Effect of cognitive multisensory rehabilitation on upper extremity function in stroke patients: A randomized controlled trial
Resumen
The aim of this study was to examine the impact of upper extremity (UE) rehabilitation based on neurocognitive multisensory therapy in stroke patients, focusing on assessing its effects on the recovery of UE function and suggesting it as a post-stroke therapeutic method. The study was conducted as a randomized, prospective, controlled trial with a pre- and post-experimental design. Thirty stroke patients were equally divided into study and control groups and evaluated before and after treatment. Outcome measures included the Action Research Arm Test (ARAT), Manual Function Test (MFT), Motor Evaluation Scale for Upper Extremity in Stroke Patients (MESUPES), and Fugl Myer Assessment upper extremity (FMA-UE). Both groups received a specific physiotherapy program, while the study group also received Cognitive Multisensory Rehabilitation (CMR). All analyses were performed using SPSS (version 25). There were no significant differences between the groups in age, weight, height, BMI, duration of illness, MMSE, sex, or spasticity grade distribution (p > 0.05). Post-treatment comparison between both groups showed a statistically significant increase in the ARAT, MFT, MESUPES, and FMA-UE scores in the study group compared to the control group (p < 0.05). For stroke patients, CMR intervention is considered a beneficial neuro-rehabilitation strategy for enhancing upper extremity sensorimotor capabilities through physical therapy.
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Ahn, S. N., & Lee, J. W. (2009). Effect of cognitive therapeutic exercise on recovery of the upper limb function in hemiplegia. Journal of Korean Society of Neurocognitive Rehabilitation, 1, 43-56.
Ansari, N. N., Naghdi, S., Arab, T. K., & Jalaie, S. (2008). The interrater and intrarater reliability of the Modified Ashworth Scale in the assessment of muscle spasticity: limb and muscle group effect. NeuroRehabilitation, 23(3), 231–237.
Chanubol, R., Wongphaet, P., Chavanich, N., Werner, C., Hesse, S., Bardeleben, A., & Merholz, J. (2012). A randomized controlled trial of Cognitive Sensory Motor Training Therapy on the recovery of arm function in acute stroke patients. Clinical Rehabilitation, 26(12), 1096–1104. https://doi.org/10.1177/0269215512444631
Choi, W. (2022). Effects of Cognitive Exercise Therapy on Upper Extremity Sensorimotor Function and Activities of Daily Living in Patients with Chronic Stroke: A Randomized Controlled Trial. Healthcare, 10(3), 429. https://doi.org/10.3390/healthcare10030429
Faria-Fortini, I., Michaelsen, S. M., Cassiano, J. G., & Teixeira-Salmela, L. F. (2011). Upper extremity function in stroke subjects: relationships between the international classification of functioning, disability, and health domains. Journal of Hand Therapy, 24(3), 257–265.
Gentile, G., Petkova, V. I., & Ehrsson, H. H. (2011). Integration of visual and tactile signals from the hand in the human brain: an FMRI study. Journal of Neurophysiology, 105(2), 910–922. https://doi.org/10.1152/jn.00840.2010
Ghazanfar, A. A., & Schroeder, C. E. (2006). Is neocortex essentially multisensory?. Trends in Cognitive Sciences, 10(6), 278–285. https://doi.org/10.1016/j.tics.2006.04.008
Hoonhorst, M. H., Nijland, R. H., van den Berg, J. S., Emmelot, C. H., Kollen, B. J., & Kwakkel, G. (2015). How Do Fugl-Meyer Arm Motor Scores Relate to Dexterity According to the Action Research Arm Test at 6 Months Poststroke?. Archives of Physical Medicine and Rehabilitation, 96(10), 1845–1849. https://doi.org/10.1016/j.apmr.2015.06.009
Johansson, G. M., & Häger, C. K. (2012). Measurement properties of the Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES). Disability and Rehabilitation, 34(4), 288–294. https://doi.org/10.3109/09638288.2011.606343
Law, L. L. F., Fong, K. N. K., & Li, R. K. F. (2018). Multisensory stimulation to promote upper extremity motor recovery in stroke: A pilot study. British Journal of Occupational Therapy, 81(11), 641-648.
