or auditory feedback for computer
technology in home-based upper-limb stroke rehabilitation. METHOD: A systematic
search was conducted using the following databases: CINAHL (EBSCO), MEDLINE (Ovid
and CSA), PubMed, Science Direct (Elsevier) and Cochrane Library. Journals, book
chapters and conference proceedings were also used in the systematic search.
Relevant papers were critically appraised using the Critical Appraisal Skills
Programme tool for randomised controlled trials/quantitative designs. RESULTS:
Four controlled trials were identified as being relevant. Although the evidence
is scarce, existing findings suggest that extrinsic visual and auditory feedback
may improve motor and functional performance. In addition, concurrent feedback,
knowledge of performance, knowledge of results and explicit feedback may be key
components in the promotion of improved performance. CONCLUSIONS: There is a
paucity of evidence to inform the development and the use of technological
systems for home-based stroke rehabilitation and specifically how such systems
might be developed to provide best forms of feedback in the absence of a
therapist. Further work is required to first investigate the efficacy of visual
and auditory feedback using technology systems and second to explore their
utilisation with the end user.
CI - (c) 2011 Informa UK, Ltd.

Langue : ANGLAIS