Effect of Multisensory Stimulation on Upper Extremity Motor Recovery in Stroke Patient: a Preliminary Testing
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Tung Wah College
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- Change from baseline Fugl-Meyer Assessment of Motor Recovery at 3 months
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Despite the advances in stroke rehabilitation, post-stroke upper extremity impairment is still a major challenge. Increasing evidence can be found supporting stimulation of the afferent receptor enhances neuroplasticity in the brain. Studies have suggested multisensory stimulation could promote motor learning by re-establishing the disrupted sensorimotor loop due to stroke and enhance neuroplasticity.
The objective of the study was to examine the effect of multisensory stimulation on upper-extremity motor recovery and self-care function in stroke patients.
Detailed Description
Stroke patients referred to occupational therapy division of geriatric day hospital will be recruited and randomly assigned to a multisensory therapy group or a conventional training group. The Multisensory therapy group received 12 weeks (two sessions/ week; 90 minutes/session) training. Each session began with 15 minutes of sensory stimulation (cold and vibration), 45 minutes of motor training and 30 minutes of self-care training. The conventional training group included 12 weeks (two sessions/ week; 90 minutes/session) training. Each session included 60 minutes of upper extremity motor practice and 30 minutes of self-care training. Outcome measures included: Brunnstrom's stage, Fugl-Meyer Assessment Scale and Functional Test for the Hemiplegic Upper Extremity were used for upper limb motor control and function; and Manual muscle testing was used for muscle strength. The modified Barthel Index was used for self-care performance
Investigators
Ray KF Li
Principal Investigator, Adjunct Lecturer
Tung Wah College
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •Skin conditions/ injuries over the stimulation application areas
- •Contraindication for cold or vibration application
- •Speech disorder or global aphasia
- •Musculoskeletal or cardiac disorders
- •Other neurological conditions
- •History of diabetes or sensory impairment attributable to peripheral vascular disease or neuropathy
Outcomes
Primary Outcomes
Change from baseline Fugl-Meyer Assessment of Motor Recovery at 3 months
Time Frame: Baseline and post intervention at week 12
The Fugl-Meyer Assessment was used to assess the progress in synergistic and voluntary movement at baseline and post intervention.
Change from baseline Functional Test for the Hemiplegic Upper Extremity at 3 months
Time Frame: Baseline and post intervention at week 12
The Functional Test for the Hemiplegic Upper Extremity was used to evaluate the recovery of the hemiplegic upper extremity functions at baseline and post intervention.
Secondary Outcomes
- Change from baseline Manual Muscle testing at 3 months(Baseline and post intervention at week 12)
- Change from baseline Modified Barthel Index at 3 months(Baseline and post intervention at week 12)