Key constructs of body awareness impairments post-stroke: a scoping review of assessment tools and interventions

Serrada, Ines; Williams, Lindy; Hillier, Susan

doi:10.1080/09638288.2022.2123053

Cited by 3 publications

(2 citation statements)

References 203 publications

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“…Clearly I would argue yes. As neurological physiotherapists, we work with people who have (usually) a deeply impaired sense of self—physiologically, psychologically, and socially ( 10 ). The evidence for this is slowly emerging—the phenomenology of the “disabled body,” disrupted body schema and internal representations, reduced sense of agency and ownership, and impaired primary sensation all contribute.…”

Section: Neurological Practice (Sh)mentioning

confidence: 99%

Developing fluency in a language of tactile communication

Tuttle

Hillier²

2023

Front. Rehabil. Sci.

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Touch has been an integral part of physiotherapeutic approaches since the inception of the profession. More recently, advances in the evidence-base for exercise prescription and “active” management have brought “touch” into question. This, in part, assumes that the patient or recipient simply passively receives the input rather than being an active partner in the interaction. In this article, we propose that touch can be used as a two-way conversation between therapist and client where each is engaged in tactile communication that has the potential to raise patient awareness and improve movement-based behaviour.

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Section: Neurological Practice (Sh)mentioning

confidence: 99%

Developing fluency in a language of tactile communication

Tuttle

Hillier²

2023

Front. Rehabil. Sci.

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“…Body awareness, often referred to in the literature, yet lacking a clear definition, pertains to the capacity to comprehend and interpret bodily signals ( 7 ). Body awareness is closely related to and influenced by proprioception, exteroception and interoception ( 8 ), where interoception is shown to play a role in the symptom experience of chronic pain ( 9 ). Interoception involves sensing, interpreting, and regulating internal body signals and encompasses communication between peripheral systems and the central nervous system ( 10 ).…”

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confidence: 99%

Body awareness, stress and symptoms in autonomic dysfunction in patients with chronic pain: an explorative study

Varkey,

Gottfridsson,

Grimby-Ekman

et al. 2024

JRM-CC

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Objective: To assess pain outcomes, stress levels and body awareness among patients with chronic pain and explore potential associations between these variables. Design: An explorative study. Methods: Patients with chronic pain in primary and specialist care were assessed regarding pain intensity using the Numerical Rating Scale (NRS; 0–10 point scale) and stress levels using the Stress and Crisis Inventory (SCI-93; 0–140). To assess body awareness, multidimensional assessment of interoceptive awareness (MAIA; 0–5), a widely used self-report measure of interoceptive bodily awareness was used. Results: Participants (n = 42) reported an average NRS of 4.4, elevated stress levels and low body awareness. Stress levels were moderately correlated with pain intensity (r = 0.53; p < 0.001; 95% confidence interval [CI] 0.25–0.72) and number of pain sites (r = 0.58; p < 0.001; 95% CI 0.32–0.76). The regression analysis showed that pain outcomes predicted stress level scores and explained almost 50% of variance (R2 = 0.47, p < 0.001). Moreover, shorter pain duration predicted a higher body awareness (p = 0.04). Conclusion: In patients with chronic pain, high pain intensity and multiple painful sites seem to be associated with impaired stress regulation. The patients had low body awareness, which was negatively influenced by pain duration.

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Evaluation of upper limb perception after stroke with the new Affected Limb Perception Questionnaire (ALPQ): a study protocol

Konik,

Beaud,

Fellrath

et al. 2024

BMC Neurol

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Background Following a stroke, patients may suffer from alterations in the perception of their own body due to an acquired deficit in body representations. While such changes may impact their quality of life as well as recovery, they are not systematically assessed in clinical practice. This study aims at providing a better understanding of the rate, evolution, and impact on recovery of upper limb (UL) body perceptions (BPs) alterations following stroke. In addition, we will investigate associations among BPs alterations items, their associations with the sensorimotor functions, UL activity, damages in brain structure and connectivity. Methods We developed a new tool named ALPQ (for Affected Limb Perception Questionnaire) to address the present study objectives. It assesses subjective alterations in the perception of the affected UL following stroke, by measuring several dimensions, namely: anosognosia for hemiplegia, anosodiaphoria for hemiplegia, hemiasomatognosia, somatoparaphrenia, personification of the affected limb, illusion of modification of physical characteristics (temperature, weight, length), illusory movements, super- or undernumerary limb, UL disconnection, misoplegia, and involuntary movement. This study combines a cross-sectional and longitudinal design. The completed data sample will include a minimum of 60 acute and 100 sub-acute stroke patients. When possible, patients are followed up to the chronic stage. Complementary evaluations are administered to assess patients’ sensorimotor and cognitive functions as well as UL activity, and brain lesions will be analysed. Discussion This study will provide a better understanding of BPs alterations following stroke: their rate and evolution, as well as their associations with sensorimotor deficit, cognitive profile and UL activity, brain lesions and recovery. Ultimately, the results could support the personalization of rehabilitation strategy according to patients’ UL perception to maximize their recovery. Study registration The protocol for this study has been pre-registered on the Open Science Framework on July the 7th, 2021: https://osf.io/p6v7f.

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Key constructs of body awareness impairments post-stroke: a scoping review of assessment tools and interventions

Cited by 3 publications

References 203 publications

Developing fluency in a language of tactile communication

Developing fluency in a language of tactile communication

Body awareness, stress and symptoms in autonomic dysfunction in patients with chronic pain: an explorative study

Evaluation of upper limb perception after stroke with the new Affected Limb Perception Questionnaire (ALPQ): a study protocol

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