A pilot study of sensory feedback by transcutaneous electrical nerve stimulation to improve manipulation deficit caused by severe sensory loss after stroke
Identifieur interne : 001D96 ( Main/Exploration ); précédent : 001D95; suivant : 001D97A pilot study of sensory feedback by transcutaneous electrical nerve stimulation to improve manipulation deficit caused by severe sensory loss after stroke
Auteurs : Kahori Kita [Japon] ; Yohei Otaka [Japon] ; Kotaro Takeda [Japon] ; Sachiko Sakata [Japon] ; Junichi Ushiba [Japon] ; Kunitsugu Kondo [Japon] ; Meigen Liu [Japon] ; Rieko Osu [Japon]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2013.
Abstract
Sensory disturbance is common following stroke and can exacerbate functional deficits, even in patients with relatively good motor function. In particular, loss of appropriate sensory feedback in severe sensory loss impairs manipulation capability. We hypothesized that task-oriented training with sensory feedback assistance would improve manipulation capability even without sensory pathway recovery.
We developed a system that provides sensory feedback by transcutaneous electrical nerve stimulation (SENS) for patients with sensory loss, and investigated the feasibility of the system in a stroke patient with severe sensory impairment and mild motor deficit. The electrical current was modulated by the force exerted by the fingertips so as to allow the patient to identify the intensity. The patient had severe sensory loss due to a right thalamic hemorrhage suffered 27 months prior to participation in the study. The patient first practiced a cylindrical grasp task with SENS for 1 hour daily over 29 days. Pressure information from the affected thumb was fed back to the unaffected shoulder. The same patient practiced a tip pinch task with SENS for 1 hour daily over 4 days. Pressure information from the affected thumb and index finger was fed back to the unaffected and affected shoulders, respectively. We assessed the feasibility of SENS and examined the improvement of manipulation capability after training with SENS.
The fluctuation in fingertip force during the cylindrical grasp task gradually decreased as the training progressed. The patient was able to maintain a stable grip force after training, even without SENS. Pressure exerted by the tip pinch of the affected hand was unstable before intervention with SENS compared with that of the unaffected hand. However, they were similar to each other immediately after SENS was initiated, suggesting that the somatosensory information improved tip pinch performance. The patient’s manipulation capability assessed by the Box and Block Test score improved through SENS intervention and was partly maintained after SENS was removed, until at least 7 months after the intervention. The sensory test score, however, showed no recovery after intervention.
We conclude that the proposed system would be useful in the rehabilitation of patients with sensory loss.
Url:
DOI: 10.1186/1743-0003-10-55
PubMed: 23764012
PubMed Central: 3701472
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A pilot study of sensory feedback by transcutaneous electrical nerve stimulation to improve manipulation deficit caused by severe sensory loss after stroke</title><author><name sortKey="Kita, Kahori" sort="Kita, Kahori" uniqKey="Kita K" first="Kahori" last="Kita">Kahori Kita</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Otaka, Yohei" sort="Otaka, Yohei" uniqKey="Otaka Y" first="Yohei" last="Otaka">Yohei Otaka</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Tokyo Bay Rehabilitation Hospital, Narashino, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Tokyo Bay Rehabilitation Hospital, Narashino</wicri:regionArea><wicri:noRegion>Narashino</wicri:noRegion></affiliation></author><author><name sortKey="Takeda, Kotaro" sort="Takeda, Kotaro" uniqKey="Takeda K" first="Kotaro" last="Takeda">Kotaro Takeda</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Clinical Research Center, National Hospital Organization Murayama Medical Center, Musashimurayama, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Clinical Research Center, National Hospital Organization Murayama Medical Center, Musashimurayama</wicri:regionArea><wicri:noRegion>Musashimurayama</wicri:noRegion></affiliation></author><author><name sortKey="Sakata, Sachiko" sort="Sakata, Sachiko" uniqKey="Sakata S" first="Sachiko" last="Sakata">Sachiko Sakata</name><affiliation wicri:level="1"><nlm:aff id="I3">Tokyo Bay Rehabilitation Hospital, Narashino, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Tokyo Bay Rehabilitation Hospital, Narashino</wicri:regionArea><wicri:noRegion>Narashino</wicri:noRegion></affiliation></author><author><name sortKey="Ushiba, Junichi" sort="Ushiba, Junichi" uniqKey="Ushiba J" first="Junichi" last="Ushiba">Junichi Ushiba</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Biosciences and Informatics, Keio University, Yokohama, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Biosciences and Informatics, Keio University, Yokohama</wicri:regionArea><wicri:noRegion>Yokohama</wicri:noRegion></affiliation></author><author><name