London, United Kingdom 2013 25 Rehabilitation and reorganisation after stroke The relationship between kinesthesia and physical functions and damage region in stroke hemiplegic patients S. Morioka1, Y. Toyota2, Y. Yukawa3, A. Matsuo4, M. Hiyamizu5, H. Maeoka6, Y. Okada7, S. No-busako8 Kio University, Koryo, JAPAN1, Kio University, Koryo, JAPAN2, Murata Hospital, Osaka, JA-PAN3, Kio University, Koryo, JAPAN4, Kio University, Koryo, JAPAN5, Kio University, Koryo, JA-PAN6, Kio University, Koryo, JAPAN7, Kio University, Koryo, JAPAN8 Background: Post-stroke hemiplegic patients often experience disorders of kinesthesia, which can be an obstacle to rehabilitation. The purpose of this study was to clarify the relationships between kin-esthesia, physical functions, and body awareness, and damage region in stroke patients. Methods: The subjects were 20 stroke hemiplegic patients. The kinesthesia was investigated using the vibration stimulation device. Vibration was stimulated to the extensor carpi radialis tendon in affected hand. The subjects were questioned with a paper questionnaire about whether they felt an illusory motion on the stimulation. The Fugl–Meyer assessment was used to evaluate the physical functions. The evaluation established by Haggard (2010) was used to assess the sense of agency and body ownership. The damage region were determined using CT. The subjects were placed in 2 groups on the basis of the presence or absence of illusory motion, and comparisons were made between the groups for the parameters related to physical functions, and sense of agency, and body ownership, and damage region. Results: Twelve subjects experienced illusory motion (illusory group) and 8 subjects did not (non-il-lusory group). Scores for motor functions, sensory functions, and body ownership were significant-ly higher in the illusory group than in the non-illusory group (p< 0.05). In the illusory group, there were 10 cases of cerebral infarction and 2 cases of cerebral hemorrhage; in the non-illusory group, 8 cases were cerebral hemorrhage. The damage region in the non-illusory group was the thalamus and insula; in the illusory group, the damage region was the putamen, ACG, and cerebellum. Conclusion: This study clarified that the kinesthesia is related to the occurrence of physical func-tions, and body ownership. Moreover, all the subjects in the non-illusory group had experienced ce-rebral hemorrhage, and the occurrence of kinesthesia was particularly difficult in cases of damage to E-Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 585 the insula and thalamus. 24 Rehabilitation and reorganisation after stroke Rehabilitation for visual field loss: exploring scanning training interventions C. Hazelton1, A. Pollock2, M. Brady3, G. Walsh4 Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian Uni-versity, Glasgow, UNITED KINGDOM1, Nursing, Midwifery and Allied Health Professions Re-search Unit, Glasgow Caledonian University, Glasgow, UNITED KINGDOM2, Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UNITED KINGDOM3, Department of Vision Sciences, Glasgow Caledonian Univeristy, Glasgow, UNITED KINGDOM4 Scanning training is a common rehabilitation intervention for stroke patients with visual field loss. The evidence base informing treatment is limited and there are known variations in current practice; exploring these variations is necessary to inform future clinical trials. We aimed to identify inter-ventions currently used in clinical practice and explore the nature of, and variations between, these interventions. Methods We used a snowball sampling strategy to identify interventions currently used in Scotland. Recipi-ents included clinicians, researchers and charity representatives. We held two Expert Panel meetings, involving professionals with expertise in motor, sensory, lan-guage and cognitive skills. Panel members reached consensus on the level of the functional skills required to use each identified intervention. We objectively measured the eye movement training provided by each intervention using video cap-ture analysis techniques. Results Ten interventions met our inclusion criteria, with four distinct modes of delivery (Table 1). Detailed information was gathered relating to the level of function required for each intervention. This included levels of balance, upper limb control, language, vision, cognitive and perceptual func-tion. We found considerable variation in the levels of function required to use different interven-tions. Clear parameters of the area of visual field trained, the size and type of eye movements stimulated and the nature of training targets were obtained. The interventions showed wide variety in all as-pects of the eye movement training provided, but with an emphasis on improving volitional sac-cades within the central field. Conclusions A variety of scanning training interventions are in use in Scotland, which vary in mode of delivery, functional abilities required for use and visual skills trained. This information has important implica-tions for clinical practice and will inform further research and the development of clinical trials. Table 1: Identified Scanning Training Interventions Intervention Name Mode of delivery 1 Brainwave–R Visual processing Paper based 2 NVT pen and paper Paper based 3 Rainbow Readers Paper based 4 Biometrics E-Link Specialist equipment 5 NVT Scanning Device Specialist equipment 6 Happy Neuron - Brain Fitness Program Computer - online 7 Read-Right Computer - online 8 Eye Track Computer software 9 Lexion Computer software 10 VISIOcoach Computer software
Karger_ESC London_2013
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