SENSory re-learning of the UPPer limb (SENSUPP) after stroke: development and description of a novel intervention using the TIDieR checklist (original) (raw)
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Trials, 2018
Many stroke survivors suffer from sensory impairments of their affected upper limb (UL). Although such impairments can affect the ability to use the UL in everyday activities, very little attention is paid to sensory impairments in stroke rehabilitation. The purpose of this trial is to investigate if sensory re-learning in combination with task-specific training may prove to be more effective than task-specific training alone to improve sensory function of the hand, dexterity, the ability to use the hand in daily activities, perceived participation, and life satisfaction. This study is a single-blinded pilot randomized controlled trial (RCT) with two treatment arms. The participants will be randomly assigned either to sensory re-learning in combination with task-specific training (sensory group) or to task-specific training only (control group). The training will consist of 2.5 h of group training per session, 2 times per week for 5 weeks. The primary outcome measures to assess sens...
Upper extremity sensory training after stroke
Srpski arhiv za celokupno lekarstvo, 2021
Introduction. Stroke is one of the leading causes for disability worldwide. After stroke, the majority of stroke survivors experience significant arm-hand impairments and a decreased use of the paretic arm and hand in daily life. Tactile sensibility of the hand is essential for identifying objects and for motor performance. Despite important sensory contributions to normal and abnormal movement, research has predominantly focused on motor aspects of stroke recovery. In this paper, we present the effect of sensory stimulation program on arm sensation and motor recovery in subacute stroke. Case outline. In a 65 years old woman the sensibility stimulation program was administered in subacute phase of post-stroke rehabilitation, six weeks after stroke, involving active and passive somatosensory intervention, motor control, coordination, strength and balance exercises. The rehabilitation protocol was applied for four weeks, five times a week. On discharge, the results of physiotherapy as...
International Journal of Environmental Research and Public Health, 2022
Recently, it was shown that sensory relearning of the upper limb (SENSUPP) is a promising intervention to improve sensorimotor function after stroke. There is limited knowledge, however, of how participants perceive the training. Here, we explored how persons with sensory impairments in the upper limb experienced the SENSUPP protocol (combined sensory- and motor training and home exercises for 5 weeks) and its effect. Fifteen persons (mean age 59 years; 10 men; >6 months post-stroke) were individually interviewed, and data were analyzed with qualitative content analysis. An overall theme ‘Sensory relearning was meaningful and led to improved ability to perform daily hand activities’ and two categories with six subcategories emerged. The outpatient training was perceived as meaningful, although the exercises were demanding and required concentration. Support from the therapist was helpful and training in small groups appreciated. The home training was challenging due to lack of su...
Evidence for the retraining of sensation after stroke: a systematic review
Clinical Rehabilitation, 2009
Objective: Retraining of sensory function following stroke is frequently overlooked in rehabilitation protocols despite more than 60% of patients presenting with sensory deficits. Methods to train sensory function include both passive and active training protocols. Here we examined the volume and quality of the evidence available for both passive and active sensory training following stroke. In addition, we aimed to quantify the effect of sensory training on impairment and function. Data sources: Databases searched included MEDLINE, AMED, CINAHL, Academic search elite, Scopus and the Cochrane library. Unpublished articles were identified using a search engine. Review methods: Studies utilizing passive or active sensory training paradigms post stroke were identified. Methodological quality was examined using the National Health and Medical Research Council hierarchy of evidence and the McMaster University critical appraisal tool. Results: Fourteen studies met the inclusion criteria; 8 examined passive and 6 active sensory training. Methodological quality scores ranged from 11 to 18.5 (maximum 20). Meta-analysis was performed using three studies examining hand function, demonstrating a moderate effect in favour of passive sensory training. Other studies were unable to be pooled due to heterogeneity of measures or insufficient data. Conclusion: Meta-analyses and single studies offer some support for the effectiveness of passive sensory training in relation to sensory impairment and motor function. However, empirical evidence for active sensory training is limited. Further high-quality studies with greater statistical power and meaningful clinical measures are required in order to accurately determine the effectiveness of sensory retraining following stroke.
