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:: Volume 5, Issue 2 (3 2011) ::
mrj 2011, 5(2): 48-53 Back to browse issues page
Effects of sensory retraining on recovery of the hemiplegic upper limb in stroke patients (A Single-System Design)
Mahnaz Hejazi Shirmard, Akram Azad 1, Ghorban Taghi Zadeh
Abstract:   (9954 Views)

Background and aim: Sensory deficits after stroke are common with prevalence rates variously reported to be 11% to 85%. In spite of the fact that Sensory deficits can decrease  the quality of upper limb's movements and result in impairments in fine motor manipulation of objects, grasp and manipulative skills and finally  decrease the patient's quality of life but commonly overlooked in stroke rehabilitation. The aim of this study was to investigate the effects of sensory retraining on upper limb recovery. 
Materials and methods: In this study we studied 5 chronic stroke patients were participated using a single-system (A-B) design. During the baseline phase patient's function and motor impairment of upper limb were measured by Fugl-Meyer and Motoricity Index and their hand dexterity were measured by Box and Block test on three days intervals. When Patients reached to a stable pattern of changes, their treatment program began. In this phase they received sensory retraining intervention for 6 weeks. Based on sensory retraining principles and according to each patient's abilities, intervention began with detection and localization of constant and moving touch and followed by higher discriminatory tasks, suchas graphestesia. Then results of evaluations of two phases were analyzed.Results: Four patients showed significant improvements in upper limb function. The data showed significant improvements in motor impairments and hand dexterity in all of them. 
Conclusion: Regarding of significant recovery of upper limb function, motor impairment and hand dexterity of patients, sensory retraining can be considered as a practical method in rehabilitation of stroke patients. However further research with larger sample size is needed.

Keywords: Stroke, Hemiplegia, Sensory Retraining, Upper limb function
Full-Text [PDF 234 kb]   (1991 Downloads)    
Type of Study: Research | Subject: General
Received: 2011/05/11 | Accepted: 2011/09/14 | Published: 2013/08/6
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Hejazi Shirmard M, Azad A, Taghi Zadeh G. Effects of sensory retraining on recovery of the hemiplegic upper limb in stroke patients (A Single-System Design). mrj. 2011; 5 (2) :48-53
URL: http://mrj.tums.ac.ir/article-1-76-en.html

Volume 5, Issue 2 (3 2011) Back to browse issues page
فصلنامه توانبخشی نوین Journal of Modern Rehabilitation
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