TY - JOUR
T1 - Effects of somatosensory impairment on participation after stroke
AU - Carey, Leeanne M.
AU - Matyas, Thomas A.
AU - Baum, Carolyn
N1 - Funding Information:
We acknowledge financial support for this research from the James S. McDonnell Foundation (JSMF Grants 21002032 and 220020087, awarded to CB) and National Health and Medical Research Council (NHMRC) Grants 307902 and 1022694 (awarded to LMC) and support for analysis, write-up, and researchers from the James S. McDonnell Foundation 21st Century Science Initiative in Cognitive Rehabilitation Collaborative Award (JSMF Grant 220020413), the Victorian Government’s Operational Infrastructure Support Program, an Australian Research Council Future Fellowship (FT0992299), and an NHMRC Career Development Award (307905) awarded to LMC. We acknowledge the contribution of Lisa Tabor Connor to an earlier presentation of preliminary data related to this study and to Tamara Tse for assistance with data compilation and checking.
Publisher Copyright:
© 2018 American Occupational Therapy Association, Inc. All rights reserved.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - OBJECTIVE. Our objective was to determine the effect of loss of body sensation on activity participation in stroke survivors. METHOD. Participants (N 5 268) were assessed at hospital admission for somatosensory and motor impairment using the National Institutes of Health Stroke Scale. Participation was assessed using the Activity Card Sort (ACS) in the postacute phase. Between-group differences in activity participation were analyzed for participants with and without somatosensory impairment and with or without paresis. RESULTS. Somatosensory impairment was experienced in 33.6% of the sample and paresis in 42.9%. ACS profiles were obtained at a median of 222 days poststroke. Somatosensory loss alone (z 5 1.96, p 5 .048) and paresis in upper and lower limbs without sensory loss (z 5 4.62, p < .001) influenced activity participation. CONCLUSION. Somatosensory impairment is associated with reduced activity participation; however, paresis of upper and lower limbs can mask the contribution of sensory loss.
AB - OBJECTIVE. Our objective was to determine the effect of loss of body sensation on activity participation in stroke survivors. METHOD. Participants (N 5 268) were assessed at hospital admission for somatosensory and motor impairment using the National Institutes of Health Stroke Scale. Participation was assessed using the Activity Card Sort (ACS) in the postacute phase. Between-group differences in activity participation were analyzed for participants with and without somatosensory impairment and with or without paresis. RESULTS. Somatosensory impairment was experienced in 33.6% of the sample and paresis in 42.9%. ACS profiles were obtained at a median of 222 days poststroke. Somatosensory loss alone (z 5 1.96, p 5 .048) and paresis in upper and lower limbs without sensory loss (z 5 4.62, p < .001) influenced activity participation. CONCLUSION. Somatosensory impairment is associated with reduced activity participation; however, paresis of upper and lower limbs can mask the contribution of sensory loss.
UR - http://www.scopus.com/inward/record.url?scp=85049593662&partnerID=8YFLogxK
U2 - 10.5014/ajot.2018.025114
DO - 10.5014/ajot.2018.025114
M3 - Article
C2 - 29689179
AN - SCOPUS:85049593662
VL - 72
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
SN - 0272-9490
IS - 3
M1 - 7203205100
ER -