Well shit this was written about by Margaret Yekutiel in the book, Sensory Re-Education of the Hand After Stroke in 2001.
So why the fuck don't we have a stroke protocol on this? 15 years and NOTHING has been publicly put out there for survivors to find and use.
http://content.iospress.com/articles/restorative-neurology-and-neuroscience/rnn150606
Article type: Research Article
Affiliations:
[a]
Department of Psychology, University of Milano-Bicocca, Milano, Italy
|
[b]
Laboratory of Neuropsychology, IRCCS Istituto Auxologico, Milano, Italy
|
[c]
NeuroMi – Milan Center for Neuroscience, Milan, Italy
|
[d]
Burke-Cornell Medical Research Institute, White Plains, New York
Correspondence:
[*]
Corresponding author: Nadia Bolognini, Department of Psychology,
University of Milano Bicocca, Piazza dell’AteneoNuovo 1, Building U6,
20126 Milano, Italy. Tel.: +39 0264483822; E-mail: nadia.bolognini@unimib.it
Note: [1] NB and CR equally contributed to the manuscript.
Abstract: Contemporary
strategies to promote motor recovery following stroke focus on
repetitive voluntary movements. Although successful movement relies on
efficient sensorimotor integration, functional outcomes often bias motor
therapy toward motor-related impairments such as weakness, spasticity
and synergies;
sensory therapy and reintegration is implied, but seldom targeted.
However, the planning and execution of voluntary movement requires that
the brain extracts sensory information regarding body position and
predicts future positions, by integrating a variety of sensory cues with
ongoing and planned motor activity. Neurological patients who have lost
one or more of their senses may show profoundly affected motor
functions, even if muscle strength remains unaffected. In stroke, motor
recovery can be dictated by the degree of sensory disruption.
Consequently, a thorough account of sensory function might be both
prognostic and prescriptive in neurorehabilitation. This review outlines
the key sensory components of human voluntary movement, describes how
sensory disruption can influence prognosis and expected rehabilitation
outcomes in stroke patients, reports on current sensory-based approaches
in post-stroke motor rehabilitation, and makes recommendations for
optimizing motor rehabilitation programs based on sensory stimulation.
Keywords: Stroke, motor recovery, sensory stimulation, motor rehabilitation, sensorimotor integration, non-invasive brain stimulation
DOI: 10.3233/RNN-150606
Price: EUR 27.50
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