Lower limb sensory training improves functional capacity in hemiparesis: a single-blinded randomized controlled trial

Area of Science:

• Neurorehabilitation
• Physical Therapy
• Motor Control

Background:

• Motor training is the primary intervention for hemiparetic individuals.
• Limited focus on sensory input in current rehabilitation strategies.

Purpose of the Study:

• To evaluate the impact of lower extremity sensory training on light touch, proprioception, balance, gait, and functional capacity in hemiparetic individuals.
• To compare outcomes between a group receiving standard neurodevelopmental treatment and a group receiving additional sensory training.

Main Methods:

• 42 hemiparetic participants were divided into control and study groups.
• Both groups underwent Bobath approach neurodevelopmental treatment for 4 weeks.
• The study group additionally received sensory training.
• Evaluations included Motricity Index, Semmes-Weinstein Monofilament Test, Lower Extremity Position Test, kinesthesia measurements, and gait/balance analyses.

Main Results:

• The study group showed significant improvements in motricity index, sole sensation, position sense, and ankle kinesthesia.
• Statistically significant gains were observed in balance scores and gait parameters (speed, stride length, step length).
• The control group demonstrated no significant improvements in any measured parameter.

Conclusions:

• Sensory training in conjunction with standard therapy led to enhanced functional status, sensation, balance, and gait in hemiparetic individuals.
• Somatosensory training is a valuable adjunct for improving functional outcomes in hemiparesis rehabilitation.