Effects of Sensory Re-Education on Hand Dexterity in Post Stroke Clients – A Comparative Study
2021
INTRODUCTION: CVA is a lesion in the brain commonly referred to as stroke, an insult or shock because of its sudden onset. It results in paralysis of one side of the body (hemiplegia) or both sides of the body (bilateral hemiplegia). The lesion is characterized by an interruption of the blood supply to the brain tissues in a particular location, caused by thrombus, embolus, anoxia, hemorrhage or aneurysm. OBJECTIVE: To see the effect of sensory re-education on hand dexterity in post stroke clients. HYPOTHESIS: Active sensory training is less effective as compared to passive sensory training in improving hand dexterity in post stroke clients. No difference is observed between active sensory training and passive sensory training in post stroke clients. DESIGN: An experimental pretext – posttest study design was used. PARTICIPANTS: 30 adults, both male and female with history of first stroke, who were attending the Department of Occupational Therapy S.V.N.I.R.T.A.R, who fulfilled the i...
Journal of Hand Therapy, 2020
Study Design: This is a single-blinded clinical trial study. Clinical Trial Number registry: IRCT201610223551N4. Introduction: Stroke is the second cause of death around the world. Motor and sensory problems are common complications of the stroke. These defects in the upper limb cause reduced use of the affected limb and consequently a decrease in the quality of life. Purpose of the Study: The purpose of this study was to examine the effect of exteroceptive and proprioceptive stimulations on motor function, spasticity of the upper limb, and activities of daily living in people who have had stroke. Methods: Sixty people with chronic stroke selected by convenience sampling. Before the intervention, Modified Ashworth Scale, Fugl-Meyer assessment of Motor Recovery after Stroke, and Barthel Index were measured and then the intervention phase was started. Exteroceptive and proprioceptive sensory stimulations were performed for 6 weeks. Independent t-test was used to compare groups. Results: The intervention group made improvement in motor function (P ¼ .0001, Cohen's d ¼ 2.14), activities of daily living of upper limb (P ¼ .0001, Cohen's d ¼ 1.32), and spasticity (P ¼ .002, Cohen's d ¼ À0.94). Discussion: Motor function and activities of daily living and spasticity of the upper limb can be improved through exteroceptive and proprioceptive stimulations. In this study, this type of intervention had the most impact on motor function compared with the rest. Conclusion: Exteroceptive and proprioceptive stimulations in upper limb can be used in chronic phase of stroke. Improvement in motor function and activities of daily living and reducing spasticity are the results of these stimulations.
Interventions for Sensory Impairment in the Upper Limb After Stroke
Stroke, 2010
Analysis 1.4. Comparison 1 Specific treatment for sensory impairment versus no treatment (or with conventional treatment in both study arms): sensory impairment outcome measures, Outcome 4 Pain (FMA) (post intervention).. . Analysis 1.5. Comparison 1 Specific treatment for sensory impairment versus no treatment (or with conventional treatment in both study arms): sensory impairment outcome measures, Outcome 5 Mean recovery rate of sensation over 6 weeks.
2021
ABSTRACTBackgroundTo implement intervention from research to clinical practice, treatments must be adequately described in randomized clinical trials. Specific reporting guidelines, such as the TIDieR checklist, have been developed to enhance the reporting of intervention in clinical trials.ObjectiveWe aim to evaluate the adherence to the TIDieR checklist in randomized controlled trials evaluating somatic sensory training interventions in individuals following a stroke.Material and MethodsWe will perform a systematic review of the literature, searching PubMed, CENTRAL, and PEDro for randomized controlled trials that evaluate the efficacy of any rehabilitative intervention on somatic sensation in patients with a history of stroke, independently form the comparator.Two authors independently will evaluate the completeness of the reporting of the intervention using the TIDieR checklist.A descriptive analysis of the total score and the individual items of the TIDieR will be produced.Ethi...
Clinical Rehabilitation, 2012
Objective: The aim of this study was to evaluate the effectiveness of Cognitive Sensory Motor Training Therapy (Perfetti's method) vis-à-vis conventional occupational therapy in the recovery of arm function after acute stroke. Design: Prospective randomized controlled trial. Setting: Two rehabilitation centers in Bangkok, Thailand. Subjects: Forty first-time acute stroke patients without severe cognitive or language impairment. Intervention: All subjects were randomly divided into two groups; one was treated using Perfetti's method and the other using conventional occupational therapy. Each group underwent therapy for 30 minutes, five times a week for four weeks. Main measures: The primary variable was arm function as assessed by the Action Research Arm Test; secondary variables were the extended Barthel Index and the box and block test score. Results: The intention-to-treat analysis revealed no statistically significant differences between the two groups at the end of treatment for any variable. Conclusions: There was no evidence of a difference between Cognitive Sensory Motor Training Therapy of Perfetti's method and conventional occupational therapy with respect to the restoration of hand and arm function after a stroke.