The effectiveness of somatosensory retraining for improving sensory function in the arm following stroke: a systematic review

Clinical Rehabilitation
Megan L TurvilleLeeanne M Carey

Abstract

The aim of this study was to evaluate if somatosensory retraining programmes assist people to improve somatosensory discrimination skills and arm functioning after stroke. Nine databases were systematically searched: Medline, Cumulative Index to Nursing and Allied Health Literature, PsychInfo, Embase, Amed, Web of Science, Physiotherapy Evidence Database, OT seeker, and Cochrane Library. Studies were included for review if they involved (1) adult participants who had somatosensory impairment in the arm after stroke, (2) a programme targeted at retraining somatosensation, (3) a primary measure of somatosensory discrimination skills in the arm, and (4) an intervention study design (e.g. randomized or non-randomized control designs). A total of 6779 articles were screened. Five group trials and five single case experimental designs were included ( N = 199 stroke survivors). Six studies focused exclusively on retraining somatosensation and four studies focused on somatosensation and motor retraining. Standardized somatosensory measures were typically used for tactile, proprioception, and haptic object recognition modalities. Sensory intervention effect sizes ranged from 0.3 to 2.2, with an average effect size of 0.85 across somatos...Continue Reading

References

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Citations

May 12, 2020·Neurorehabilitation and Neural Repair·Sarah B ZandvlietCarel G M Meskers
May 16, 2020·Frontiers in Neuroscience·Hiraku WatanabeHideaki Onishi
Dec 17, 2020·Deutsche medizinische Wochenschrift·Klaus Jahn, Carmen Krewer

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