The Influence of Giving Sensomotoric Stimulation to Improve Functional Ability in Patients with Stroke
DOI:
https://doi.org/10.3889/oamjms.2023.11656Keywords:
sensomotoric stimulation, stroke ischemic, functional abilityAbstract
BACKGROUND: Sensory stimulation can help individuals regain sensitivity by paying attention to sensory input and its relationship to the activity to be carried out. Sensory stimulation combined with functional exercise is the main determinant of functional improvement in stroke. The study of the intensity and duration of therapy has not been widely carried out.
AIM: The purpose of this study was to evaluate the influence of sensorimotor stimulation given intensively to improve functional abilities in patients with stroke and to ensure that there was no deterioration in their medical condition as a result of initial therapy.
MATERIALS AND METHODS: This research method uses a pre-experimental design with a one-group pre-posttest involving 30 patients meeting predefined inclusion criteria in a one-group pre- and post-test design. The program consists of 16 sessions of sensomotoric stimulation and functional activity training in the physiotherapy gymnasium and daily sessions of ADL at home over 6 weeks. The efficacy of the program was evaluated by a stroke rehabilitation assessment of movement and a functional independence measure.
RESULTS: A significant difference was observed in both motor skill (p = 0.00) and functional ability (p = 0.00) obtained on the 6th week of assessment. In a comparison of the benefits of therapy in two gender groups (p = 0.96 and 0.20), age groups (p = 0.55 and 0.86), and stroke severity (p = 0.50 and 0.64). The result showed there is no significant difference in the benefits of therapy applied to all of these groups.
CONCLUSION: Sensomotoric stimulation given from the 1st day of stroke and continued intensively has been found to have a better impact on motor skills and functional ability.
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De Diego C, Puig S, Navarro X. A sensorimotor stimulation program for rehabilitation of chronic stroke patients. Restor Neurol Neurosci. 2013;31(4):361-71. https://doi.org/10.3233/rnn-120250 PMid:23524843
Wolf SL, Winstein CJ, Miller JP, Taub E, Uswatte G, EXCITE Investigators, et al. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: The EXCITE randomized clinical trial. JAMA. 2006;296(17):2095-104. https://doi.org/10.1001/jama.296.17.2095 PMid:17077374 DOI: https://doi.org/10.1001/jama.296.17.2095
Alhamid IJ, Norma N, Lopulalan O. Analysis of risk factors for stroke. Nurs Arts. 2018;12(2):100-9. https://doi.org/10.36741/jna.v12i2.82 DOI: https://doi.org/10.36741/jna.v12i2.82
Sangha N, Ishida K. Acute stroke. Semin Neurol. 2021;41(1):3. https://doi.org/10.1055/s-0041-1722922 PMid:33618375 DOI: https://doi.org/10.1055/s-0041-1722922
Peisker T, Koznar B, Stetkarova I, Widimsky P. Acute stroke therapy: A review. Trends Cardiovasc Med. 2017;27(1):59-66. https://doi.org/10.1016/j.tcm.2016.06.009 PMid:27471112 DOI: https://doi.org/10.1016/j.tcm.2016.06.009
Carr J, Shepherd R. Neurological Rehabilitation Optimizing Motor Performance. London, United Kingdom: Churchill Livingstone; 2011. p. 259.
Levin MF, Demers M. Motor learning in neurological rehabilitation. Disabil Rehabil. 2021;43(24):3445-53. https://doi.org/10.1080/09638288.2020.1752317 PMid:32320305 DOI: https://doi.org/10.1080/09638288.2020.1752317
Jeon HJ, Hwang BY. Effect of bilateral lower limb strengthening exercise on balance and walking in hemiparetic patients after stroke: A randomized controlled trial. J Phys Ther Sci. 2018;30(2):277-81. https://doi.org/10.1589/jpts.30.277 PMid:29545693 DOI: https://doi.org/10.1589/jpts.30.277
De Diego C, Puig S, Navarro X. A sensorimotor stimulation program for rehabilitation of chronic stroke patients. Restor Neurol Neurosci. 2013;31(4):361-71. https://doi.org/10.3233/RNN-120250 PMid:23524843 DOI: https://doi.org/10.3233/RNN-120250
Bernhardt J, English C, Johnson L, Cumming TB. Early mobilization after stroke: Early adoption but limited evidence. Stroke. 2015;46(4):1141-6. https://doi.org/10.1161/strokeaha.114.007434 PMid:25690544 DOI: https://doi.org/10.1161/STROKEAHA.114.007434
Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, Borschmann K, et al. Agreed definitions and a shared vision for new standards in stroke recovery research: The stroke recovery and rehabilitation roundtable taskforce. Neurorehabil Neural Repair. 2017;31(9):793-9. https://doi.org/10.1177/1545968317732668 PMid:28934920 DOI: https://doi.org/10.1177/1545968317732668
International Bobath Instructors Training Association (IBITA). Theoretical Assumptions of Clinical Practice. IBITA Annual General Meeting, Sept 2006. Available from: https://www.ibita. org [Last accessed on 2021 Aug 19].
Salter K, Million J, Zettler L, Moses M, McClure A, Mays R, et al. Outcome measures in stroke rehabilitation. In: Evidence-based Review of Stroke Rehabilitation. Ch. 21. 2012. p. 46-8. Available from: https://www.ebrsr.com/uploads/chapter-21-outcome- assessment-srebr-15_1.pdf [Last accessed on 2021 Aug 05].
Naghdi S, Ansari NN, Raji P, Shamili A, Amini M, Hasson S. Cross-cultural validation of the Persian version of the Functional Independence Measure for patients with stroke. Disabil Rehabil. 2016;38(3):289-98. https://doi.org/10.3109/09638288.2015.1036173 PMid:25885666 DOI: https://doi.org/10.3109/09638288.2015.1036173
Graham JV, Eustace C, Brock K, Swain E, Irwin-Carruthers S. The Bobath concept in contemporary clinical practice. Top Stroke Rehabil. 2009;16(1):57-68. https://doi.org/10.1310/tsr1601-57 PMid:19443348
Graham JV, Eustace C, Brock K, Swain E, Irwin-Carruthers S.
The Bobath concept in contemporary clinical practice. Top Stroke Rehabil. 2009;16(1):57-68. https://doi.org/10.1310/tsr1601-57 PMid:19443348 DOI: https://doi.org/10.1310/tsr1601-57
Wittenberg GF. Experience, cortical remapping, and recovery in brain disease. Neurobiol Dis. 2010;37(2):252-8. https://doi.org/10.1016/j.nbd.2009.09.007 PMid:19770044 DOI: https://doi.org/10.1016/j.nbd.2009.09.007
Lemon RN. Descending pathways in motor control. Annu Rev Neurosci. 2008;31:195-218. https://doi.org/10.1146/annurev.neuro.31.060407.125547 PMid:18558853 DOI: https://doi.org/10.1146/annurev.neuro.31.060407.125547
Nielsen JB, Cohen LG. The Olympic brain. Does corticospinal plasticity play a role in acquisition of skills required for high- performance sports? J Physiol. 2008;586(1):65-70. https://doi.org/10.1113/jphysiol.2007.142661 PMid:17717010 DOI: https://doi.org/10.1113/jphysiol.2007.142661
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Copyright (c) 2023 Dewi Suci Mahayati, Wina Widiatul Hikmah, Utami Gaswi, Vira Aisyah Mercury (Author)
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