Sensory Loss in Hospital-Admitted People With Stroke: Characteristics, Associated Factors, and Relationship With Function

Tyson, Sarah; Hanley, Marie; Chillala, Jay; Selley, Andrea; Tallis, Raymond

doi:10.1177/1545968307305523

Cited by 235 publications

(206 citation statements)

References 31 publications

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“…Sensory impairments in the lower limb can cause losses in gait, since it leads to a reduction of the swing phase, gait velocity and step symmetry 11 . The sensory functions are recognized as a precursor of the recovery of movement and functional activity 3,12 .…”

Section: Introductionmentioning

confidence: 99%

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

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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Objectives: To investigate the inter-rater and intra-rater reliability, construct validity and internal consistency of the Brazilian version of the Nottingham Sensory Assessment for Stroke Patients (NSA). Methods: The instrument was translated into Portuguese from its original in English by a bilingual translator and was then back-translated into English. Twenty-one hemiparetics were evaluated by two examiners using the NSA and the Fugl-Meyer Assessment (FMA) of physical performance. Results: Significant correlation were found between the FMA and the NSA (r=0.752). The NSA showed excellent internal consistency (0.86), and there were acceptable inter-and intra-rater reliability for all items of the NSA, except temperature. Significant ceiling effects were found for the NSA and the FMA. Conclusions: The Brazilian version of the NSA met the criteria for agreement, internal consistency and concurrent validity. It was quick and easy to apply, and it could be used within clinical practice in neuro-rehabilitation outpatient clinics to assess sensory functions following stroke. The significant ceiling effect for the NSA did not limit its use, given that for the same patients, the FMA also showed ceiling effects.Key words: stroke; disability evaluation; validity tests; sensation; rehabilitation. ResumoObjetivo: Verificar a concordância inter e intraexaminador, validade construtiva e consistência interna da versão brasileira do instrumento Nottingham Sensory Assessment para hemiparéticos após acidente vascular encefálico (AVE). Métodos: O instrumento foi traduzido para língua portuguesa com base na sua versão original em Inglês por um tradutor bilíngue e, posteriormente, revertido para a língua inglesa. Vinte e um hemiparéticos foram avaliados por dois examinadores pela Avaliação Sensorial de Nottingham para pacientes pós-AVE (ASN) e pelo Protocolo de Desempenho Físico de Fugl-Meyer (FM). Resultados: Foi encontrada correlação entre os instrumentos FM e ASN (0,752); excelente consistência interna da ASN (0,86); excelentes coeficientes de concordância interexaminador e intraexaminador para todos os itens da ASN, exceto temperatura e efeito teto significativo para ASN e FM. Conclusão: A versão brasileira da Nottingham Sensory Assessment cumpriu os critérios de concordância, consistência interna e validade concorrente, sendo um instrumento de rápida e fácil aplicação, podendo ser utilizada nos ambulatórios de neuroreabilitação para avaliar a função sensorial pós-AVE. O efeito teto significativo da ASN não limita seu uso, tendo em vista que, para os mesmos pacientes, o Protocolo de Fugl-Meyer também revelou efeito teto.Palavras-chave: acidente cerebral vascular; avaliação da deficiência; testes de validade; sensação; reabilitação.

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Section: Introductionmentioning

confidence: 99%

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

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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“…Moreover, stroke survivors have expressed uncertainty about whether to use their sensory-impaired arm for task performance (Connell, McMahon, & Adams, 2013). A predictive relationship between somatosensory loss and independence in activities of daily living (ADLs) and mobility has also been demonstrated, for example, in a prospective sample of 102 stroke survivors (Tyson, Hanley, Chillala, Selley, & Tallis, 2008) and using a life table analysis (N 5 95; Reding & Potes, 1988). It is therefore plausible that sensory impairment may also be associated with reduced participation in daily activities and life roles; yet our understanding of its impact on participation is limited.…”

mentioning

confidence: 99%

“…Somatosensory impairment is commonly experienced in association with motor impairment, and degree of weakness has been significantly associated with sensory impairment (Tyson et al, 2008). Upper limb motor impairment is reported in 77% of stroke survivors (Lawrence et al, 2001) and is likely to have an impact on participation.…”

mentioning

confidence: 99%

Effects of Somatosensory Impairment on Participation After Stroke

Carey

Matyas

Baum

2018

The American Journal of Occupational Therapy

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OBJECTIVE. Our objective was to determine the effect of loss of body sensation on activity participation in stroke survivors. METHOD. Participants (N = 268) were assessed at hospital admission for somatosensory and motor impairment using the National Institutes of Health Stroke Scale. Participation was assessed using the Activity Card Sort (ACS) in the postacute phase. Between-group differences in activity participation were analyzed for participants with and without somatosensory impairment and with or without paresis. RESULTS. Somatosensory impairment was experienced in 33.6% of the sample and paresis in 42.9%. ACS profiles were obtained at a median of 222 days poststroke. Somatosensory loss alone (z = 1.96, p = .048) and paresis in upper and lower limbs without sensory loss (z = 4.62, p < .001) influenced activity participation. CONCLUSION. Somatosensory impairment is associated with reduced activity participation; however, paresis of upper and lower limbs can mask the contribution of sensory loss.

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“…Tactile information is also necessary for tasks requiring rapid dextrous finger movement such as piano [25] or clarinet playing [26]. The absence of normal tactile feedback results in clumsiness in daily activities [27].…”

Section: Tactile Somatosensory Systemmentioning

confidence: 99%

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

Demain

Metcalf

Merrett

et al. 2012

Disability and Rehabilitation: Assistive Technology

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 The current lack of emphasis on somatosensory rehabilitation may contribute to poor hand recovery in patients with central nervous system pathology.  Haptic technologies have the potential to improve sensation and sensory motor integration in neurological conditions  An underlying theoretical rationale is provided for the design and clinical use of haptic technologies in neuro-rehabilitation of the hand. AbstractPurpose. This paper provides rehabilitation professionals and engineers with a theoretical and pragmatic rationale for the inclusion of haptic feedback in the rehabilitation of central nervous system disorders affecting the hand. Method. A narrative review of haptic devices used in sensorimotor hand rehabilitation was undertaken. Presented papers were selected to outline and clarify the underlying somatosensory mechanisms underpinning these technologies and provide exemplars of the evidence to date.Results. Haptic devices provide kinaesthetic and/or tactile stimulation. Kinaesthetic haptics are beginning to be incorporated in central nervous system rehabilitation, however, there has been limited development of tactile haptics. Clinical research in haptic rehabilitation of the hand is embryonic but initial findings indicate potential clinical benefit. Conclusions. Haptic rehabilitation offers the potential to advance sensorimotor hand rehabilitation but both scientific and pragmatic developments are needed to ensure that its potential is realised.

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Sensory Loss in Hospital-Admitted People With Stroke: Characteristics, Associated Factors, and Relationship With Function

Cited by 235 publications

References 31 publications

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

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

Effects of Somatosensory Impairment on Participation After Stroke

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

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