The Effects of Sensorial Functions on Motor Functions and Functional Assessments in Patients with Chronic Stroke
International Journal of Neurologic Physical Therapy
Volume 4, Issue 2, June 2018, Pages: 29-33
Received: Mar. 28, 2018; Accepted: Apr. 15, 2018; Published: May 24, 2018
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Nuran Erden, Departman of Physiotherapy, Nisantasi University, Istanbul, Turkey
Mustafa Aziz Yıldırım, Departmant of Physical Treatment and Rehabilitation, Istanbul Physical Treatment Rehabilitation Education and Research Hospital, İstanbul, Turkey
Kadriye Öneş, Departmant of Physical Treatment and Rehabilitation, Istanbul Physical Treatment Rehabilitation Education and Research Hospital, İstanbul, Turkey
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Background: Sensory dysfunction following stroke is a common syndrome. Unless sensory dysfunction is assessed and defined, motor recovery will be limited due to focusing on motor performance during the rehabilitation and maximum outcomes will not be obtained for the treatment. Objective: To investigate the effect of sensory functions on motor function and functional status. Method: Sixty patients with chronic stroke hospitalized for rehabilitation of hemiplegia after stroke. Brunnstrom and Fugl-Meyer motor assesment scales to determine motor improvement were used, Functional independence measurement (FIM) was used for functional evaluation. Touching was used for superficial sensory assesment. Thumb localization and finger shift tests were used for deep sensorial assesment. Stereognosis and two-point discrimination tests were used for cortical sensory assesment. Partial localization-finger scrolling tests, stereognosis and two-point discrimination tests were evaluated for the deep sense and cortical senses of the patients. Result: Two point discrimination test result was 5-6 mm in 20 (33.3%) patient and 7 mm and abouve in 40 (66.7%) patients. Superficial sensory examination was found hipoesthetic in 50 patients (83.3%) and normal in 10 patients (16.7%). With the Two-point discrimination test, 20 patients (33.3%) were found to have a score of 5-to-6 mm’ s, and 40 patients were found to have a score of 7- more mm’ s. While proprioception was normal in 38 patients, in 22 patients was found to be mildly impaired by thumb localization test and finger shift test. 26 patients recognised 10 to 12 objects 15 patients recognised 7 to 9 objects and 19 patients recognised less than 7 objects by sterognazie assesment. There were statistically significant differences between superficial sense, Two-point discrimination, and sterognazie results and FIM, Brunnstrom upper-lower limb and Fugl-Meyer upper-lower values before and after hospitalization. Brunnstrom and Fugl-Meyer results were statistically significant according to Thumb localization test and finger shift test before and after hospitalization; however there was no difference according to FIM. Discussion: The findings of this study revealed that sensory dysfunctions were common after a stroke and affected motor and functional conditions of the patients. There is a significant relationship between motor functions and sensory functions in stroke patients. Assessment of sensory functions and early diagnosis will improve motor healing. Conclusion: A detailed examination of sensory functions and inclusion in the treatment program may be considered as an effective factor in improving motor function.
Stroke, Sensory Function, Motor Function
To cite this article
Nuran Erden, Mustafa Aziz Yıldırım, Kadriye Öneş, The Effects of Sensorial Functions on Motor Functions and Functional Assessments in Patients with Chronic Stroke, International Journal of Neurologic Physical Therapy. Vol. 4, No. 2, 2018, pp. 29-33. doi: 10.11648/j.ijnpt.20180402.11
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