Title of article :
Effects of Training for Finger Perception on Functional Recovery of Hemiplegic Upper Limbs in Acute Stroke Patients
Author/Authors :
Higashijima, Misako Department of Physical and Occupational Therapy - Graduate School of Biomedical Sciences - Nagasaki University - Sakamoto - Nagasaki 852-8520, Japan , Umeki, Naho Department of Physical and Occupational Therapy - Graduate School of Biomedical Sciences - Nagasaki University - Sakamoto - Nagasaki 852-8520, Japan , Murata , Jun Department of Physical and Occupational Therapy - Graduate School of Biomedical Sciences - Nagasaki University - Sakamoto - Nagasaki 852-8520, Japan
Pages :
6
From page :
1
To page :
6
Abstract :
Strokecausesseveredisability,includingmotorandsensoryimpairments.Wehypothesizedthatupperlimb functionalrecoveryafterstrokemaybeaugmentedbycombiningtreatmentsformotorandsensoryfunctions.Inorderto examinethishypothesis,weconductedacontrolledtrialonrehabilitationforsensoryfunctiontotheplegichand.Methods. The sensorytrainingprogramconsistedofseveraltypesofdiscriminationtasksperformedunderblindconditions.Thesensory trainingprogramwasperformedfor20minperday,5daysaweek.Anexperimentalgroupof31patientsfollowedthissensory program,whileacontrolgroupof25patientsunderwentstandardrehabilitation.Theefficacyoftheinterventionwasevaluated bythetactile-pressurethreshold,handgripstrength,andthecompletiontimeofmanipulatingobjects.Atwo-wayrepeated measuresanalysisofvariancewasusedtoassessinteractionsbetweengroupandtime.Moreover,toprovideameaningful analysisforcomparisons,effectsizeswerecalculatedusingCohen’sd.Results. Themeanchangeinthetactilepressurethreshold wassignificantlylargerintheexperimentalgroupthaninthecontrolgroup(p<0:05,d=0:59).Moreover,thecompletiontimes tomanipulateamiddle-sizedball(d=0:53)andsmallball(d=0:80)andasmallmetaldisc(d=0:81)intheexperimental groupweresignificantlydifferentfromthoseinthecontrolgroup(p<0:05).Conclusion. Thepresentresultssuggestthatthe sensorytrainingprogramtoenhancefingerdiscriminationabilitycontributestoimprovementsinnotonlysensoryfunctionbut alsomanualfunctioninstrokepatients.ThetrialisregisteredwiththeUMINClinicalTrialsRegistry(UMIN000032025).
Keywords :
Effects of Training , Finger Perception , Functional Recovery , Hemiplegic Upper Limbs , Acute Stroke Patients
Journal title :
Occupational Therapy International
Serial Year :
2019
Full Text URL :
Record number :
2615894
Link To Document :
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