The sensory side of post-stroke motor rehabilitation

Well shit this was written about by Margaret Yekutiel in the book, Sensory Re-Education of the Hand After Stroke in 2001.
So why the fuck don't we have a stroke protocol on this? 15 years and NOTHING has been publicly put out there for survivors to find and use. 
http://content.iospress.com/articles/restorative-neurology-and-neuroscience/rnn150606
 

Article type: Research Article

Authors: Bolognini, Nadia^{a; b; c; 1; *} | Russo, Cristina^{a; c; 1} | Edwards, Dylan J.^d

Affiliations: [a] Department of Psychology, University of Milano-Bicocca, Milano, Italy | [b] Laboratory of Neuropsychology, IRCCS Istituto Auxologico, Milano, Italy | [c] NeuroMi – Milan Center for Neuroscience, Milan, Italy | [d] Burke-Cornell Medical Research Institute, White Plains, New York

Correspondence: [*] Corresponding author: Nadia Bolognini, Department of Psychology, University of Milano Bicocca, Piazza dell’AteneoNuovo 1, Building U6, 20126 Milano, Italy. Tel.: +39 0264483822; E-mail: nadia.bolognini@unimib.it

Note: [1] NB and CR equally contributed to the manuscript.

Abstract: Contemporary strategies to promote motor recovery following stroke focus on repetitive voluntary movements. Although successful movement relies on efficient sensorimotor integration, functional outcomes often bias motor therapy toward motor-related impairments such as weakness, spasticity and synergies; sensory therapy and reintegration is implied, but seldom targeted. However, the planning and execution of voluntary movement requires that the brain extracts sensory information regarding body position and predicts future positions, by integrating a variety of sensory cues with ongoing and planned motor activity. Neurological patients who have lost one or more of their senses may show profoundly affected motor functions, even if muscle strength remains unaffected. In stroke, motor recovery can be dictated by the degree of sensory disruption. Consequently, a thorough account of sensory function might be both prognostic and prescriptive in neurorehabilitation. This review outlines the key sensory components of human voluntary movement, describes how sensory disruption can influence prognosis and expected rehabilitation outcomes in stroke patients, reports on current sensory-based approaches in post-stroke motor rehabilitation, and makes recommendations for optimizing motor rehabilitation programs based on sensory stimulation.

Keywords: Stroke, motor recovery, sensory stimulation, motor rehabilitation, sensorimotor integration, non-invasive brain stimulation

DOI: 10.3233/RNN-150606

Journal: Restorative Neurology and Neuroscience, vol. Preprint, no. Preprint, pp. 1-16, 2016

Published 11 April 2016

Price: EUR 27.50