How do somatosensory deficits relate to upper limb impairment, activity and participation problems after stroke? A systematic review

Meyer, Sarah; Karttunen, Auli H; Thijs, Vincent; Feys, Hilde; Verheyden, Geert

doi:10.1016/j.physio.2015.03.1864

Cited by 2 publications

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“…Restoration of functional use of the paralyzed upper extremity is one of the goals of occupational therapy (OT) in patients with stroke hemiparesis because paralyzed upper extremities often cause difficulty in manipulating tools for everyday items by problems such as sensory disturbance and motor control [1]. In addition, approximately 50% of stroke patients experience senso-ry disturbance, which negatively affects the functional use of the upper extremities [2].…”

Section: Introductionmentioning

confidence: 99%

Effect of Perceptive Exploration Activity on Spoon Manipulation by Paralyzed Upper Extremity with Sensory Disturbance in a Patient with Stroke Hemiparesis: A Single-Subject Research Design

2022

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Introduction: Functional use of a paralyzed upper extremity in patients with hemiparesis after stroke depends on the specificity of the task. Further, task specificity-dependent upper extremity use is an important factor in the recovery of upper extremity function. The purpose of this study was to investigate the usefulness of a perceptive exploration activity in consideration of the specificity of the task for Japanese male patient in his 70s and monitor its effect on spoon manipulation using the affected arm. Methods: A single-subject research design was implemented in the ABAB trial. The facilitation of selective movement of the paralyzed upper extremity and self-care skill training were provided during baseline A and A' as occupational therapy (OT). In addition to the OT, 10 minutes of perceptive exploration activity was added during the interventions B and B'. The required time (RT) and number of errors (NOE) in task performance were monitored as the outcome of the therapeutic effect. Goal Attainment Scaling (GAS) and Fugl-Meyer Assessment (FMA) were also adopted to evaluate individual goals and changes in upper extremity function. Results: RT and NOE in task performance were decreased with interventions B and B' compared to baselines A and A'. GAS score improved in interventions B and B', and FMA showed a gradual improvement within each phase. Conclusion: Spoon manipulation using the paralyzed upper extremity with sensory disturbance was improved by perceptive exploration activity. Current therapy suggests that perceptive exploration activity may be effective in improving movement skills in the manipulation of tools.

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Section: Introductionmentioning

confidence: 99%

Effect of Perceptive Exploration Activity on Spoon Manipulation by Paralyzed Upper Extremity with Sensory Disturbance in a Patient with Stroke Hemiparesis: A Single-Subject Research Design

2022

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“…Stroke is a leading cause of disability worldwide, and despite a recent reduction of its incidence, the number of people with permanent disabilities after hospital discharge is increasing [1]. Sensory disability often results from stroke as one of the major impairments, although the relationship between lesion location, lesion volume and the degree of somatosensory impairment is not firmly established [2] Specifically, the loss of proprioception (a sense of body awareness) usually accompanies motor impairments and prevents motor recovery. The degree of somatosensory dysfunction in the acute stage after stroke shows some predictive value for the motor outcome after 6 and 12 months *Research supported by the Rehabilitation Research Institute of Singapore A.Basteris, S.Contu are with the School of Mechanical and Aerospace Engineering at Nanyang Technological University Singapore (corresponding author email: angelobasteris@gmail.com, SC: sara003@e.ntu.edu.sg) J. Konczak is with the School of Kinesiology at University of Minnesota (Minneapolis, USA, email jkonczak@umn.edu) T.K.Plunkett, C.W.K.…”

Section: Introductionmentioning

confidence: 99%

Robot-Aided Bimanual Assessment of Wrist Proprioception in People with Acute Stroke

Basteris

Contu

Plunkett

et al. 2018

2018 7th IEEE International Conference on Biomedical Robotics and Biomechatronics (Biorob)

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Proprioception the sense of body awareness is frequently impaired after stroke. Clinical tests used to detect proprioceptive impairments require substantial amounts of time and lack sensitivity. In contrast, robotic devices proprioceptive acuity. We here present results of a robot-aided bimanual test for wrist proprioception. Ten acute stroke patients with hemiplegic arm weakness and ten healthy subjects, participated to the experiment. Subjects actively moved the wrist of the unaffected limb to match the reference position of the affected wrist, which was passively displaced by the robot to a target across six directions.Our results are as follows. First, healthy individuals showed no effect of hand dominance. No acuity differences were found for between dominant or non-dominant hand. Second, the matching error varied significantly across movement directions. Third, subjects with stroke were less accurate than healthy individuals in matching the wrist position. Fourth, the assessment is clinically feasible. Stroke patients completed the test in about 8 minutes. We conclude that assessment of proprioception in stroke should map positions at different joint degrees of freedom to detect underlying proprioceptive abnormalities.

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How do somatosensory deficits relate to upper limb impairment, activity and participation problems after stroke? A systematic review

Cited by 2 publications

References 0 publications

Effect of Perceptive Exploration Activity on Spoon Manipulation by Paralyzed Upper Extremity with Sensory Disturbance in a Patient with Stroke Hemiparesis: A Single-Subject Research Design

Effect of Perceptive Exploration Activity on Spoon Manipulation by Paralyzed Upper Extremity with Sensory Disturbance in a Patient with Stroke Hemiparesis: A Single-Subject Research Design

Robot-Aided Bimanual Assessment of Wrist Proprioception in People with Acute Stroke

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