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http://dx.doi.org/10.13066/kspm.2012.7.4.481

The Effect of Tactile Stimulation on Two Point Discrimination, Hand Function, and ADL in Impaired Characteristics of Stroke Patient  

Song, Bo-Kyung (Dept. of Occupational Therapy, Adult Rehabilitation Center, Bobath Memorial Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.7, no.4, 2012 , pp. 481-491 More about this Journal
Abstract
PURPOSE: This study find out the effect of improved two point discrimination (TPD), hand function and activities of daily living (ADL) performance through tactile stimulus of upper limb (U/L) in impaired characteristics of stroke METHODS: We selected 26 stroke patients in BMH who has problems with neglect, sensory and motor deficits. Patients were divided into 3 group with neglect group (NG), sensorimotor deficits group (SMG) and motor deficit group (MG). To compare each group we used assessment tools such as two point discrimination on affected side (TPDas) and unaffected side (TPDus), Manual functional test on affected side (MFTas) and unaffected side (MFTus) and Korean version modified barthel index (K-MBI). RESULTS: 1) In the NG, tactile stimulus on U/L was statistically important for TPDas (forearm, index finger tip) also SMG and MDG was statistically important for TPDas. 2) In the NG, SMG, there was statistically important for MFTas, MFTus and in the MG. K-MBI also was statistically importance. Among three group, there was an statistically important difference for TPTus (forearm, thenar, hypothenar), MFTas and MFTus. We analyzed the relationship among TPD, MFT and K-MBI and There was negative relationship between TPD, MFT and There was positive relationship between TPD and K-MBI CONCLUSION: In impaired characteristics of stroke patients, tactile stimulus on U/L influenced on two point discrimination, hand function and ADL's. And we also found relationship among somatosensory, hand function, and ADL performance.
Keywords
Stroke; Two point discrimination; Hand function; ADL performance;
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1 Julkuken L, Tenvno O, Jaaskelainen SK et al. Recovery of somatosensory deficits in acute stroke. Acta Neurol Scand. 2005;111(6):366-72.   DOI   ScienceOn
2 Jung HY, Park BK, Shin HS et al. Development of the korean version of modified barthel index (K-MBI): multicenter study for subjects with stroke. J Korean Acad Rehabil Med. 2007;31(3):283-97.
3 Kim MY. A study of manual functional test for C.V.A. The Journal of Korean Society of Occupational Therapy. 1994;2(1):19-26.
4 Kotila M, Waltimo O, Niemi M et al. The profile of recovery from stroke and factors influencing outcome. Stroke. 1984;15(6):1039-44.   DOI   ScienceOn
5 Lee TY & Kim JW. Factor analysis of elemets affecting activities of daily living in stroke patients. The Journal of Korean Society of Occupational Therapy. 1994;2(1):19-26.
6 Lin JH, Hsueh IP, Sheu CF et al. Psychometric properties of the sensory scale of the fugl-meyer assessment in stroke patients. Clin Rehabil. 2004;18(4):391-7.   DOI
7 Matjacic Z, Hesse S & Sinkjaer T. Balance retrainer: a new standing-balance training apparatus and methods applied to a chronic hemiparetic subject with a neglect syndrom. Neuro Rehabilitation. 2003;18(3):251-9.
8 Miyamoto S, Kondo T, Suzukamo Y et al. Reliability and validity of the manual function test in patients with stroke. Am J Phys Med. 2009;88(3):247-55.   DOI   ScienceOn
9 Nakamara H, Jorgenson HS, Raaschou HO et al. Compensation in recovery of upper extremity function after stroke: the copenhagen study. Arch Phys Med Rehabil. 1994;75(10):852-7.   DOI
10 Olson E, Stark M & Chatterjee A. Evidence for a unimodal somatosensory attention system. Exp Brai Res. 2003;151(1):15-22.   DOI   ScienceOn
11 Pastor MA, Macaluso E, Day BL et al. The neural basis of temporal auditory discrimination. Neuroimage. 2006;30(2):512-20.   DOI   ScienceOn
12 Pedretti LW & Early MB. Occupational therapy practice skills for physical dysfunction 5th ed. St Louis Mosby. 2001.
13 Shah S & Muncer S. Sensitivity of shah, vanclay and cooper's modified barthel index. Clin Rehabil. 2000;14(5):551-2.   DOI
14 Alain L, Helene P & Sylvie N. Task-oriented intervention in chronic stroke. Am J Phys Med Rehabil. 2006;85(10): 820-30.   DOI   ScienceOn
15 Shah S, Vanclay F & Cooper B. Improving the sensitivity of the barthel index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9.   DOI   ScienceOn
16 Shumway-Cook A & Woollacott MH. Motor control translating research into clinical practice. 3rd ed. Baltimore. Lippincott William & Wilkins. 2007.
17 Sim HS. One year follow up study of the MMSE-K in the elderly. Korea Univeristy Graduate School. Master's thesis. 1998.
18 Tamura Y, Hoshiyama M, Inui K et al. Central mechanisms for two-point discrimination in humans. Neurosci Lett. 2003;342(3):187-90.   DOI   ScienceOn
19 Smania N, Montagnana B, Faccioli S et al. Rehabilitation of somatic sensation and related deficit of motor control in patients with pure sensory stoke. Arch Phys Med Rehabil. 2003;84(11):692-702.
20 Smith A. Beware of the barthel. Physiotherapy. 1993;79(12):12-3.   DOI
21 Winward CE, Halligan PW & Wade DT. The rivermead assessment of somatosensory performmance (RASP): standardization and reliability data. Clin Rehabil. 2002;16(5):523-33.   DOI
22 Yekutiel M & Guttman E. A controlled trial of the retraining of the sensory function of the hand in stroke patients. J Neurol Neurosurg Psychiatry. 1993;56(3):241-4.   DOI
23 Boggio PS, Nunes A, Rigonatti SP et al. Repeated sessions of noninvasive brain DC stimulation is associated with motor function improvement in stroke patients. Restor Neurol Neurosci.2007;25(2):123-9.
24 Cirstea MC & Levin MF. Compensatory strategies for reaching in stroke. Brain. 2000;123(5):940-53.   DOI   ScienceOn
25 Dombovy ML, Sandok BA & Basford JR. Rehabilitation for stroke: a review. Stroke. 1986;17(3):363-9.   DOI   ScienceOn
26 Filiatrault J, Arsenault AB, Dutil E et al. Motor function and activities of daily living assessments: a study of three tests for persons with hemiplegia. Am J Occup Ther. 1991;.45(9):806-10.   DOI
27 Haines I & Duane E. Fundamental neuroscience for basic and clinical applications. 3rd ed. Philadelpia. Churchill Livingstone. 2006.
28 Johannsen L, Broetz D & Karnath HO. Leg orientation as a clinical sign for pusher syndrome. BMC Neurol. 2006;6(1):30.   DOI