SENSory re-learning of the UPPer limb after stroke (SENSUPP) : Study protocol for a pilot randomized controlled trial

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Carlsson, HåkanLund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Human Movement: health and rehabilitation,Lund University Research Groups,Skåne University Hospital (author)

SENSory re-learning of the UPPer limb after stroke (SENSUPP) : Study protocol for a pilot randomized controlled trial

Article/chapterEnglish2018

Publisher, publication year, extent ...

2018-04-17
Springer Science and Business Media LLC,2018

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LIBRIS-ID:oai:lup.lub.lu.se:0cd8849e-abfb-425b-8623-2ceb6b3d863f
https://lup.lub.lu.se/record/0cd8849e-abfb-425b-8623-2ceb6b3d863fURI
https://doi.org/10.1186/s13063-018-2628-1DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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Background: Many stroke survivors suffer from sensory impairments of their affected upper limb (UL). Although such impairments can affect the ability to use the UL in everyday activities, very little attention is paid to sensory impairments in stroke rehabilitation. The purpose of this trial is to investigate if sensory re-learning in combination with task-specific training may prove to be more effective than task-specific training alone to improve sensory function of the hand, dexterity, the ability to use the hand in daily activities, perceived participation, and life satisfaction. Methods/design: This study is a single-blinded pilot randomized controlled trial (RCT) with two treatment arms. The participants will be randomly assigned either to sensory re-learning in combination with task-specific training (sensory group) or to task-specific training only (control group). The training will consist of 2.5 h of group training per session, 2 times per week for 5 weeks. The primary outcome measures to assess sensory function are as follows: Semmes-Weinstein monofilament, Shape/Texture Identification (STI™) test, Fugl-Meyer Assessment-upper extremity (FMA-UE; sensory section), and tactile object identification test. The secondary outcome measures to assess motor function are as follows: Box and Block Test (BBT), mini Sollerman Hand Function Test (mSHFT), Modified Motor Assessment Scale (M-MAS), and Grippit. To assess the ability to use the hand in daily activities, perceived participation, and life satisfaction, the Motor Activity Log (MAL), Canadian Occupational Performance Measure (COPM), Stroke Impact Scale (SIS) participation domain, and Life Satisfaction checklist will be used. Assessments will be performed pre- and post-training and at 3-month follow-up by independent assessors, who are blinded to the participants' group allocation. At the 3-month follow-up, the participants in the sensory group will also be interviewed about their general experience of the training and how effective they perceived the training. Discussion: The results from this study can add new knowledge about the effectiveness of sensory re-learning in combination with task-specific training on UL functioning after stroke. If the new training approach proves efficient, the results can provide information on how to design a larger RCT in the future in persons with sensory impairments of the UL after stroke.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
Rehabilitation
Sensory re-learning
Stroke
Upper limb

Added entries (persons, corporate bodies, meetings, titles ...)

Rosén, BirgittaLund University,Lunds universitet,Handkirurgi, Malmö,Forskargrupper vid Lunds universitet,Hand Surgery, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)hand-bro (author)
Pessah-Rasmussen, HélèneLund University,Lunds universitet,Rehabiliteringsmedicin,Forskargrupper vid Lunds universitet,Stroke policy och kvalitetsregisterforskning,Rehabilitation medicine,Lund University Research Groups,Stroke policy and quality register research,Skåne University Hospital(Swepub:lu)neur-hpe (author)
Björkman, AndersSkåne University Hospital(Swepub:lu)hand-abj (author)
Brogårdh, ChristinaLund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Human Movement: health and rehabilitation,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-cbg (author)
Människan i rörelse: hälsa och rehabiliteringForskargrupper vid Lunds universitet (creator_code:org_t)

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In:Trials: Springer Science and Business Media LLC19:11745-6215

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By the author/editor: Carlsson, Håkan; Rosén, Birgitta; Pessah-Rasmussen ...; Björkman, Anders; Brogårdh, Christ ...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Physiotherapy

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