Remote vibrotactile noise improves light touch sensation in stroke survivors' fingertips via stochastic resonance

The stupidity continues. Who the hell approves settled research? This was written about back in 2001.       It follows
what Margaret Yekutiel wrote in the book Sensory Re-Education of the Hand after Stroke in 2001.
And maybe you want to ask your therapist for this:
http://www.medgadget.com/2011/08/vibrating-glove-may-enhance-sense-of-touch.html
Or this one, except for the fact that right now it takes three people to get a glove on me and 30 minutes.
http://www.amazon.com/Fukuoku-Finger-Massage-Glove-Right/dp/B00009J5W4 
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The latest research here;
  http://www.jneuroengrehab.com/content/10/1/105/abstract

Leah R Enders, Pilwon Hur, Michelle J Johnson and Na Jin Seo

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Journal of NeuroEngineering and Rehabilitation 2013, 10:105 doi:10.1186/1743-0003-10-105
Published: 11 October 2013

Abstract (provisional)

Background and purpose: Stroke rehabilitation does not often integrate both sensory and motor recovery. While subthreshold noise was shown to enhance sensory signal detection at the site of noise application, having a noise-generating device at the fingertip to enhance fingertip sensation and potentially enhance dexterity for stroke survivors is impractical, since the device would interfere with object manipulation. This study determined if remote application of subthreshold vibrotactile noise (away from the fingertips) improves fingertip tactile sensation with potential to enhance dexterity for stroke survivors.

Methods

Index finger and thumb pad sensation was measured for ten stroke survivors with fingertip sensory deficit using the Semmes-Weinstein Monofilament and Two-Point Discrimination Tests. Sensation scores were measured with noise applied at one of three intensities (40%, 60%, 80% of the sensory threshold) to one of four locations of the paretic upper extremity (dorsal hand proximal to the index finger knuckle, dorsal hand proximal to the thumb knuckle, dorsal wrist, volar wrist) in a random order, as well as without noise at beginning (Pre) and end (Post) of the testing session.

Results

Vibrotactile noise of all intensities and locations instantaneously and significantly improved Monofilament scores of the index fingertip and thumb tip (p < .01). No significant effect of the noise was seen for the Two-Point Discrimination Test scores.

Conclusions

Remote application of subthreshold (imperceptible) vibrotactile noise at the wrist and dorsal hand instantaneously improved stroke survivors' light touch sensation, independent of noise location and intensity. Vibrotactile noise at the wrist and dorsal hand may have enhanced the fingertips' light touch sensation via stochastic resonance and interneuronal connections. While long-term benefits of noise in stroke patients warrants further investigation, this result demonstrates potential that a wearable device applying vibrotactile noise at the wrist could enhance sensation and grip ability without interfering with object manipulation in everyday tasks.

The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.