:::

詳目顯示

回上一頁
題名:綜論中風患者的感覺再教育
書刊名:臺灣職能治療研究與實務雜誌
作者:葉蘭蓀簡福佑江心瑜紀昕妤
作者(外文):Yeh, Lan-suenGean, AllenChiang, Hsin-yuChi, Hsin-yu
出版日期:2008
卷期:4:1
頁次:頁17-26
主題關鍵詞:感覺訓練職能治療腦中風文獻回顧Somatosensory retrainingOccupational therapyCerebral vascular accidentsLiterature review
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:0
  • 點閱點閱:28
目的:針對上肢感覺缺損的中風患者,植基於腦塑性的概念及避免習得廢用,感覺再教育是臨床上常用介入方式。本文希以文獻回顧的方式整合療效證據,探究其治療技巧、流程及可能治療機轉,以提出對臨床工作及未來研究方向之建議。方法:檢索電子資料庫中1950年至2008年發表之相關文獻,找出以感覺訓練為自變項,依變項至少含一項感覺功能評估,且為針對中風感覺缺損的患側上肢給予感覺刺激之隨機控制試驗或單一對象實驗設計。結果:共收錄八篇文獻報告,其中七篇顯示感覺能力明顯提升,另一篇無顯著差異;動作控制能力則均大幅進步。在治療技巧上,多建議提供大量的感覺刺激及學習時程。結論:中風患者的感覺再教育可有效改善中風患者的上肢感覺能力及動作功能。未來可進一步針對可能影響治療效益之因子進行探究,如不同發病時程的腦塑性及適用治療內容或日常生活功能的品質等。也可透過更嚴謹的實驗設計,增加樣本數,並結合腦影像學技術,以發展具實證基礎及學理基礎的中風復健治療。
Objective: Sensory reeducation, based on the concept of neuroplasticity and on the prevention of learned nonuse, is frequently used for improving stroke-induced sensory impairment of the upper limb. The purposes of this study were to integrate the evidence of therapeutic effects of sensory reeducation for stroke and to analyze the treatment techniques, protocols, and possible rationale by literature review. Methods: To retrieve relevant studies for this review, articles published during 1950 to 2008, including randomized controlled trials (RCTs) and single-subject experimental designs (SSEDs), were searched from electronic databases. The independent variables of the target studies were sensory reeducation or sensory reeducation and other treatment. The dependent variables were sensory function or assessment containing at lest one sensory function and other abilities. Results: Five RCTs and three SSEDs articles were included. Our findings demonstrated that patients receiving sensory reeducation generally performed better in motor function and sensory function. The treatment protocols emphasize providing a lot of sensory stimuli and intensive trainings. Conclusion: With limited studies, sensory reeducation for stroke patients deserves more research. It is necessary to develop more valid and sensitive evaluation tools and refine treatment techniques and protocols to enhance adequate practice. Moreover, further research may underscore the factors that might mediate effects of sensory reeducation. Lastly, with large sample size, more precise experimental designs, and the use of neuroimage laboratory modalities, future research may facilitate development of theory-and evidence-based rehabilitation after stroke.
期刊論文
1.Byl, N.、Roderick, J.、Mohamed, O.(2003)。Effectiveness of sensory and motor rehabilitation of the upper limb following the principles of neuroplasticity: Patients stable poststroke。Neurorehabilitation and Neural Repair,17,176-191。  new window
2.Cambier, D, C.、De Corte, E.、Danneels, L. A.、Witvrouw, E. E.(2003)。Treating sensory impairments in the post-stroke upper limb with intermittent pneumatic compression: Results of a preliminaiy trial。Clinical Rehabilitation,17,14-20。  new window
3.Carey, L. M.、Abbott, D. F.、Puce, A.、Jackson, G. D.、Syngeniotis, A.、Donnan, G. A.(2002)。Reemergence of activation with poststroke somatosensory recovery: A serial fMRI case study。Neurology,59,749-752。  new window
4.Carey, L. M.、Matyas, T. A.(1993)。Sensory loss in stroke patient: Effective training of tactile and proprioceptive discrimination。Archives of Physical Medicine and Rehabilitation,74,602-611。  new window
5.Carey, L. M.、Matyas, T. A.(2005)。Training of somatosensory discrimination after stroke: Facilitation of stimulus generalization。American Journal of Physical Medicine and Rehabilitation,84,428-442。  new window
6.Carey, L. M.、Seitz, R. J.(2007)。Functional neuroimaging in stoke recovery and neurorehabilitation: Conceptual issues and perspectives。International Journal of Stroke,2(4),245-264。  new window
7.Castillo, E. M.、Boake, C.、Breier, J. I.(2008)。Aberrant cortical functionality and somatosensory deficits after stroke。Journal of Clinical Neurophysiology,25(3),132-138。  new window
8.Chen, J-C.、Liang, C-C.、Shaw, F-Z.(2005)。Facilitation of sensory and motor recovery by thermal intervention for the hemiplegic upper limb in acute stroke patients: A single-blind randomized clinical trial。Stroke,36,2665-2669。  new window
