Wednesday, February 19, 2014

Sensory impairments of the lower limb after stroke: A pooled analysis of individual patient data

So once again better sensation leads to better motor recovery. What is your doctor doing about that?
Read the damn Margaret Yekutiel  book, 'Sensory Re-Education of the Hand After Stroke'.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67362&phrase=no&rec=123164
NARIC Accession Number: J67362.  What's this?
ISSN: 1074-9357.
Author(s): Tyson, Sarah F.; Crow, J. Lesley ; Connell, Louise; Winward, Charlotte; Hillier, Susan L..
Publication Year: 2013.
Number of Pages: 9.
Abstract: A pooled analysis of individual data for 459 stroke survivors was conducted to describe the frequency of sensory impairments of the lower limb after stroke, investigate factors that influence sensory impairments, and explore the influence of sensory impairments on functional activity. Descriptive statistics described frequency of sensory impairments, kappa coefficients investigated relationships between sensory modalities, binary logistic regression explored the factors influencing sensory impairments, and linear regression assessed the impact of sensory impairments on activity limitations. Most patients’ sensation was intact (55 percent), and individual sensory modalities were highly associated (kappa = 0.60). Weakness and neglect influenced sensory impairment, but demographics, stroke pathology, and spasticity did not. Sensation influenced independence in activities of daily living, mobility, and balance but less strongly than weakness. Results of this study showed that sensation of the lower limb is preserved in most stroke survivors but, when impairment is present, it affects function. Sensory modalities are highly interrelated; interventions that treat the motor system during functional tasks may be as effective at treating the sensory system as sensory retraining alone.

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