Effect of Multisensory Stimulation on Upper Extremity Motor Recovery in Stroke Patient: a Preliminary Testing

Completed

Phase N/A Results N/A

Trial Description

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

Conditions

Interventions

  • Multisensory therapy Other
    Intervention Desc: Sensory stimulation, motor training and ADL training
    ARM 1: Kind: Experimental
    Label: Multisensory therapy group
    Description: 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 Other
    Intervention Desc: Motor training and ADL training
    ARM 1: Kind: Experimental
    Label: Conventional training group
    Description: 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).

Outcomes

Type Measure Time Frame Safety Issue
Primary Change from baseline Fugl-Meyer Assessment of Motor Recovery at 3 months Baseline and post intervention at week 12
Primary Change from baseline Functional Test for the Hemiplegic Upper Extremity at 3 months Baseline and post intervention at week 12
Secondary Change from baseline Modified Barthel Index at 3 months Baseline and post intervention at week 12
Secondary Change from baseline Manual Muscle testing at 3 months Baseline and post intervention at week 12

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