The Effect of Somatosensory Stimulation on Recovery of the Integrity of the Somatosensory Pathway after Brain Damage

체감각 자극이 뇌손상 후 체성감각경로의 통합성 회복에 미치는 효과

  • Kim Dae-Ran (Department of Physiology, Yonsei University Wonju College of Medicine)
  • 김대란 (연세대학교 원주의과대학 생리학)
  • Published : 2004.12.01

Abstract

Purpose: The purpose of this study was to determine the effect of a 3-week somatosensory stimulation program on the integrity of the somatosensory pathway of patients with brain damage. Method: The sample consisted of two groups of patients with brain damage matched by Glasgow Coma Scale (GCS) scores and age:8 patients with a mean age of 56.75 years who were treated with somatosensory stimulation, and 8 patients with a mean age of 58.88 years, who were not treated with sensory intervention program. A repeated measures matched-control group design was used to assess functional recovery of the brain. The instrument used in this study was SSEP (somatosensory evoked potentials), a neurophysiological parameter, for the integrity of the somatosensory pathway. Results: The hypothesis that patients with brain damage who were treated with the somatosensory stimulation program will show higher SSEP wave form scores than the non-treatment group was supported (3rd week.: U=13.000, p=.014). Additional repeated measures analysis showed that there were no significant differences in recovery trends between the groups (F=1.945, p=.159). Conclusion: This study demonstrates that a somatosensory stimulation program is effective in promoting recovery of the integrity of the somatosensory pathway of patients with brain damage.

