Evaluation of the effectiveness of a hemiparesis hand sensory stimulation protocol for the rehabilitation of postural in patients with chronic stroke. Pilot study.
DOI:
https://doi.org/10.28957/rcmfr.v30n4Abstract
Introduction. One of the main goals of neurorehabilitation in stroke patients is balance retraining. The influence of upper limb motor function on postural control has been studied, but it is unknown whether somatosensory stimulation of the affected hand may influence it.
Objective. Checking whether a protocol of somatosensory stimulation of the hand affects, could modify, in patients with chronic stroke, the position of the centre of mass and its displacement while standing.
Patients and methods. Five patients with chronic stroke with autonomous standing capacity, completed a prospective and longitudinal pilot study, with pre-treatment, post-first treatment and final post-intervention assessment. The intervention consisted of somatosensory stimulation of the affected hand, lasting 20 minutes for 5 consecutive days. Timed Up and GO Test (TUG), Performance Oriented Mobility Assessment (POMA), Limits Of Stability (LOS) and Modified Clinical Test of Sensory Interaction on Balance (mCTSIB) were measured.
Results. Statistically significant changes were observed in TUG (p = 0.043), in mCTSIB in the maximum center of pressure displacements for the open eyes condition (p = 0.043) and in LOS for the reaction time in the posterior affect diagonal (p꞊0.043) maximum excursions in the anterior least affect, affect, and posterior affect diagonals(p = 0.043) and directional control in the anterior least affect and anterior affect diagonals.
Conclusions. The proposed somatosensory stimulation may be positive for balance retraining considering the results obtained. Large-scale, long-term research with larger samples is necessary at this level.
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