Sensory Stimulation of the Foot and Ankle Early Post-stroke: A Pilot and Feasibility Study

Aries, Alison M.; Pomeroy, Valerie; Sim, Julius; Read, Susan; Hunter, Susan M.

doi:10.3389/fneur.2021.675106

Cited by 5 publications

(5 citation statements)

References 96 publications

(122 reference statements)

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“…The MoTaStim-Foot study has been reported in detail elsewhere [ 1 , 20 ]. The purpose of this follow-up paper is to describe the important role of PPI throughout the study and discuss the mutual benefits to the trial team and the PPI advisors.…”

Section: Introductionmentioning

confidence: 99%

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The mutual benefits of patient and public involvement in research: an example from a feasibility study (MoTaStim-Foot)

2021

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Background Patient and public involvement (PPI) in research has increased steadily over the last two decades and is now both expected and appropriately resourced by many funding bodies, including the National Institute for Health Research (NIHR). However, PPI in research occurs in many different capacities and numerous frameworks exist for reporting or appraising patient involvement activities. The aim of this article is to describe processes involving PPI contributions to an NIHR-funded mixed-methods feasibility study (MoTaStim-Foot). Details of PPI advisors’ input, from initial identification and prioritisation of research ideas, to research delivery and dissemination, are discussed. Methods Extensive PPI for MoTaStim-Foot is reported, with consideration of Research Design Service (RDS) advice for PPI for research, involving identifying and prioritising: design; grant proposal development; undertaking/managing research; analysing and interpreting; dissemination; implementation; monitoring and evaluation. Two PPI workshops were undertaken; success in meeting UK standards for public involvement was audited against specific success criteria by two researchers, with discussion and consideration regarding how well our PPI achieved inclusive opportunities, working together, support and learning, governance, communications and impact. How PPI can be improved for future trials was also considered. Although the advantages of PPI for researchers were considered, the benefits for PPI advisors were also analysed. Results UK standards for public involvement were achieved, along with seven relevant research processes suggested by the RDS. PPI advisor contributions: informed study design; contributed to successful funding; enhanced trial delivery by informing participant information sheets and daily diaries; added value through undertaking note-taker roles in focus groups and helping to analyse focus group transcripts; and assisted in dissemination. However, benefits were mutual with PPI advisors reporting feeling valued and respected, a sense of pride with renewed confidence and purpose in life. Conclusions Importance and value of PPI, to researchers and patient advisors, have been highlighted, reinforcing the benefits of working in partnership with PPI advisors. Trial registration ISRCTN 13676183; Central Portfolio Management System ID 30449. Registered 02/01/2015, https://www.isrctn.com/ISRCTN13676183.

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Section: Introductionmentioning

confidence: 99%

“…All data generated or analysed during this study are included in this published article. The PPI discussed was for the MoTaStim-Foot publication [ 1 ].…”

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confidence: 99%

The mutual benefits of patient and public involvement in research: an example from a feasibility study (MoTaStim-Foot)

2021

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“…However, it is anticipated that many of the principles relating to the delivery of MTS to the upper limb can be applied to the lower limb. Feasibility and acceptability of delivery of MTS to the lower limb has already been confirmed [ 60 ]. In view of these many aspects, it is not possible to draw conclusions about manual sensory retraining for the lower limb from this current systematic review, except to suggest that further research is necessary in this area.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Somatosensory Stimulation for the Lower Limb and Foot to Improve Balance and Gait after Stroke: A Systematic Review

et al. 2022

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This systematic review’s purpose was to evaluate the effectiveness of lower-limb and foot somatosensory stimulation to improve balance and gait post-stroke. PRISMA reporting guidelines were followed. Included studies: randomized controlled trials (RCTs), published in English with ethical approval statement. Studies of conditions other than stroke, functional electrical stimulation, and interventions eliciting muscle contraction, were excluded. AgeLine, AMED, CINAHL PLUS, EMBASE, EMCARE MEDLINE, PEDro, PsycARTICLES, PsycINFO, SPORTDiscus, Web of Science and Cochrane central register of controlled trials were searched from 1 January 2002 to 31 March 2022. Two authors independently screened results, extracted data and assessed study quality using Cochrane Risk of Bias 2 tool; 16 RCTs (n = 638) were included. Four studies showed a medium or large standardized between-group effect size (Cohen’s d) in favor of somatosensory stimulation, in relation to: customized insoles (d = 0.527), taping (d = 0.687), and electrical stimulation (two studies: d = 0.690 and d = 1.984). Although limited by study quality and heterogeneity of interventions and outcomes, with only one study’s results statistically significant, several interventions showed potential for benefit, exceeding the minimally important difference for gait speed. Further research with larger trials is required. This unfunded systematic review was registered with PROSPERO (number CRD42022321199).

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“…The somatosensory function includes the senses of touch, vibration, pressure, proprioception, pain, and temperature. Impairments in this function negatively affect the ability to perceive, distinguish, and recognize the senses in the body (Aries et al, 2021 ). Consequently, disorientation accompanied by abnormal movements, balance disorders, muscle weakness, and inability to maintain postural control (stabilize the body against gravity and perturbation) may occur (Kim and Jang, 2021 ).…”

Section: Methodsmentioning

confidence: 99%

I-BaR: integrated balance rehabilitation framework

Ersoy,

Kaya,

Hocaoglu

et al. 2024

Front. Neurorobot.

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Neurological diseases are observed in approximately 1 billion people worldwide. A further increase is foreseen at the global level as a result of population growth and aging. Individuals with neurological disorders often experience cognitive, motor, sensory, and lower extremity dysfunctions. Thus, the possibility of falling and balance problems arise due to the postural control deficiencies that occur as a result of the deterioration in the integration of multi-sensory information. We propose a novel rehabilitation framework, Integrated Balance Rehabilitation (I-BaR), to improve the effectiveness of the rehabilitation with objective assessment, individualized therapy, convenience with different disability levels and adoption of assist-as-needed paradigm and, with integrated rehabilitation process as whole, that is, ankle-foot preparation, balance, and stepping phases, respectively. Integrated Balance Rehabilitation allows patients to improve their balance ability by providing multi-modal feedback: visual via utilization of virtual reality; vestibular via anteroposterior and mediolateral perturbations with the robotic platform; proprioceptive via haptic feedback.

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Sensory Stimulation of the Foot and Ankle Early Post-stroke: A Pilot and Feasibility Study

Cited by 5 publications

References 96 publications

The mutual benefits of patient and public involvement in research: an example from a feasibility study (MoTaStim-Foot)

The mutual benefits of patient and public involvement in research: an example from a feasibility study (MoTaStim-Foot)

Effectiveness of Somatosensory Stimulation for the Lower Limb and Foot to Improve Balance and Gait after Stroke: A Systematic Review

I-BaR: integrated balance rehabilitation framework

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