Effects of sensory cueing on voluntary arm use for patients with chronic stroke: A preliminary study

Kenneth N. FONG, Pinky C. LO, Yoyo S. YU, Connie K. CHEUK, Toto H. TSANG, Ash S. PO, Che Hin Chetwyn CHAN

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19 Citations (Scopus)

Abstract

Objective: To investigate the effect of a 2-week program of sensory cueing in which vibration induces the use of the paretic upper extremity in participants with chronic stroke in the community.
Design: A single-group longitudinal study.
Setting: Self-help organizations.
Participants: A convenience sample of 16 community residents (N=16) with chronic unilateral stroke and mild to moderate upper-extremity impairment stratified by the severity of their paretic arm function, measured by using the Functional Test for the Hemiplegic Upper Extremity (FTHUE).
Interventions: Participants engaged in repetitive upper-extremity task practice for 2 weeks while wearing an ambulatory sensory cueing device on their affected hand for 3 hours a day.
Main Outcome Measures: Evaluations were conducted on the 3 occasions of pretest (1 day before training), posttest (immediately after training), and follow-up test (2 weeks after training) by using the following behavioral measures of paretic upper-extremity performance: the Action Research Arm Test (ARAT), the Box and Block Test, the Fugl-Meyer Assessment (FMA), the FTHUE, power and pinch grips, the Motor Activity Log assessment of arm use, and kinematic data obtained from the device.
Results: Significant differences were found in ARAT and FMA scores among the pretest, posttest, and follow-up evaluations. The lower functioning group achieved a more significant increase in overall upper-extremity score than in the hand score for the FMA.
Conclusion: A combination of sensory cueing and movement-based strategies is useful and feasible in improving paretic upper-extremity performance in participants with chronic stroke; however, additional studies with a larger sample size and longer treatment period in a randomized controlled trial would be beneficial. Copyright © 2011 by the American Congress of RehabilitationMedicine.
Original languageEnglish
Pages (from-to)15-23
JournalArchives of Physical Medicine and Rehabilitation
Volume92
Issue number1
DOIs
Publication statusPublished - Jan 2011

Citation

Fong, K. N., Lo, P. C., Yu, Y. S., Cheuk, C. K., Tsang, T. H., Po, A. S., & Chan, C. C. H. (2011). Effects of sensory cueing on voluntary arm use for patients with chronic stroke: A preliminary study. Archives of Physical Medicine and Rehabilitation, 92(1), 15-23. doi: 10.1016/j.apmr.2010.09.014

Keywords

  • Chronic stroke
  • Learned nonuse
  • Paretic upper extremity
  • Rehabilitation
  • Sensory cueing
  • Voluntary arm use

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