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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multisensory therapy group | Experimental | The Multisensory therapy (MT) group received a 12-weeks (two sessions/ week; 90 minutes/session) training conducted by an occupational therapist. Each session began with 15 minutes of sensory stimulation (cold and vibration), 45 minutes of motor training and 30 minutes of self-care training. |
|
| Conventional training group | Active Comparator | The conventional training (CT) group included 12 weeks (two sessions/ week; 90 minutes/session) training conducted by an occupational therapist. Each session included 60 minutes of upper extremity motor practice (same as in MT group) and 30 minutes of self-care training (same as in MT group). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multisensory therapy | Other | Sensory stimulation, motor training and ADL training |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline Fugl-Meyer Assessment of Motor Recovery at 3 months | The Fugl-Meyer Assessment was used to assess the progress in synergistic and voluntary movement at baseline and post intervention. | Baseline and post intervention at week 12 |
| Change from baseline Functional Test for the Hemiplegic Upper Extremity at 3 months | 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. | Baseline and post intervention at week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline Modified Barthel Index at 3 months | The Modified Barthel Index was used to measure functional performance in basic activities of daily living at baseline and post intervention. | Baseline and post intervention at week 12 |
| Change from baseline Manual Muscle testing at 3 months |
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Inclusion criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ray Li, Master | Occupational Therapist | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wong Tai Sin Hospital | Wong Tai Sin | Hong Kong |
Share all the available data as requested
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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This was a quasi-randomized-controlled pilot. Participants were randomly allocated by admission sequence to a multisensory therapy group or a conventional training group
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| Conventional training | Other | Motor training and ADL training |
|
Manual muscle testing (MMT) was used for the evaluation of the motor recovery and strength of upper extremity muscle groups at baseline and post intervention. |
| Baseline and post intervention at week 12 |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |