The Influence of Giving Sensomotoric Stimulation to Improve Functional Ability in Patients with Stroke

Dewi Suci Mahayati, Wina Widiatul Hikmah, Utami Gaswi, Vira Aisyah Mercury
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Abstract

BACKGROUND: Sensory stimulation can help individuals regain sensitivity by paying attention to sensory input and its relationship to the activity to be carried out. Sensory stimulation combined with functional exercise is the main determinant of functional improvement in stroke. The study of the intensity and duration of therapy has not been widely carried out. AIM: The purpose of this study was to evaluate the influence of sensorimotor stimulation given intensively to improve functional abilities in patients with stroke and to ensure that there was no deterioration in their medical condition as a result of initial therapy. MATERIALS AND METHODS: This research method uses a pre-experimental design with a one-group pre-posttest involving 30 patients meeting predefined inclusion criteria in a one-group pre- and post-test design. The program consists of 16 sessions of sensomotoric stimulation and functional activity training in the physiotherapy gymnasium and daily sessions of ADL at home over 6 weeks. The efficacy of the program was evaluated by a stroke rehabilitation assessment of movement and a functional independence measure. RESULTS: A significant difference was observed in both motor skill (p = 0.00) and functional ability (p = 0.00) obtained on the 6th week of assessment. In a comparison of the benefits of therapy in two gender groups (p = 0.96 and 0.20), age groups (p = 0.55 and 0.86), and stroke severity (p = 0.50 and 0.64). The result showed there is no significant difference in the benefits of therapy applied to all of these groups. CONCLUSION: Sensomotoric stimulation given from the 1st day of stroke and continued intensively has been found to have a better impact on motor skills and functional ability.
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给予感触刺激对改善脑卒中患者功能的影响
背景:通过关注感觉输入及其与所要进行活动的关系,感觉刺激可以帮助患者恢复敏感性。感觉刺激与功能锻炼相结合是中风患者功能改善的主要决定因素。关于治疗强度和持续时间的研究尚未广泛开展。目的:本研究的目的是评估强化感觉运动刺激对改善脑卒中患者功能的影响,并确保初始治疗不会导致患者病情恶化。材料与方法:该研究方法采用实验前设计,30 名符合预定纳入标准的患者参与了单组实验前和实验后设计。该计划包括在理疗室进行 16 次感觉刺激和功能活动训练,以及在 6 周内每天在家进行 ADL 训练。该计划的疗效通过中风康复运动评估和功能独立性测量进行评估。结果:在第 6 周的评估中,运动技能(p = 0.00)和功能能力(p = 0.00)均有明显差异。在两个性别组(p = 0.96 和 0.20)、年龄组(p = 0.55 和 0.86)和中风严重程度(p = 0.50 和 0.64)的治疗益处比较中,结果显示没有明显差异。结果显示,所有这些组别的治疗效果均无明显差异。结论:从中风第一天起就开始进行并持续强化的感觉刺激对运动技能和功能能力有更好的影响。
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期刊介绍: Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, i­n­formation on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.
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