Saturday, February 27, 2016

Relationship between the threshold of sole cutaneous sense and functional balance and mobility tests in patients with chronic hemiparesis

So they found a correlation, So what? What is your proposed solution to this problem? Don't just tell me what the problem is, tell me how you are going to solve it. If we had a strategy we wouldn't have wasted money and time on research like this.
http://mrj.tums.ac.ir/browse.php?a_id=5408&sid=1&slc_lang=en
Author(s): Soheila Fallah , Ghorban Taghizade , Laleh Lajavardi , Mohammad Ali Sanjari , Ali Ashraf Jamshidi , Mehdi Ebrahimpoor
MSc, Department of Occupational Therapy, School of Rehabilitation, Iran University of Medical Sciences.
Lecturer, Department of Occupational Therapy, School of Rehabilitation, Iran University of Medical Sciences , gh-taghizade@yahoo.com
Assistant Professor, Department of Occupational Therapy, School of Rehabilitation, Iran University of Medical Sciences
Assistant Professor, Department of Basic Rehabilitation Sciences and Rehabilitation Research Center, School of Rehabilitation, Iran University of Medical Sciences
Associate Professor, Department of Physiotherapy and Rehabilitation Research Center, School of Rehabilitation, Iran University of Medical Sciences
MSc, Department of Occupational Therapy, School of Rehabilitation, Iran University of Medical Sciences
Study Type: Research | Subject: Special | Received: 2016/02/16 - Accepted: 2016/02/16 - Published: 2016/02/16
Abstract:   (26 View)

Background and Aim: One of the impaired senses in patients with chronic hemiparesis is the sole cutaneous sense. The role of this sense in maintaining the functional balance and mobility is still controversial in these patients. The aim of this study was to investigate the relationship between the threshold of sole cutaneous sense and functional balance and mobility tests in patient with chronic hemiparesis.



Material and Methods: In this correlational study, seventeen chronic stroke patients by mean age of 59.10 (13.31) years and mean time after injury of 31.70 (23.61) months were selected by simple non– probability method. Functional Reach with ankle and hip strategy (FR), Step Test (ST) in affected and non- affected foot, Bend– Reach test (BR), Timed Up and Go test (TUG) and Berg Balance Scale (BBS) were used for assessment of functional balance and mobility and Semmes- Weinstein monofilaments test was used to measure the cutaneous sense of seven different points of sole in affected and non– affected foot.



Results: The main effect of foot (affected and non– affected foot) and points (seven different points of sole) of cutaneous sense threshold was significant (P<0.0001) and interaction effect of foot ˣ points not significant (P=0.2).

The cutaneous sense threshold in all seven points of affected sole showed significant (p<0.05) low to high correlation (r= 0.24-0.81) with all of functional balance and mobility tests. There was not significant correlation between cutaneous sense threshold in seven points of non- affected foot and any of functional balance and mobility tests, with the exception of cutaneous sense threshold of the little toe floor with total, dynamic and static score of BBS, FR with ankle and hip strategy and TUG; cutaneous sense threshold of big toe with static score of BBS and FR with hip strategy; and medial border of sole with static score of BBS and FR with ankle strategy.



Conclusion: The cutaneous sense threshold of affected sole has a more correlation with functional balance and mobility tests. The cutaneous sense threshold of sole in big toe and medial border points has a significant role in functional balance and mobility tests in patients with hemiparesis.



Keywords: Functional balance and mobility, Cutaneous sense threshold, Hemiparesis
Keywords: Functional balance and mobility, Cutaneous sense threshold, Hemiparesis,
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