Margaret Yekutiel in the book, Sensory Re-Education of the Hand After Stroke in 2001? Better sensation leads to better motor recovery. What the hell will it take to write a simple fucking protocol on sensation and motor recovery? Is everyone in stroke that godammed lazy AND incompetent?
http://nnr.sagepub.com/content/30/8/731?etoc- Sarah Meyer, PhD1⇑
- Nele De Bruyn, BSc1
- Christophe Lafosse, PhD2
- Margaretha Van Dijk, MSc3
- Marc Michielsen, MSc4
- Liselot Thijs, MSc4
- Veronik Truyens, MSc5
- Kristine Oostra, MD6
- Lena Krumlinde-Sundholm, PhD7
- Andre Peeters, MD8
- Vincent Thijs, PhD1,3,9
- Hilde Feys, PhD1
- Geert Verheyden, PhD1
- 1KU Leuven-University of Leuven, Leuven, Belgium
- 2Rehabilitation Hospital RevArte, Edegem, Belgium
- 3University Hospitals Leuven, Leuven, Belgium
- 4Jessa Hospital - Rehabilitation Centre Sint Ursula, Herk-de-stad, Belgium
- 5Rehabilitation and MS Centre Overpelt, Overpelt, Belgium
- 6Ghent University Hospital, Ghent, Belgium
- 7Karolinska Institutet - Astrid Lindgren Children’s Hospital, Stockholm, Sweden
- 8Cliniques Universitaires Saint-Luc, Brussels, Belgium
- 9Vesalius Research Center - VIB, Leuven, Belgium
- Sarah Meyer, PhD, Department of Rehabilitation Sciences, KU Leuven, Tervuursevest 101, Bus 1501, 3001 Leuven, Belgium. Email: sarah.meyer@faber.kuleuven.be
Abstract
Background. A thorough
understanding of the presence of different upper-limb somatosensory
deficits poststroke and the relation with
motor performance remains unclear. Additionally,
knowledge about the relation between somatosensory deficits and
visuospatial
neglect is limited.
Objective. To investigate the distribution of upper-limb somatosensory impairments and the association with unimanual and bimanual motor
outcomes and visuospatial neglect.
Methods.
A cross-sectional observational study was conducted, including 122
patients within 6 months after stroke (median = 82 days;
interquartile range = 57-133 days). Somatosensory
measurement included the Erasmus MC modification of the (revised)
Nottingham
Sensory Assessment (Em-NSA), Perceptual Threshold
of Touch (PTT), thumb finding test, 2-point discrimination, and
stereognosis
subscale of the NSA. Upper-limb motor assessment
comprised the Fugl-Meyer assessment, motricity index, Action Research
Arm
Test, and Adult-Assisting Hand Assessment Stroke.
Screening for visuospatial neglect was performed using the Star
Cancellation
Test.
Results. Upper-limb somatosensory impairments were common, with prevalence rates ranging from 21% to 54%. Low to moderate Spearman
ρ correlations were found between somatosensory and motor deficits (r = 0.22-0.61), with the strongest associations for PTT (r = 0.56-0.61) and stereognosis (r = 0.51-0.60). Visuospatial neglect was present in 27 patients (22%). Between-group analysis revealed somatosensory deficits
that occurred significantly more often and more severely in patients with visuospatial neglect (P
< .05). Results showed consistently stronger correlations between
motor and somatosensory deficits in patients with visuospatial
neglect (r = 0.44-0.78) compared with patients without neglect (r = 0.08-0.59).
Conclusions. Somatosensory impairments are common in subacute patients poststroke and are related to motor outcome. Visuospatial neglect
was associated with more severe upper-limb somatosensory impairments.
No comments:
Post a Comment