Deans' stroke musings: Effectiveness of somatosensory interventions on somatosensory, motor and functional outcomes in the upper limb post-stroke: A systematic review and meta-analysis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 22, 2019

Effectiveness of somatosensory interventions on somatosensory, motor and functional outcomes in the upper limb post-stroke: A systematic review and meta-analysis

Without telling us where these protocols are this is useless. Even if low quality, the survivor should decide on trying the therapy or not. The therapist as a gatekeeper is wrong.

Effectiveness of somatosensory interventions on somatosensory, motor and functional outcomes in the upper limb post-stroke: A systematic review and meta-analysis

NeuroRehabilitation , Volume 44(4) , Pgs. 459-477.

NARIC Accession Number: J81707. What's this?
ISSN: 1053-8135.
Author(s): Yilmazer, Cigdem; Boccuni, Leonardo; Thijs, Liselot; Verheyden, Geert.
Publication Year: 2019.
Number of Pages: 19.
Abstract: Study reviewed the evidence on the effects of upper-limb somatosensory interventions on somatosensory impairment, motor impairment, functional activity and participation after stroke. Biomedical databases Ovid Medline, EMBASE, Web of Science, PEDro, and OTseeker were searched with an update in May 2018. Randomized controlled trials investigating the effect of somatosensory-specific interventions focusing on exteroceptive, proprioceptive or higher cortical somatosensory dysfunction, or any combination were eligible for inclusion. Quality of included studies were assessed using Physiotherapy Evidence Database (PEDro) scale. Standardized mean differences (SMDs) and 95-percent confidence intervals (95%CI) were calculated and combined in meta-analyses. Active somatosensory interventions did not show a significant effect on somatosensation and activity, but demonstrated a significant improvement in motor impairment (SMD = 0.73, 95%CI = 0.14 to 1.32). No study evaluating active somatosensory intervention included participation. Passive somatosensory interventions significantly improved light touch sensation (SMD = 1.13, 95%CI = 0.20 to 2.05). Passive somatosensory interventions did not show significant effects on proprioception and higher cortical somatosensation, motor impairment, activity and participation. To date, there is low quality evidence suggesting active somatosensory interventions having a beneficial effect on upper-limb impairment and very low quality evidence suggesting passive somatosensory interventions improving upper-limb light touch sensation. There is a need for further well-designed trials of somatosensory rehabilitation post stroke.
Descriptor Terms: FUNCTIONAL LIMITATIONS, INTERVENTION, LIMBS, LITERATURE REVIEWS, MOTOR SKILLS, OUTCOMES, SENSORY IMPAIRMENTS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://content.iospress.com/articles/neurorehabilitation/nre192687.

Citation: Yilmazer, Cigdem, Boccuni, Leonardo, Thijs, Liselot, Verheyden, Geert. (2019). Effectiveness of somatosensory interventions on somatosensory, motor and functional outcomes in the upper limb post-stroke: A systematic review and meta-analysis. NeuroRehabilitation , 44(4), Pgs. 459-477. Retrieved 10/22/2019, from REHABDATA database.