Sensory Dysfunction Following Stroke: Incidence, Significance, Examination, and Intervention

Abstract

Recent studies have provided evidence of the widespread incidence of sensory dysfunction following stroke. The importance of these findings lies in the association between sensory loss poststroke and poorer outcomes in motor capacity, functional abilities, length of inpatient stay, and quality of life. Since literature suggests that clinicians can use information about clients' sensory status to predict rehabilitation outcomes and select appropriate interventions, the accuracy of somatosensory assessment is extremely clinically relevant. However, many of the clinical tests that are commonly used to examine sensation have not been found to be valid or reliable. Emerging evidence supports the efficacy of several interventions that target the sensory systems. This article reviews the incidence, significance, examination, and interventions for sensory dysfunction following stroke and summarizes the important characteristics of interventions directed at somatosensation.

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

“…Sensory assessments in hemiparetic have been performed through somato-sensory evoked potentials 14 or functional scales. Considering the last ones, therapists should consider the validity and reliability of the instruments used in their clinical exams, since there are non-standardized forms of assessing sensitivity, but many of them do not provide and adequate information to assess diagnostics or to monitor the gains resulting from sensory rehabilitation 1,10,11,15 .…”

Desensitisation Therapy in Post Stroke Pain Syndrome: A Case Study

“…A recent review assessed that thalamic pain subjects received both type of TENS treatment i.e., high frequency and low frequency for about 16 days . They showed the results of pain reduction and improvement of symptoms [7][8][9][10][11][12][13][14][15]. In such cases physical therapist plays a role in diagnosing the discomfort and provide further relief of pain according to the symptoms and dysfunction.…”

Perfil Dos Indivíduos Com Alterações Funcionais Características De Heminegligência Após Avc

“…Dessa forma, supõe-se que o perfil de baixa escolaridade encontrado no presente estudo relaciona-se com os níveis elevados de HAS encontrados na população de menor classe social e menor acesso à educação. O mecanismo etiológico e a extensão da lesão no AVC interferem diretamente no prognóstico 12,21 .…”

“…Entretanto, o grau de incapacidade foi mais grave no grupo de indivíduos com heminegligência visual e tátil, se comparada ao grupo de indivíduos com heminegligência visual. Sabe-se que indivíduos com alterações sensoriais apresentam dificuldade em explorar o ambiente e tendem a negligenciar o lado comprometido, o que impacta na sua capacidade motora, no prognóstico e recuperação funcional 21 .…”