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Sensory Deficits in Stroke: A Hidden Challenge for Rehabilitation
EP31523
Poster Title: Sensory Deficits in Stroke: A Hidden Challenge for Rehabilitation
Submitted on 22 Apr 2020
Author(s): 1. Dr Kamal Narayan Arya, MOT, PhD, 2. Akshay Kumar Joshi, MOT(Neuro)  
Affiliations: 1. Lecturer Occupational Therapy ,Pt. Deendayal Upadhyaya National Institute For Persons with Physical Disabilities, 4, Vishnu Digamber Marg, New Delhi, 110002, India 2. (Project Technical Officer) Occupational Therapy ,Pt. Deendayal Upadhyaya National Institute For Persons with Physical Disabilities, 4, Vishnu Digamber Marg, New Delhi, 110002, India
This poster was presented at 57th Annual National Conference of All India Occupational Therapists' Association held at Mumbai, Maharashtra 400025, India From 16 to 18 January 2020
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Poster Information
Abstract: Title: Sensory Deficits in Stroke: A Hidden Challenge for Rehabilitation
Authors: Kamal Narayan Arya1, Akshay Kumar Joshi2
Affiliation: 1.Lecturer (Occupational Therapy), Pt. Deendayal Upadhyaya National Institute for Persons with Physical Disabilities, New Delhi, India.
2. (Project Technical Officer) Occupational Therapy ,Pt. Deendayal Upadhyaya National Institute For Persons with Physical Disabilities, 4, Vishnu Digamber Marg, New Delhi, 110002, India
Corresponding Author’s Contact: Postal Address: Room No. 24, Department of Occupational Therapy, Pt. Deendayal Upadhyaya National Institute for Persons with Physical Disabilities, 4 Vishnu Digamber Marg, New Delhi, 110002, India.
Mobile No.: +91-9899897408
Email: kamalnarya@yahoo.com

Background: Up to 50-80% of stroke subjects exhibit upper extremity sensory deficits. Sensory loss has implication for poor motor recovery, functions and quality of life after stroke. Rehabilitation management still focuses on motor impairment ignoring the sensory destruction. Management of sensory deficits is overlooked at assessment and treatment stage.
Objective: To provide an overview of the evidences on sensory deficits and its rehabilitation among post-stroke patients
Design: Review (Non-Systematic)
Data Sources: Pubmed, Cochrane data base, Scholar Google, OT seeker and PEDro, DORIS. Keywords used *Sensory deficit, Stroke, Rehabilitation. The selected publications were assessed for quality and important finding were extracted, summarized and interlinked.
Results:
Sensory deficits are usually present among stroke patients. Impairment in tactile localization, 2-point discrimination, texture discrimination, stereogonosis; proprioception, & barognosis are evident. Motor recovery is influenced by the level of sensory impairment. To date, there is some evidence supporting the clinical value of sensory-based approaches to motor therapies. This review outlines the key sensory impairment among stroke subjects, describes how the deficits can influence motor and functional recovery and expected rehabilitation outcomes in stroke, reports on current sensory-based approaches in post-stroke motor rehabilitation, and makes recommendations for optimizing motor therapies based on sensory training.
Conclusion:
Somatosensory deficits are common though unexplored in poststroke subjects. Sensory input plays a fundamental role in motor and functional recovery post stroke.

Keywords: Sensory Impairment, Somatosensory, Stroke, Rehabilitation
Summary: Objective: To provide an overview of the evidences on sensory deficits and its rehabilitation among post-stroke patients References: 1.Carey L, Macdonell R, Matyas TA. Sense: Study of the effectiveness of neurorehabilitation on sensation: A randomized controlled trial. Neurorehabil Neural Repair. 2011;25:304-313
2.Byl N, Roderick J, Mohamed O, Hanny M, Kotler J, Smith A, Tang M, Abrams G. Effectiveness of sensory and motor rehabilitation of the upper limb following the principles of neuroplasticity: Patients stable poststroke. Neurorehabil Neural Repair. 2003;17:176-191
3.Pumpa LU, Cahill LS, Carey LM. Somatosensory assessment and treatment after stroke: An evidence-practice gap. Aust Occup Ther J. 2015;62:93-104
4.Bolognini N, Russo C, Edwards DJ. The sensory side of post-stroke motormrehabilitation. Restor Neurol Neurosci. 2016;34:571-586
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