sortKey="Kondo, Kunitsugu" sort="Kondo, Kunitsugu" uniqKey="Kondo K" first="Kunitsugu" last="Kondo">Kunitsugu Kondo</name><affiliation wicri:level="1"><nlm:aff id="I3">Tokyo Bay Rehabilitation Hospital, Narashino, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Tokyo Bay Rehabilitation Hospital, Narashino</wicri:regionArea><wicri:noRegion>Narashino</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Meigen" sort="Liu, Meigen" uniqKey="Liu M" first="Meigen" last="Liu">Meigen Liu</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Osu, Rieko" sort="Osu, Rieko" uniqKey="Osu R" first="Rieko" last="Osu">Rieko Osu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23764012</idno><idno type="pmc">3701472</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701472</idno><idno type="RBID">PMC:3701472</idno><idno type="doi">10.1186/1743-0003-10-55</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001265</idno><idno type="wicri:Area/Pmc/Curation">001265</idno><idno type="wicri:Area/Pmc/Checkpoint">001437</idno><idno type="wicri:Area/Ncbi/Merge">002740</idno><idno type="wicri:Area/Ncbi/Curation">002740</idno><idno type="wicri:Area/Ncbi/Checkpoint">002740</idno><idno type="wicri:Area/Main/Merge">001E18</idno><idno type="wicri:Area/Main/Curation">001D96</idno><idno type="wicri:Area/Main/Exploration">001D96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A pilot study of sensory feedback by transcutaneous electrical nerve stimulation to improve manipulation deficit caused by severe sensory loss after stroke</title><author><name sortKey="Kita, Kahori" sort="Kita, Kahori" uniqKey="Kita K" first="Kahori" last="Kita">Kahori Kita</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Otaka, Yohei" sort="Otaka, Yohei" uniqKey="Otaka Y" first="Yohei" last="Otaka">Yohei Otaka</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Tokyo Bay Rehabilitation Hospital, Narashino, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Tokyo Bay Rehabilitation Hospital, Narashino</wicri:regionArea><wicri:noRegion>Narashino</wicri:noRegion></affiliation></author><author><name sortKey="Takeda, Kotaro" sort="Takeda, Kotaro" uniqKey="Takeda K" first="Kotaro" last="Takeda">Kotaro Takeda</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Clinical Research Center, National Hospital Organization Murayama Medical Center, Musashimurayama, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Clinical Research Center, National Hospital Organization Murayama Medical Center, Musashimurayama</wicri:regionArea><wicri:noRegion>Musashimurayama</wicri:noRegion></affiliation></author><author><name sortKey="Sakata, Sachiko" sort="Sakata, Sachiko" uniqKey="Sakata S" first="Sachiko" last="Sakata">Sachiko Sakata</name><affiliation wicri:level="1"><nlm:aff id="I3">Tokyo Bay Rehabilitation Hospital, Narashino, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Tokyo Bay Rehabilitation Hospital, Narashino</wicri:regionArea><wicri:noRegion>Narashino</wicri:noRegion></affiliation></author><author><name sortKey="Ushiba, Junichi" sort="Ushiba, Junichi" uniqKey="Ushiba J" first="Junichi" last="Ushiba">Junichi Ushiba</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Biosciences and Informatics, Keio University, Yokohama, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Biosciences and Informatics, Keio University, Yokohama</wicri:regionArea><wicri:noRegion>Yokohama</wicri:noRegion></affiliation></author><author><name sortKey="Kondo, Kunitsugu" sort="Kondo, Kunitsugu" uniqKey="Kondo K" first="Kunitsugu" last="Kondo">Kunitsugu Kondo</name><affiliation wicri:level="1"><nlm:aff id="I3">Tokyo Bay Rehabilitation Hospital, Narashino, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Tokyo Bay Rehabilitation Hospital, Narashino</wicri:regionArea><wicri:noRegion>Narashino</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Meigen" sort="Liu, Meigen" uniqKey="Liu M" first="Meigen" last="Liu">Meigen Liu</name><affiliation wicri:level="3"><nlm:aff id="I2">Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Osu, Rieko" sort="Osu, Rieko" uniqKey="Osu R" first="Rieko" last="Osu">Rieko Osu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Motor Control and Rehabilitation, ATR Computational Neuroscience Laboratories, Kyoto</wicri:regionArea><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Sensory disturbance is common following stroke and can exacerbate functional deficits, even in patients with relatively good motor function. In particular, loss of appropriate sensory feedback in severe sensory loss impairs manipulation capability. We hypothesized that task-oriented training with sensory feedback assistance would improve manipulation capability even without sensory pathway recovery.