The Effects of Sensorial Functions on Motor Functions and Functional Assessments in Patients with Chronic Stroke
Nuran Erden,
Mustafa Aziz Yıldırım,
Kadriye Öneş
Issue:
Volume 4, Issue 2, June 2018
Pages:
29-33
Received:
28 March 2018
Accepted:
15 April 2018
Published:
24 May 2018
Abstract: Background: Sensory dysfunction following stroke is a common syndrome. Unless sensory dysfunction is assessed and defined, motor recovery will be limited due to focusing on motor performance during the rehabilitation and maximum outcomes will not be obtained for the treatment. Objective: To investigate the effect of sensory functions on motor function and functional status. Method: Sixty patients with chronic stroke hospitalized for rehabilitation of hemiplegia after stroke. Brunnstrom and Fugl-Meyer motor assesment scales to determine motor improvement were used, Functional independence measurement (FIM) was used for functional evaluation. Touching was used for superficial sensory assesment. Thumb localization and finger shift tests were used for deep sensorial assesment. Stereognosis and two-point discrimination tests were used for cortical sensory assesment. Partial localization-finger scrolling tests, stereognosis and two-point discrimination tests were evaluated for the deep sense and cortical senses of the patients. Result: Two point discrimination test result was 5-6 mm in 20 (33.3%) patient and 7 mm and abouve in 40 (66.7%) patients. Superficial sensory examination was found hipoesthetic in 50 patients (83.3%) and normal in 10 patients (16.7%). With the Two-point discrimination test, 20 patients (33.3%) were found to have a score of 5-to-6 mm’ s, and 40 patients were found to have a score of 7- more mm’ s. While proprioception was normal in 38 patients, in 22 patients was found to be mildly impaired by thumb localization test and finger shift test. 26 patients recognised 10 to 12 objects 15 patients recognised 7 to 9 objects and 19 patients recognised less than 7 objects by sterognazie assesment. There were statistically significant differences between superficial sense, Two-point discrimination, and sterognazie results and FIM, Brunnstrom upper-lower limb and Fugl-Meyer upper-lower values before and after hospitalization. Brunnstrom and Fugl-Meyer results were statistically significant according to Thumb localization test and finger shift test before and after hospitalization; however there was no difference according to FIM. Discussion: The findings of this study revealed that sensory dysfunctions were common after a stroke and affected motor and functional conditions of the patients. There is a significant relationship between motor functions and sensory functions in stroke patients. Assessment of sensory functions and early diagnosis will improve motor healing. Conclusion: A detailed examination of sensory functions and inclusion in the treatment program may be considered as an effective factor in improving motor function.
Abstract: Background: Sensory dysfunction following stroke is a common syndrome. Unless sensory dysfunction is assessed and defined, motor recovery will be limited due to focusing on motor performance during the rehabilitation and maximum outcomes will not be obtained for the treatment. Objective: To investigate the effect of sensory functions on motor funct...
Show More
Early Intervention as an Agent for Recovery of Function After Spinal Cord Injury- A Single Case Study
Priti Agni,
Ankita Bhanushali
Issue:
Volume 4, Issue 2, June 2018
Pages:
34-39
Received:
22 April 2018
Accepted:
21 May 2018
Published:
9 July 2018
Abstract: This case study describes a task-specific training program for working and functional recovery in a young man with incomplete cervical spinal cord injury. The subject was 20 year old male with traumatic spinal cord injury after a fall from height. Prior to intervention, he was quadriplegic with severe motor and sensory impairment. Our goal was to recover the function. The subject underwent disectomy for anterolisthesis of C6 over C7. Acute spinal cord management was started followed by locomotor training, electrical stimulation, orthoses, specialised assistive devices. Outcome measures used were ASIA scale, walking index for SCI, SCIM, Fatigue severity scale, Beck depression scale, SCI-FAI. It was found that specific interventions were intentionally selected in the development of treatment program which helped in the functional recovery of the patient. After 3 and half months treatment, the subject was able to walk with the assistance of AFOs and walker, and was able to perform ADLs independently. The magnitude of his functional improvements could be attributed to early intervention and neuroplasticity.
Abstract: This case study describes a task-specific training program for working and functional recovery in a young man with incomplete cervical spinal cord injury. The subject was 20 year old male with traumatic spinal cord injury after a fall from height. Prior to intervention, he was quadriplegic with severe motor and sensory impairment. Our goal was to r...
Show More