Lee, S., Bae, S., Jeon, D., & Kim, K. Y. (2015). The effects of cognitive exercise therapy on chronic stroke patients' upper limb functions, activities of daily living and quality of life. Journal of Physical Therapy Science, 27(9), 2787–2791. https://doi.org/10.1589/jpts.27.2787
Lim, Y. J., & Lee, S. A. (2014). The Effect of Neurocognitve Rehabilitation on the Visual Perception and Upper-limb Function of Neglect. Journal of Korean Society of Neurocognitive Rehabilitation, 6, 21-29.
Miller, E. K., & Wallis, J. D. (2009). Executive function and higher-order cognition: definition and neural substrates. Encyclopedia of Neuroscience, 4, 99-104.
Miyamoto, S., Kondo, T., Suzukamo, Y., Michimata, A., & Izumi, S. (2009). Reliability and validity of the Manual Function Test in patients with stroke. American Journal of Physical Medicine & Rehabilitation, 88(3), 247–255. https://doi.org/10.1097/PHM.0b013e3181951133
Morreale, M., Marchione, P., Pili, A., Lauta, A., Castiglia, S. F., Spallone, A., Pierelli, F., & Giacomini, P. (2016). Early versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: proprioceptive or cognitive approach?. European Journal of Physical and Rehabilitation Medicine, 52(1), 81–89.
Oouchida, Y., Sudo, T., Inamura, T., Tanaka, N., Ohki, Y., & Izumi, S. (2016). Maladaptive change of body representation in the brain after damage to central or peripheral nervous system. Neuroscience Research, 104, 38–43. https://doi.org/10.1016/j.neures.2015.12.015
Platz, T., Pinkowski, C., van Wijck, F., Kim, I. H., di Bella, P., & Johnson, G. (2005). Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicentre study. Clinical Rehabilitation, 19(4), 404–411. https://doi.org/10.1191/0269215505cr832oa
Poltawski, L., Allison, R., Briscoe, S., Freeman, J., Kilbride, C., Neal, D., Turton, A. J., & Dean, S. (2016). Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors. Disability and Rehabilitation, 38(10), 945–951.
Pomeroy, V., Aglioti, S. M., Mark, V. W., McFarland, D., Stinear, C., Wolf, S. L., Corbetta, M., & Fitzpatrick, S. M. (2011). Neurological principles and rehabilitation of action disorders: rehabilitation interventions. Neurorehabilitation and Neural Repair, 25(5), 33–43. https://doi.org/10.1177/1545968311410942
Sallés, L., Martín-Casas, P., Gironès, X., Durà, M. J., Lafuente, J. V., & Perfetti, C. (2017). A neurocognitive approach for recovering upper extremity movement following subacute stroke: a randomized controlled pilot study. The Journal of Physical Therapy Science, 29(4), 665-672.
Spence, N., Rodrigues, N. C. L., Nomikos, P. A., Yaseen, K. M., & Alshehri, M. A. (2020). Inter-rater reliability of physiotherapists using the Action Research Arm Test in chronic stroke. Journal of Musculoskeletal & Neuronal Interactions, 20(4), 480–487.
Toglia, J., Fitzgerald, K. A., O'Dell, M. W., Mastrogiovanni, A. R., & Lin, C. D. (2011). The Mini-Mental State Examination and Montreal Cognitive Assessment in persons with mild subacute stroke: relationship to functional outcome. Archives of Physical Medicine and Rehabilitation, 92(5), 792–798. https://doi.org/10.1016/j.apmr.2010.12.034
Van de Winckel, A., De Patre, D., Rigoni, M., Fiecas, M., Hendrickson, T. J., Larson, M., Jagadeesan, B. D., Mueller, B. A., Elvendahl, W., Streib, C., Ikramuddin, F., & Lim, K. O. (2020). Exploratory study of how Cognitive Multisensory Rehabilitation restores parietal operculum connectivity and improves upper limb movements in chronic stroke. Scientific Reports, 10(1), 20278. https://doi.org/10.1038/s41598-020-77272-y
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