</p></sec><sec><title>Methods</title><p>We developed a system that provides sensory feedback by transcutaneous electrical nerve stimulation (SENS) for patients with sensory loss, and investigated the feasibility of the system in a stroke patient with severe sensory impairment and mild motor deficit. The electrical current was modulated by the force exerted by the fingertips so as to allow the patient to identify the intensity. The patient had severe sensory loss due to a right thalamic hemorrhage suffered 27 months prior to participation in the study. The patient first practiced a cylindrical grasp task with SENS for 1 hour daily over 29 days. Pressure information from the affected thumb was fed back to the unaffected shoulder. The same patient practiced a tip pinch task with SENS for 1 hour daily over 4 days. Pressure information from the affected thumb and index finger was fed back to the unaffected and affected shoulders, respectively. We assessed the feasibility of SENS and examined the improvement of manipulation capability after training with SENS.</p></sec><sec><title>Results</title><p>The fluctuation in fingertip force during the cylindrical grasp task gradually decreased as the training progressed. The patient was able to maintain a stable grip force after training, even without SENS. Pressure exerted by the tip pinch of the affected hand was unstable before intervention with SENS compared with that of the unaffected hand. However, they were similar to each other immediately after SENS was initiated, suggesting that the somatosensory information improved tip pinch performance. The patient’s manipulation capability assessed by the Box and Block Test score improved through SENS intervention and was partly maintained after SENS was removed, until at least 7 months after the intervention. The sensory test score, however, showed no recovery after intervention.</p></sec><sec><title>Conclusions</title><p>We conclude that the proposed system would be useful in the rehabilitation of patients with sensory loss.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Suzuki, K" uniqKey="Suzuki K">K Suzuki</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Yekutiel, M" uniqKey="Yekutiel M">M Yekutiel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carey, Lm" uniqKey="Carey L">LM Carey</name></author><author><name sortKey="Matyas, Ta" uniqKey="Matyas T">TA Matyas</name></author><author><name sortKey="Oke, Le" uniqKey="Oke L">LE Oke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Js" uniqKey="Kim J">JS Kim</name></author><author><name sortKey="Choi Kwon, S" uniqKey="Choi Kwon S">S 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Kottke</name></author><author><name sortKey="Halpern, D" uniqKey="Halpern D">D Halpern</name></author><author><name sortKey="Easton, Jk" uniqKey="Easton J">JK Easton</name></author><author><name sortKey="Ozel, At" uniqKey="Ozel A">AT Ozel</name></author><author><name sortKey="Burrill, Ca" uniqKey="Burrill C">CA Burrill</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kajimoto, H" uniqKey="Kajimoto H">H Kajimoto</name></author><author><name sortKey="Inami, M" uniqKey="Inami M">M Inami</name></author><author><name sortKey="Kawakami, N" uniqKey="Kawakami N">N Kawakami</name></author><author><name sortKey="Tachi, S" uniqKey="Tachi S">S Tachi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kajimoto, H" uniqKey="Kajimoto H">H Kajimoto</name></author><author><name sortKey="Kawakami, N" uniqKey="Kawakami N">N Kawakami</name></author><author><name sortKey="Tachi, S" uniqKey="Tachi S">S Tachi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosen, B" uniqKey="Rosen B">B Rosén</name></author><author><name sortKey="Lundborg, G" uniqKey="Lundborg G">G Lundborg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dellon, A" uniqKey="Dellon A">A Dellon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parry, Cb" uniqKey="Parry C">CB Parry</name></author><author><name sortKey="Salter, M" uniqKey="Salter M">M Salter</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><settlement><li>Tokyo</li></settlement></list><tree><country name="Japon"><noRegion><name sortKey="Kita, Kahori" sort="Kita, Kahori" uniqKey="Kita K" first="Kahori" last="Kita">Kahori Kita</name></noRegion><name sortKey="Kondo, Kunitsugu" sort="Kondo, Kunitsugu" uniqKey="Kondo K" first="Kunitsugu" last="Kondo">Kunitsugu Kondo</name><name sortKey="Liu, Meigen" sort="Liu, Meigen" uniqKey="Liu M" first="Meigen" last="Liu">Meigen Liu</name><name sortKey="Osu, Rieko" sort="Osu, Rieko" uniqKey="Osu R" first="Rieko" last="Osu">Rieko Osu</name><name sortKey="Otaka, Yohei" sort="Otaka, Yohei" uniqKey="Otaka Y" first="Yohei" last="Otaka">Yohei Otaka</name><name sortKey="Otaka, Yohei" sort="Otaka, Yohei" uniqKey="Otaka Y" first="Yohei" last="Otaka">Yohei Otaka</name><name sortKey="Otaka, Yohei" sort="Otaka, Yohei" uniqKey="Otaka Y" first="Yohei" last="Otaka">Yohei Otaka</name><name sortKey="Sakata, Sachiko" sort="Sakata, Sachiko" uniqKey="Sakata S" first="Sachiko" last="Sakata">Sachiko Sakata</name><name sortKey="Takeda, Kotaro" sort="Takeda, Kotaro" uniqKey="Takeda K" first="Kotaro" last="Takeda">Kotaro Takeda</name><name sortKey="Takeda, Kotaro" sort="Takeda, Kotaro" uniqKey="Takeda K" first="Kotaro" last="Takeda">Kotaro Takeda</name><name sortKey="Ushiba, Junichi" sort="Ushiba, Junichi" uniqKey="Ushiba J" first="Junichi" last="Ushiba">Junichi Ushiba</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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