Is this the flip side of Margaret Yekutiel writing a whole book about this in 2001, 'Sensory Re-Education of the Hand After Stroke'. And 21 years later the protocol still hasn't been done. I'd fire a whole lot of people for such long lasting incompetence.
Tactile sensation improves following motor rehabilitation for chronic stroke: The VIGoROUS randomized controlled trial
Neurorehabilitation and Neural Repair (NNR) , Volume 36(8) , Pgs. 525-534.
NARIC Accession Number: J90012. What's this?
ISSN: 1545-9683.
Author(s): Borstad, Alexandra; Nichols-Larsen, Deborah; Uswatte, Gitendra; Strahl, Nancy; Simeo, Marie; Proffitt, Rachel; Gauthier, Lynne.
Publication Year: 2022.
Number of Pages: 10.
Abstract: Study compared the effect of four upper-limb motor rehabilitation programs on the recovery of tactile sensation in adults with chronic stroke. One hundred sixty-seven adults with chronic stroke and mild or moderate upper-extremity hemiparesis were enrolled in the Video Game Rehabilitation for Outpatient Stroke (VIGoROUS) multi-site randomized controlled trial. Participants completed three weeks of gaming therapy, gaming therapy with additional telerehabilition, constraint-induced movement therapy, or traditional rehabilitation. Tactile sensation was measured with monofilaments, before and after treatment, and 6 months later. A mixed-effects general linear model revealed similar positive change in tactile sensitivity regardless of the type of training. On average, participants were able to detect a stimulus that was 32 percent and 33 percent less after training and at 6-month follow-up, respectively. One-third of participants experienced recategorization of their level of somatosensory impairment (e.g., regained protective sensation) following training. Poorer tactile sensation at baseline was associated with greater change. The findings suggest that about one-third of individuals with mild/moderate chronic hemiparesis experience sustained improvements in tactile sensation following motor rehabilitation, regardless of the extent of tactile input in the rehabilitation program. Potential for sensory improvement is an additional motivator for those stroke survivors. Characteristics of those who improve and mechanisms of improvement are important future questions.
Descriptor Terms: HEMIPLEGIA, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, REHABILITATION, STROKE, TACTILE SYSTEMS.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Borstad, Alexandra, Nichols-Larsen, Deborah, Uswatte, Gitendra, Strahl, Nancy, Simeo, Marie, Proffitt, Rachel, Gauthier, Lynne. (2022). Tactile sensation improves following motor rehabilitation for chronic stroke: The VIGoROUS randomized controlled trial. Neurorehabilitation and Neural Repair (NNR) , 36(8), Pgs. 525-534. Retrieved 10/25/2022, from REHABDATA database.
NARIC Accession Number: J90012. What's this?
ISSN: 1545-9683.
Author(s): Borstad, Alexandra; Nichols-Larsen, Deborah; Uswatte, Gitendra; Strahl, Nancy; Simeo, Marie; Proffitt, Rachel; Gauthier, Lynne.
Publication Year: 2022.
Number of Pages: 10.
Abstract: Study compared the effect of four upper-limb motor rehabilitation programs on the recovery of tactile sensation in adults with chronic stroke. One hundred sixty-seven adults with chronic stroke and mild or moderate upper-extremity hemiparesis were enrolled in the Video Game Rehabilitation for Outpatient Stroke (VIGoROUS) multi-site randomized controlled trial. Participants completed three weeks of gaming therapy, gaming therapy with additional telerehabilition, constraint-induced movement therapy, or traditional rehabilitation. Tactile sensation was measured with monofilaments, before and after treatment, and 6 months later. A mixed-effects general linear model revealed similar positive change in tactile sensitivity regardless of the type of training. On average, participants were able to detect a stimulus that was 32 percent and 33 percent less after training and at 6-month follow-up, respectively. One-third of participants experienced recategorization of their level of somatosensory impairment (e.g., regained protective sensation) following training. Poorer tactile sensation at baseline was associated with greater change. The findings suggest that about one-third of individuals with mild/moderate chronic hemiparesis experience sustained improvements in tactile sensation following motor rehabilitation, regardless of the extent of tactile input in the rehabilitation program. Potential for sensory improvement is an additional motivator for those stroke survivors. Characteristics of those who improve and mechanisms of improvement are important future questions.
Descriptor Terms: HEMIPLEGIA, LIMBS, MOTOR SKILLS, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, REHABILITATION, STROKE, TACTILE SYSTEMS.
Can this document be ordered through NARIC's document delivery service*?: Y.
Citation: Borstad, Alexandra, Nichols-Larsen, Deborah, Uswatte, Gitendra, Strahl, Nancy, Simeo, Marie, Proffitt, Rachel, Gauthier, Lynne. (2022). Tactile sensation improves following motor rehabilitation for chronic stroke: The VIGoROUS randomized controlled trial. Neurorehabilitation and Neural Repair (NNR) , 36(8), Pgs. 525-534. Retrieved 10/25/2022, from REHABDATA database.
No comments:
Post a Comment