Deans' stroke musings: Is recovery of somatosensory impairment conditional for upper-limb motor recovery early after stroke?

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.

Saturday, July 18, 2020

Is recovery of somatosensory impairment conditional for upper-limb motor recovery early after stroke?

Just maybe you want to read Margaret Yekutiel writing a whole book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'. Can you extrapolate from hand to upper limb?

Is recovery of somatosensory impairment conditional for upper-limb motor recovery early after stroke?

Neurorehabilitation and Neural Repair (NNR) , Volume 34(5) , Pgs. 403-416.

NARIC Accession Number: J83840. What's this?
ISSN: 1545-9683.
Author(s): Zandvliet, Sarah B. ; Kwakkel, Gert ; Nijland, Rinske H. M. ; van Wegen, Erwin E. H. ; Meskers, Carel G. M..
Publication Year: 2020.
Number of Pages: 14.

Abstract:

Study examined the time course of somatosensory recovery and analyzed the longitudinal association between motor and somatosensory impairments in the first 6 months post stroke. Spontaneous recovery early after stroke is most evident during a time-sensitive window of heightened neuroplasticity, known as spontaneous neurobiological recovery. It is unknown whether post stroke upper-limb motor and somatosensory impairment both reflect spontaneous neurobiological recovery or if somatosensory impairment and/or recovery influences motor recovery. Motor (Fugl-Meyer upper-extremity [FM-UE]) and somatosensory impairments (Erasmus modification of the Nottingham Sensory Assessment [EmNSA-UE]) were measured in 215 patients within 3 weeks and at 5, 12, and 26 weeks after a first-ever ischemic stroke. The longitudinal association between FM-UE and EmNSA-UE was examined in patients with motor and somatosensory impairments at baseline. A total of 94 patients were included in the longitudinal analysis. EmNSA-UE increased significantly up to 12 weeks poststroke. The longitudinal association between motor and somatosensory impairment disappeared when correcting for progress of time and was not significantly different for patients with severe baseline somatosensory impairment. Patients with a FM-UE score ≥18 at 26 weeks showed a significant positive association between motor and somatosensory impairments, irrespective of progress of time. Progress of time, as a reflection of spontaneous neurobiological recovery, is an important factor that drives recovery of upper-limb motor as well as somatosensory impairments in the first 12 weeks poststroke. Severe somatosensory impairment at baseline does not directly compromise motor recovery. Tindings suggest that spontaneous recovery of somatosensory impairment is a prerequisite for full motor recovery of the upper paretic limb.
Descriptor Terms: FUNCTIONAL LIMITATIONS, LIMBS, MOTOR SKILLS, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://journals.sagepub.com/doi/10.1177/1545968320907075.

Citation: Zandvliet, Sarah B. , Kwakkel, Gert , Nijland, Rinske H. M. , van Wegen, Erwin E. H. , Meskers, Carel G. M.. (2020). Is recovery of somatosensory impairment conditional for upper-limb motor recovery early after stroke?. Neurorehabilitation and Neural Repair (NNR) , 34(5), Pgs. 403-416. Retrieved 7/18/2020, from REHABDATA database.