The Effect of Sensory-Motor Training On Recovery of Basic and Instrumental Activity of Daily Living in Chronic Stroke Patients

Document Type : Original article

Authors

1 1. Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 2. Student Research Committee, MSc of Ocupation Therapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran )

3 3. Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 4. Lecturer, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Sensory defects are common complications of a stroke. It has a major role in the proper activity of daily living. The aim of this study was to investigate the effect of Sensory-Motor Training on Recovery of basic and instrumental activity of daily living in   chronic stroke patients.
Materials and Methods: In this quasi-experimental 12 stroke patients (n = 6, right hemiparesis, left hemiparesis 6 patients) with a mean time of disease 41.50 months were selected. Patients were trained with sensory-motor exercies for two consecutive weeks and 5 days a week, 90 minutes per session. Before and after the intervention the patients were evaluated by Barthel Index, Instrumental Activity of Daily Living Lawton version, Functional Independence Measure (FIM).
Results: The mean Barthel Index scores at pre-and post-test (p = 0.007), the mean scores of pre-and post-test with a significance level Lawton version (p = 0.003), the mean scores the Functional Independence Measure indicators before and after the test showed significance differnces (p=0.002). No significant difference in the Barthel Index and Lawton version before and after treatment were seen. Also, the mean of the three tests showed a significant improvement.
Conclusion: It seems that the sensory motor training could be an effective intervention in the rehabilitation of stroke patients, although further studies with larger sample sizes are needed.

Keywords

References

  1. Latham NK, Jette DU, Coster W, Richards L, Smout RJ, James RA, et al. OccuPational theraPy activities and intervention techniques for clients with stroke in six rehabilitation hosPitals. The American journal of occuPational theraPy: official Publication of the American OccuPational TheraPy Association. 2005;60(4):369-78.##
  2. Sullivan JE, Hedman LD. A home Program of sensory and neuromuscular electrical stimulation with uPPer-limb task Practice in a Patient 5 years after a stroke. Physical theraPy. 2004.##
  3.  Valdes K, Naughton N, Algar L. Sensorimotor interventions and assessments for the hand and wrist: A scoPing review. Journal of Hand TheraPy. 2014.##
  4. Connell L, Lincoln N, Radford K. Somatosensory imPairment after stroke: frequency of different deficits and their recovery. Clinical rehabilitation. 2008;22(8):758-67.##
  5. Scalha TB, Miyasaki E, Lima NMFV, Borges G. Correlations between motor and sensory functions in uPPer limb chronic hemiParetics after stroke. Arquivos de neuro-Psiquiatria. 2011;69(4):624-9.##
  6. Byl NN, Pitsch EA, Abrams GM. Functional outcomes can vary by dose: learning-based sensorimotor training for Patients stable Poststroke. Neurorehabilitation and neural rePair. 2008;22(5):494-504.##
  7. Azad A, Hejazi M, Taghizade Gh, Effact of sensory training on upper Limb in Stroke patient (Single-System Design) [ In Persian]##
  8. Bird T, Choi S, Goodman L, Schmalbrock P, Nichols-Larsen DS. Sensorimotor Training Induced Neural Reorganization After Stroke: A Case Series. Journal of neurologic Physical theraPy: JNPT. 2013;37(1):27.##
  9. Krug G, McCormack G. OccuPational theraPy: Evidence-based interventions for stroke. Missouri medicine. 2009;106(2):145-9.##
  10. Legg L, Drummond A, Leonardi-Bee J, Gladman J, Corr S, Donkervoort M, et al. OccuPational theraPy for Patients with Problems in Personal activities of daily living after stroke: systematic review of randomised trials. Bmj. 2007;335(7626):922.##
  11. Connell LA. Sensory imPairment and recovery after stroke: University of Nottingham; 2007.##
  12. Bailey MJ, Riddoch MJ, Crome P. Evaluation of a test battery for hemineglect in elderly stroke Patients for use by theraPists in clinical Practice. NeuroRehabilitation. 2000;14(3):139-50.##
  13. Hamedi D, Lajevardi L, ghomashchi H, Binesh M, Taghizade Gh.Effect of constraint therapy techniqe using weight bearing asymmetry and functional balance in chronic hemiparesis patient. [ In Persian]##
  14. Akbarfahimi M, Ashaieri H, faghih Z, The relationship between balance and independence in activities of daily Living of Patient with stroke. [ In Persian]##
  15. Soltanmohamadi Y, Hasani Mehraban A, Taghizadeh G, Akbarfahimi M. Validity and reliability of the Persian version of Lawton Instrumental Activities of Daily Living Scale among Patients with Dementia. Iranian Journal of Ageing. 2014;9(33):0-.##
  16. Grey N, Kennedy P. The Functional IndePendence Measure: a comParative study of clinician and self ratings. SPinal Cord. 1993;31(7):457-61.##
  17. Carey L, Matyas T, Oke L. Sensory loss in stroke Patients: effective training of tactile and ProPriocePtive discrimination. Archives of Physical medicine and rehabilitation. 1993;74(6):602-11.##
  18. Smania N, Montagnana B, Faccioli S, Fiaschi A, Aglioti SM. Rehabilitation of somatic sensation and related deficit of motor control in Patients with Pure sensory stroke. Archives of Physical medicine and rehabilitation. 2003;84(11):1692-702.##
  19. Chen J-C, Liang C-C, Shaw F-Z. Facilitation of Sensory and Motor Recovery by Thermal Intervention for the HemiPlegic UPPer Limb in Acute Stroke Patients A Single-Blind Randomized Clinical Trial. Stroke. 2005;36(12):2665-9.##
  20. Hunter SM, Crome P, Sim J, Pomeroy VM. Effects of mobilization and tactile stimulation on recovery of the hemiPlegic uPPer limb: A Series of RePlicated Single-System Studies. Archives of Physical medicine and rehabilitation. 2008;89(10):2003-10.##
The Scientific Journal of Rehabilitation Medicine
Volume 4, Issue 2 - Serial Number 2
July and August 2015
Pages 79-85

Files

History

  • Receive Date: 04 August 2014
  • Revise Date: 15 February 2015
  • Accept Date: 25 April 2015
  • First Publish Date: 22 June 2015

Share

How to cite

Statistics