9.Dannenbaum, R. M.、Dykes, R. W.(1988)。Sensory loss in the hand after sensory stroke: Therapeutic rationale。Archives of Physical Medicine and Rehabilitation,69,833-839。  new window
10.Davis, K. D.、Kwan, C, L.、Crawley, A. P.、Mikulis, D. J.(1998)。Functional MRI study of thalamic and cortical activation evoked by cutaneous heat, cold, and tactile stimuli。Journal of Neurophysiology,80,1533-1546。  new window
11.De Jersey, M. C.(1979)。Report on a sensory programme for patients with sensory deficits。Australian Journal of Physiotherapy,25,165-170。  new window
12.Druschky, K.、Kaltenhauser, M.、Hummel, C.(2002)。Post-apoplectic reorganization of cortical areas processing passive movement and tactile stimulation-a neuromagnetic case study。Neuroreport,13,2581-2586。  new window
13.Feys, H. M.、de Weerdt, W. J.、Selz, B. E.(1998)。Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke: A single blind, randomized, controlled multicenter trial。Stroke,29,785-792。  new window
14.Feys, H.、de Weerdt, W.、Verbeke, G.(2004)。Early and repetitive stimulation of the arm can substantially improve the long-term outcome after stroke: A 5-year follow-up study of a randomized trial。Stroke,35,924-929。  new window
15.Johansson, B. B.(2000)。Brain plasticity and stroke rehabilitation. The Willis lecture。Stroke,31,223-230。  new window
16.Forster, F. M.、Shields, C. D.(1959)。Cortical sensory defects causing disability。Archives of Physical Medicine and Rehabilitation,40(2),56-61。  new window
17.Gelnar, P. A.、Krauss, B. R.、Sheehe, P. R.、Szeverenyi, N. M.、Apkarian, A. V.(1999)。A comparative fMRI study of cortical representations for thermal painful, vibrotactile and motor performance tasks。Neuroimage,10,460-482。  new window
18.Good, D. C.(2003)。Stroke: Promising neurorehabilitation interventions and steps toward testing them。American Journal of Physical Medicine and Rehabilitation,82(10),50-57。  new window
19.Mace, M. J-M.、Levin, O.、Alaerts, K.、Rothwell, J.、Swinnen, S. P.(2008)。Corticospinal facilitation following prolonged proprioceptive stimulation by means of passive wrist movement。Journal of Clinical Neurophysiology,25(4),202-209。  new window
20.Ruch, T. C.、Fulton, J. F.、German, W.(1938)。Sensory discrimination in monkey, chimpanzee and man after lesions of the parietal lobe。Archives of Neurology and Psychiatry,39,919-938。  new window
21.Schaechter, J. D.、Moore, C. I.、Connell, B. D.、Rosen, B. R.、Dijkhuizen, R. M.(2006)。Structural and functional plasticity in the somatosensory cortex of chronic stroke patients。Brain,129,2722-2733。  new window
22.Smania, N.、Montagnana, B.、Faccioli, S.、Fiaschi, A.、Aglioti, S.(2003)。Rehabilitation of somatic sensation and related deficit of motor control in patients with pure sensory stroke。Archives of Physical Medicine and Rehabilitation,84,1692-1702。  new window
23.Sommerfeld, D. K.、von Arbin, M. H.(2004)。The impact of somatosensory function on activity performance and length of hospital stay in geriatric patients with stroke。Clinical Rehabilitation,18,149-155。  new window
24.Tyson, S. F.、Hanley, M.、Chillala, J.、Selley, A. B.、Tallis, R. C.(2008)。Sensory loss in hospital-admitted people with stroke: Characteristics, associated factors, and relationship with function。Neurorehabilitation and Neural Repair,22,166-172。  new window
25.Van Deusen Fox, J.(1964)。Cutaneous stimulation: Effects on selected test of perceptions。American Journal of Occupational Therapy,18,53-55。  new window
26.Vinograd, A.、Taylor, E.、Grossman, S.(1962)。Sensory retraining of the hemiplegic hand。American Journal of Occupational Therapy,16,246-250。  new window
27.Welmer, A.-K.、von Arbin, M.、Murray, V.、Holmqvist, L. W.、Sommerfeld, D. K.(2007)。Determinants of mobility and self-care in older people with stroke: Importance of somatosensory and perceptual functions。Physical Therapy,87,1633-1641。  new window
28.Winward, C. E.、Halligan, P. W.、Wade, D. T.(2007)。Somatosensory recovery: A longitudinal study of the first 6 months after unilateral stroke。Disability and Rehabilitation,29,293-299。  new window
29.Yekutiel, M.、Guttman, E.(1993)。A controlled trial of the retraining of sensory function of the hand。Journal of Neurology, Neurosurgery, and Psychiatry,56,241-244。  new window
學位論文
1.Connell, L. A.(2007)。Sensory impairment and recovery after stroke(博士論文)。University of Nottingham,UK。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE