SENSe: Study of the Effectiveness of Neurorehabilitation on Sensation

Carey, Leeanne; Macdonell, Richard; Matyas, Thomas A.

doi:10.1177/1545968310397705

Cited by 155 publications

(272 citation statements)

References 30 publications

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“…14,15,19,46 Our results have larger implications by suggesting that not only do proprioceptive deficits necessitate greater attention in neurorehabilitation but also the level or timing of motor recovery is not necessarily indicative of the level or timing of proprioceptive recovery.…”

Section: Importance Of Proprioceptive Recoverymentioning

confidence: 81%

Examining Differences in Patterns of Sensory and Motor Recovery After Stroke With Robotics

Semrau

Herter

Scott

et al. 2015

Stroke

109

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Background and Purpose-Developing a better understanding of the trajectory and timing of stroke recovery is critical for developing patient-centered rehabilitation approaches. Here, we quantified proprioceptive and motor deficits using robotic technology during the first 6 months post stroke to characterize timing and patterns in recovery. We also make comparisons of robotic assessments to traditional clinical measures. Methods-One hundred sixteen subjects with unilateral stroke were studied at 4 time points: 1, 6, 12, and 26 weeks post stroke. Subjects performed robotic assessments of proprioceptive (position sense and kinesthesia) and motor function (unilateral reaching task and bimanual object hit task), as well as several clinical measures (Functional Independence Measure, Purdue Pegboard, and Chedoke-McMaster Stroke Assessment). Results-One week post stroke, many subjects displayed proprioceptive (48% position sense and 68% kinesthesia) and motor impairments (80% unilateral reaching and 85% bilateral movement). Interindividual recovery on robotic measures was highly variable. However, we characterized recovery as early (normal by 6 weeks post stroke), late (normal by 26 weeks post stroke), or incomplete (impaired at 26 weeks post stroke). Proprioceptive and motor recovery often followed different timelines. Across all time points, robotic measures were correlated with clinical measures. Conclusions-These results highlight the need for more sensitive, targeted identification of sensory and motor deficits to optimize rehabilitation after stroke. Furthermore, the trajectory of recovery for some individuals with mild to moderate stroke may be much longer than previously considered.

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Section: Importance Of Proprioceptive Recoverymentioning

confidence: 81%

Examining Differences in Patterns of Sensory and Motor Recovery After Stroke With Robotics

Semrau

Herter

Scott

et al. 2015

Stroke

109

View full text Add to dashboard Cite

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“…A summary of techniques that may be used to obtain this information, as discussed in the review, are outlined in Table 2. Figure 3 provides an example of data that may be obtained to investigate functional and structural changes in brain networks before and after specific somatosensory rehabilitation [140,141].…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Beyond the Lesion: Neuroimaging Foundations For Post-Stroke Recovery

et al. 2013

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A shift is emerging in the way in which we view post-stroke recovery. This shift, supported by evidence from neuroimaging studies, encourages us to look beyond the lesion and to identify viable brain networks with capacity for plasticity. In this article, the authors review current advances in neuroimaging techniques and the new insights that they have contributed. The ability to quantify salvageable tissue, evidence of changes in remote networks, changes of functional and structural connectivity, and alterations in cortical thickness are reviewed in the context of their impact on post-stroke recovery. The value of monitoring spared structural connections and functional connectivity of brain networks within and across hemispheres is highlighted.

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“…3,14 We have systematically developed an approach to somatosensory rehabilitation that applies robust neuroscience evidence to help stroke survivors regain a sense of touch. 3,[24][25][26] The approach is operationalized and evaluated using 2 different training protocols: stimulus-specific training 24 and transfer-enhanced training. 25,26 Effectiveness has been established using meta-analysis 27 and a randomized controlled trial.…”

Section: Introductionmentioning

confidence: 99%