Keywords

References

  1. Cho, Y, S., Kwon, H, K., Ahn, M, K, (1998), Clinical aspects and rehabilitation outcome in patients with traumatic brain injury, J of Korean Acad of Rehab Med, 22(1), 1-8
  2. Cope, D, N., & Hall, K (1982), Head injury rehabilitation: benefit of early intervention, Arch Phys Med Rehabil, 63, 433-437
  3. Craik, R. L. (1982), Clinical correlates of neural plasticity, Physical Therapy, 62(10), 1452-1462
  4. Duncan, P. W., Goldstein, L. B., Matchar, D., Divine, G. W., & Feussner, J. (1992). Measurement of motor recovery after stroke: outcome assessment and sample requirements. Stroke. 23(8), 1084-1089.225
  5. Finger, S., & Stein, D. G. (1982). Brain damage and recovery. New York: Academic Press
  6. Ganadevia, S. C., & McCloskey, D. I. (1976). Joint sense, muscle sense, and their combination as position sense, measured at the distal interphalangeal joint of the middle finger. J Physiol, 260, 387-407
  7. Giles, G. M., & Clark-Wilson, J. (1993). Brain injury rehabilitation: A neurofunctional approach. London: Chapman & Hall
  8. Guyton, A. C., & Hall, J. E. (2000). Medical physiology(10th eds.), Philadelphia: W.B. Saunders Company
  9. Han, T. R. (1993). Measurement of somatosensory evoked potentials. The J Korean Acad Rehab Med, 17(2), 151-156
  10. Indredavik, B., Bakke, F., Slordadal, S. A., Rokseth, R., Hahein, L. L. (1999). Treatment in a combined acute and rehabilitation stroke unit - which aspects are most important? - Stroke, 30(5), May, 917-923
  11. Johansson, B. B. (2000). Brain plasticity and stroke rehabilitation. Stroke, 31, 223-230
  12. Judson, J. A., Cant, B. R., & Shaw, N. A. (1990). Early prediction of outcome from cerebral trauma by somatosensory evoked potentials. Critical Care Medicine, 18, 363-368
  13. Kalra, L. (1994). The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke, 25(4), 821-825
  14. Kaas, J. H. (1991). Plasticity of sensory and motor maps in adult and developing mammals. Annual Rev of Neurosci, 14, 137-167 https://doi.org/10.1146/annurev.ne.14.030191.001033
  15. Kim, J. K., Hah, J. S., & Byun, Y. J. (1992). A preliminary study on the functional recovery after acute stroke assessed by Barthel ADL index J Korean Neurosci, 10(3), 298-307
  16. Kim, J. H., Han, T. R., & Lee, C. K. (1988). Median nerve SSEP: neurophysiologic considerations. J of Korean Acad of Rehab Med, 12(2), 248-257
  17. Kater, K. M. (1989), Response of head-injured patients to sensory stimulation. Western Journal of Nursing Research, 11(1), 20-33
  18. Mackay, L. E., Bernstein, B. A., Chapman, P. E., Morgan, A. S., Milazzo, L. S. (1992). Early intervention in severe head injury: long-term benefits of a formalized program. Arch Phys Med Rehabil, 73, 635-641
  19. Misra, U. K., Kalita, J., Roy, A. K., Mandal, S. K., Srivastava, M. (2000). Role of clinical, radiological, and neurophysiological changes in predicting the outcome of tuberculous meningitis: a multi variable analysis. J of Neurol, Neurosurg, Psychi, 68, 300-303 https://doi.org/10.1136/jnnp.68.3.300
  20. Namerow, N. S. (1987). Cognitive and behavioral aspects of brain-injury rehabilitation. Neurolo Clinics, 5(4), 569-581
  21. Oh, H., & Seo, W. (2003). Sensory stimulation programme to improve recovery in comatose patients. J of Clinical Nursing, 12, 394-404
  22. Parsons, L. C., & Wilson, M. M. (1984). Cerebrovascular status of severe closed head injured patients following passive position changes. Nursing Research, 33(2), 68-75
  23. Peterson, N. N., Schroeder, C. E., & Arezzo, J. C. (1995). Neural generators of early cortical somatosensory evoked potentials in the awake monkey. Electroencephal and Clinical Neurophysiol, 96, 248-260 https://doi.org/10.1016/0168-5597(95)00006-E
  24. Pohlmann-Eden, B., Dingethal, K., Bender, H. J., Koelfen, W. (1997). How reliable is the predictive value of SEP patterns in severe brain damage with special regard to the bilateral loss of cortical responses? Intensive Care Med, 23, 301-308
  25. Ralston, H. J., Miller, M. R., & Kasahara, M. (1960). Nerve endings human fascial, tendons, ligaments, periosteum, and joint synovial membrane. Anat Rev, 136, 137-148 https://doi.org/10.1002/ar.1091360208
  26. Rapisarda, G., Bastings, E., Noordhout, A. M., Pennisi, G., & Delwaide, P. J. (1996). Can motor recovery in stroke patients be predicted by early transcranial magnetic stimulation? Stroke, 27(12), 2191-2196
  27. Rising, C. J. (1993). The relationship of selected nursing activities to ICP. J of Neurosci Nursing, 25(5), 302-308
  28. Shigemori, M., Yuge, T., Kawasaki, K., Tokutomi, T., Kawaba, T., Nakashima, H., Watanabe, M., & Kuramoto, S. (1987). Evaluation of brain dysfunction in hypertensive putaminal hemorrhage with multimodality evoked potentials. Stroke, 18(1), 72-76
  29. Sisson, R. (1990). Effects of auditory stimuli on comatose patients with head injury. Heart & Lung, 19(4), 373-378
  30. Slater, R., Reivich, M., Goldberg, H., Banka, E., Greenberg, J. (1977). Diaschisis with cerebral infarction. Stroke, 8, 684-690
  31. Song, M. S. (1997). Effects of a neurological special nursing and early rehabilitation program on early recovery of patients with acute intracerebral hemorrhage and on satisfaction of patient's families. Unpublished Doctoral Dissertation, Catholic University of Korea, seoul
  32. Sosnowski, C, & Ustik, M. (1994). Early intervention: Coma stimulation in the lCU. J of Neurosci Nursing, 26(6), 336-341
  33. Tatemichii, T. K., Desmond, D. W., Stern, Y., Paik, M., Sano, M., Bagiella, E. (1994). Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities. J of Neurol Neurosurg Psychiatry, 57(2), 202-207