Effect of integrated manual and verbal cueing on functional transfers in chronic stroke survivors: a randomized controlled study

Both the Verbal Only and Integrated Cueing groups made significant progress toward more symmetrical movement, yet more significant changes in the activation of hemiparetic extensor muscles were seen in the Integrated Cueing group. These findings support the use of manual cueing in movement activation and performance during the training of functional tasks.IMPLICATIONS FOR REHABPhysical therapists commonly use manual tactile cues to facilitate movement performance but there is currently insufficient evidence to support this use with stroke survivors.In a relatively small sample size, both verbal cues and integrated cues (verbal plus manual) improved symmetry during sit to stand in chronic right brain stroke survivors.Integrated cueing enhanced motor activation and performance during sit to stand better than verbal cues alone.Manual tactile cueing should be considered during functional task retraining.