Loss of somatic sensation

Somatosensory assessment and treatment after stroke: An evidence‐practice gap

“…Findings of the current study support prior literature of the two most commonly used measures of assessment; light touch and proprioception, and the limited use of standardised measures in clinical practice (Carey, 1993;Winward et al). In addition to clinical measures, therapists commonly used interview, observation in daily activities and observation in other tests such as motor tasks to assess sensation (Carey, 2006). In comparison to Winward et al's report, respondents in the current study more frequently used somatosensory assessment to assess for treatment planning (96.5%), education (75.6%) and diagnosis (65.1%).…”

“…Further, the large majority (70.3%) were not using any standardised or published somatosensory assessments. This indicates that tools valid in assessing sensation are not commonly used by clinicians with stroke clients (Carey, 2006; *Fifty of the 172 respondents indicating that they did not experience any barriers, consequently they were not required to answer this item.…”

Task‐specific training: evidence for and translation to clinical practice

“…These are consistent with guidelines put forward by others (e.g. Byl et al, 2003;Mathiowetz, 2004;Bayona et al, 2005;Dobkin and Carmichael, 2005;Carey, 2006;Davis, 2006;Krakauer, 2006). The strategies are presented in 'practice-ready' dialogue with the aim of assisting therapists in translating them into clinical practice.…”

Functional Neuroimaging in Stroke Recovery and Neurorehabilitation: Conceptual Issues and Perspectives

“…Required for learning within and across sensory dimensions (212,232) Progressively challenge system (233,234) Intensive training Improved performance and retention (235, 236) Forced use, competitive use (216) repetition strengthens connections (215, 237) Variation in stimuli; intermittent feedback; tuition of training principles Facilitates transfer of training effects (212,213,228,238,239) Learning transfer and neuronal plasticity (240) Table is adapted from Carey (167). Ã Principles of training have been applied in studies by Carey et al (166,241).…”

“…Together these findings support a neural correlate of therapy‐facilitated recovery following specific motor training. In addition, a small number of studies have investigated the impact of training on cognitive (186, 187), language (91) and somatosensory (167, 188) (Fig. 6) functions, further suggesting that rehabilitative training can restore and even normalize activation.…”