Chronicity of Stroke Does Not Affect Outcomes of Somatosensory Stimulation Paired With Task-Oriented Motor Training: A Secondary Analysis of a Randomized Controlled Trial

Article

Author: Westgate, Philip M ; Annichiarico, Nicholas ; Powell, Elizabeth Salmon ; Carrico, Cheryl ; Sawaki, Lumy

OBJECTIVETo determine whether chronicity influences outcomes of somatosensory stimulation paired with task-oriented motor training for participants with severe-to-moderate upper extremity hemiparesis.DESIGNSpearman correlations were used to retrospectively analyze outcomes of a randomized trial.SETTINGUniversity research laboratory at a rehabilitation hospital.PARTICIPANTSAdults, ranging between 3 and 12 months poststroke (N=55).INTERVENTIONSAbout 18 sessions pairing either 2 hours of active (n=33) or sham (n=22) somatosensory stimulation with 4 hours of intensive task-oriented motor training.MAIN OUTCOME MEASURESThe Wolf Motor Function Test (primary), Action Research Arm Test, Stroke Impact Scale, and Fugl-Meyer Assessment were collected as outcome measures. Analyses evaluated whether within-group chronicity correlated with pre-post changes on primary and secondary outcome measures of motor performance.RESULTSBoth groups exhibited improvements on all outcome measures. No significant correlations between chronicity poststroke and the amount of motor recovery were found.CONCLUSIONSomatosensory stimulation improved motor recovery compared with sham treatment in cases of severe-to-moderate hemiparesis between 3 and 12 months poststroke; and the extent of recovery did not correlate with baseline levels of stroke chronicity. Future studies should investigate a wider period of inclusion, patterns of corticospinal reorganization, differences between cortical and subcortical strokes, and include long-term follow-up periods.

17 May 2017·JPHR: Journal of Performance Health Research

An Off-Season Brace-Free Neuromuscular Ankle Training Program Among Brace-Reliant and Nonbrace-Reliant Division II Female Athletes

Author: Topp, Robert ; Markus, Jillian ; Brosky, Joseph A. ; Neitzke, Heidi ; James, Linsey ; Thomas, Kristen ; Koeninger, Katelyn

01 Aug 2016·The American Journal of Occupational Therapy

Effective Interventions for Stroke Recovery: Comparing Modified Constraint-Induced With Occupation-Based Interventions

Author: Custer, Melba ; Sawaki, Lumy ; Stroud, Robin ; Skubik-Peplaski, Camille ; Howell, Dana

AbstractDate Presented 4/7/2016Eight intervention sessions using mCIT or occupation-based activities was effective for motor recovery. The mCIT group improved most on motor assessments, and the occupation-based group had more change in the occupational performance assessments. Changes were also noted with the experience of moving.Primary Author and Speaker: Camille Skubik-PeplaskiAdditional Speakers: Robin Stroud, Dana Howell, Melba CusterContributing Author: Lumy Sawaki

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