You mean you are 17 years out-of-date by not just using the ideas in the Margaret Yekutiel book about this from 2001, 'Sensory Re-Education of the Hand After Stroke'. Your mentors and senior researchers need to be fired.
Therapeutic effects of sensory input training on motor function rehabilitation after stroke
doi: 10.1097/MD.0000000000013387
Research Article: Quality Improvement Study
Motor dysfunction is a common and severe complication of stroke
that affects the quality of life of these patients. Currently, motor
function rehabilitation predominantly focuses on active movement
training; nevertheless, the role of sensory input is usually overlooked.
Sensory input is very important to motor function. Voluntary functional
movement necessitates preparation, execution, and monitoring functions
of the central nervous system, while the monitoring needs the
participation of the sensory system. Sensory signals affect motor
functions by inputting external environment information and intrinsic
physiological status as well as by guiding initiation of the motor
system. Recent studies focusing on sensory input-based rehabilitation
training for post-stroke
dyskinesia have demonstrated that sensory function has significant
effects on voluntary functional movements. In conclusion, sensory input
plays a crucial role in motor function rehabilitation, and the combined
sensorimotor training modality is more effective than conventional
motor-oriented approaches.
1 Introduction
Stroke,
whether ischemic or hemorrhagic, is a common cerebrovascular event with
high disability and mortality rates. It is the leading contributor to
secondary movement disorders in elderly patients.[1] Post-stroke
dyskinesia is a common and severe complication that affects the quality
of life of these patients. Currently, motor function rehabilitation
predominantly focuses on active movement training, such as improving
muscle strength, controlling convulsions, and adjusting movement
patterns.[2,3] However, rehabilitation training based on sensory input has yet to be highlighted.[4]
Voluntary functional movement necessitates
preparation, execution, and monitoring functions of the central nervous
system; the preparation and execution require involvement of the motor
system, while the monitoring needs the participation of the sensory
system.[5]
In higher-order motor behaviors, the brain must integrate sensory
inputs to evaluate the surrounding environment accurately and to produce
the corresponding motor outputs.[6]
Movement adaptability refers to the ability to adjust constantly to the
motor strategy in order to adapt to changes in the environment, which
should be based on the feedback of sensory input.[7]
Sensory signals affect motor functions in the following 2 ways:
inputting external environment information and intrinsic physiological
status, and guiding initiation of the motor system.[8]
In this review, we summarize the anatomical basis,
relevant experimental studies, and clinical applications of sensory
input training as well as discuss the therapeutic effects of sensory
input training on motor function rehabilitation after stroke.
This review highlights the importance of the sensory component of motor
function and illuminates the application value of sensory input
training for motor function rehabilitation.
No comments:
Post a Comment