Connell Louise A, McMahon Naoimh E, Adams Nicola
Clinical Practice Research Unit, School of Health, University of Central Lancashire, Preston PR1 2HE, United Kingdom.
Clinical Practice Research Unit, School of Health, University of Central Lancashire, Preston PR1 2HE, United Kingdom.
Physiotherapy. 2014 Jun;100(2):150-5. doi: 10.1016/j.physio.2013.09.003. Epub 2013 Oct 3.
Somatosensory ability is commonly impaired after stroke. Despite the growing recognition for the need to understand service users' experiences and perspectives in health services provision, the experiences of stroke survivors' living with somatosensory impairment have yet to be reported.
To gain an insight into how stroke survivors experience somatosensory impairment after stroke.
A qualitative study design was used with data analysed using Interpretative Phenomenological Analysis.
Semi-structured in-depth interviews were carried out with purposively selected community dwelling stroke survivors who had somatosensory impairment.
Five stroke survivors were interviewed in this study. Data analysis resulted in the emergence of three superordinate themes (i) making sense of somatosensory impairment, (ii) interplay of somatosensory impairment and motor control for executing tasks and (iii) perseverance versus learned non-use. The stroke survivors in this study were aware that their somatosensory ability was affected as a result of their stroke, but had difficulty in articulating their experiences of sensation and the impact of the impairment on functional ability. Most often somatosensory impairment was described in terms of difficulties with executing specific tasks, particularly by the upper limb.
It is important to be aware that somatosensory impairment is of concern to stroke survivors. Further research is needed to develop evidence-based and practice-appropriate clinical assessment tools and treatment strategies for somatosensory rehabilitation after stroke.
中风后体感能力通常会受损。尽管人们越来越认识到在医疗服务提供中了解服务使用者的经历和观点的必要性，但中风后伴有体感障碍的幸存者的经历尚未见报道。
深入了解中风幸存者中风后体感障碍的经历。
采用定性研究设计，使用解释现象学分析对数据进行分析。
对有目的地选择的患有体感障碍的社区居住中风幸存者进行半结构化深度访谈。
本研究对5名中风幸存者进行了访谈。数据分析得出了三个上位主题：（i）理解体感障碍；（ii）执行任务时体感障碍与运动控制的相互作用；（iii）坚持与习得性废用。本研究中的中风幸存者意识到他们的体感能力因中风而受到影响，但难以清晰表达他们的感觉体验以及障碍对功能能力的影响。大多数情况下，体感障碍是通过执行特定任务的困难来描述的，尤其是上肢。
必须认识到体感障碍是中风幸存者关注的问题。需要进一步研究，以开发基于证据且适用于临床实践的中风后体感康复临床评估工具和治疗策略。
