Sensory interventions on motor function, activities of daily living, and spasticity of the upper limb in people with stroke: A randomized clinical trial.
Maryam, D., Parvin, R., Hossein, B., Jalili, M. & Hosein, T. (2020). Sensory interventions on motor function, activities of daily living, and spasticity of the upper limb in people with stroke: A randomised clinical trial. Journal of Hand Therapy, Jun 18;S0894-1130(20)30076-4. doi: 10.1016/j.jht.2020.03.028. Online ahead of print.
- Stroke is the second cause of death, leading to sensory impairments and motor problems.
- The purpose of this study was to determine if proprioceptive and exteroceptive stimulation would improve outcomes for spasticity and activities of daily living (sensory stimulation activities for stroke patients) compared to traditional therapy in chronic stroke patients (hand therapy for stroke patients).
- Participants were randomly assigned to two groups
Intervention (Group 1):
- Exteroceptive exercises Included: Facilitatory or inhibitory techniques, fast brushing, stretch pressure, icing,
- Proprioceptive Stimulation: Weight-bearing, heavy joint compression, and stretch pressure
- Traditional therapy
Control (Group 2) :
- Traditional therapy
In the Weeds:
- A single-blinded clinical trial comparing the effect of exteroceptive and proprioceptive stimulations in people who have suffered from a stroke. Sixty patients who were are least 6 months post-stroke were divided into two groups intervention (group one) and control (group 2).
- Patients attend therapy 4 days per week for 45-minute sessions for 6 weeks.
- Outcome measures included the Modified Ashworth Scale, Fugl-Meyer assessment of Motor Recovery after Stroke, and Barthel Index. These were completed pre and post-study.
Bringing It Home:
- Patients in the intervention group showed improvements in motor function, activities of daily living, and improvement in spasticity compared to the control group. Adding proprioception and exteroceptive stimulation can improve motor function and ADLs even in chronic stroke patients. These can be added to your traditional therapy regimes.
- Limitations: The article did not give a definition of traditional therapy. The sample size is fairly small in number. Long-term follow-up is unknown which would be helpful in determining if the interventions improved long terns outcomes.
More To Read
10 Tips for Effective Learning for the CHT Exam
Learning to study effectively for the CHT exam is an essential first step to take while studying. We all learn and process information differently but implementing some strategies can lead to more effective learning and save countless hours. People always ask how many hours they should study per week. Unfortunately, there is no simple answer…Read More
How to Get Started in Hand Therapy
I started OT school knowing that I wanted to do pediatrics. I set up everything to build up my resume for my first therapy job to be in pediatrics. Along the way I had a 3 month clinical rotation in hand therapy at Mayo Clinic in Scottsdale. That experience peaked my interest in hands. 13…Read More
THUMB ABDUCTION IN PATIENTS WITH CMC ARTHRITIS? HOW DO YOU MEASURE?
Article Review THUMB ABDUCTION IN PATIENTS WITH CMC ARTHRITIS? HOW DO YOU MEASURE? Corey McGee PhD, OTR/L, CHT , Virginia O’Brien OTD, OTR/L, CHT , Jennifer Skye MS, OTR/L, CHT , Katherine Wall MOT, OTR/L , Thumb Carpometacarpal Palmar and CMC Radial Abduction in Adults with Thumb Carpometacarpal Joint Pain: Inter-rater Reliability and Precision of…Read More
Sign-up to Get Updates Straight to Your Inbox!
Sign up with us and we will send you regular blog posts on everything hand therapy, notices every time we upload new videos and tutorials, along with handout, protocols, and other useful information.
Leave a Comment