International Journal of Drug Delivery Technology
Volume 16, Issue 1s, 2026

Effectiveness Of Sensory Reweighting Balance Training With Rhythmic Auditory Stimulation On Cognitive-Motor Interference And Balance In Stroke Survivors: A Randomized Controlled Trial

Parth Prajapati1*, Darpan Vanavi2, Urja Vaidya3, Avinash Singh4, Garima Singh5, Leo Rathinaraj Antony Soundararajan6, Nitika Jesingh7, Navita Sharma8

1Assistant Professor, Parul Institute of Physiotherapy and Research, Parul University, Vadodara, Gujarat-391760

2Assistant Professor, Parul Institute of Physiotherapy and Research, Parul University, Vadodara, Gujarat-391760

3Assistant Professor, Parul Institute of Physiotherapy, Parul University, Vadodara, Gujarat - 391760

4HOD & Professor, Rabindranath Tagore University, Mendua, Post: Bhojpur, Near Bangrasiya Chouraha, on the Bhopal-Chiklod Road, District Raisen (PIN: 464993)

5Associate Professor, School of Biomedical Sciences and Technology- Galgotias University, Greater Noida-203201 Uttar Pradesh, India

6Adjunct Professor, Saveetha College of Physiotherapy, SIMATS Deemed University, Chennai 600077.

7Assistant Professor, School of Allied Health Sciences, Galgotias University, Greater Noida 203201

8Assistant Professor, Physiotherapy department, School of allied health sciences, Galgotias University, Plot No. 2, Sector 17-A, Yamuna Expressway, Opposite Buddha International Circuit, Greater Noida, Gautam Buddh Nagar, Uttar Pradesh - 203201


ABSTRACT

Background: Stroke frequently results in impairments in balance, mobility, and cognitive-motor coordination, which increase fall risk and reduce functional independence. Sensory integration plays an essential role in maintaining postural control through appropriate weighting of visual, vestibular, and somatosensory inputs. Rhythmic auditory stimulation (RAS) has been reported to improve motor coordination and gait performance in individuals with neurological disorders.

Objective: To investigate the effectiveness of sensory reweighting balance training combined with rhythmic auditory stimulation on cognitive-motor interference and balance in stroke survivors.

Methods: A randomized controlled trial was conducted involving 46 stroke survivors, who were randomly allocated into an experimental group (n = 23) and a control group (n = 23). The experimental group received sensory reweighting balance training combined with rhythmic auditory stimulation, while the control group received conventional balance training. Both groups participated in supervised physiotherapy sessions five times per week for six weeks. Outcome measures included the Dual-Task Timed Up and Go (DT-TUG), Berg Balance Scale (BBS), and Activities-specific Balance Confidence (ABC) Scale. Assessments were performed at baseline and after the intervention. Data were analyzed using paired t-tests and independent t-tests with a significance level of p < 0.05.

Results: Both groups demonstrated significant improvements in DT-TUG, BBS, and ABC scores following the intervention (p < 0.05). However, the experimental group showed significantly greater improvements compared with the control group. Post-intervention analysis revealed significant differences between groups in DT-TUG (p = 0.001), BBS (p = 0.002), and ABC Scale (p = 0.001).

Conclusion: Sensory reweighting balance training combined with rhythmic auditory stimulation significantly improves balance performance, functional mobility, and balance confidence in stroke survivors compared with conventional balance training. This combined intervention may be an effective rehabilitation strategy to reduce cognitive-motor interference and enhance functional independence following stroke.

Keywords: Stroke rehabilitation, sensory reweighting, rhythmic auditory stimulation, balance training, cognitive-motor interference.

How to cite this article: Prajapati P, Vanavi D, Vaidya U, Singh A, Singh G, Soundararajan LRA, Jesingh N, Sharma N. Effectiveness Of Sensory Reweighting Balance Training With Rhythmic Auditory Stimulation On Cognitive-Motor Interference And Balance In Stroke Survivors: A Randomized Controlled Trial. Int J Drug Deliv Technol. 2026;16(1s): 257-261. DOI: 10.25258/ijddt.16.1s.32

Source of support: Nil.

Conflict of interest: None