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Carlsson H, Rosén B, Björkman A, et al. SENSory re-learning of the UPPer limb (SENSUPP) after stroke: development and description of a novel intervention using the TIDieR checklist. Trials. 2021;22(1):430doi: 10.1186/s13063-021-05375-6.
Carlsson, H., Rosén, B., Björkman, A., Pessah-Rasmussen, H., & Brogårdh, C. (2021). SENSory re-learning of the UPPer limb (SENSUPP) after stroke: development and description of a novel intervention using the TIDieR checklist. Trials, 22(1), 430. https://doi.org/10.1186/s13063-021-05375-6
Carlsson, Håkan, et al. "SENSory re-learning of the UPPer limb (SENSUPP) after stroke: development and description of a novel intervention using the TIDieR checklist." Trials vol. 22,1 (2021): 430. doi: https://doi.org/10.1186/s13063-021-05375-6
Carlsson H, Rosén B, Björkman A, Pessah-Rasmussen H, Brogårdh C. SENSory re-learning of the UPPer limb (SENSUPP) after stroke: development and description of a novel intervention using the TIDieR checklist. Trials. 2021 Jul 05;22(1):430. doi: 10.1186/s13063-021-05375-6. PMID: 34225764; PMCID: PMC8259306.
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Trials. 2021 Jul 05;22(1):430. doi: 10.1186/s13063-021-05375-6.

SENSory re-learning of the UPPer limb (SENSUPP) after stroke: development and description of a novel intervention using the TIDieR checklist.

Trials

Håkan Carlsson, Birgitta Rosén, Anders Björkman, Hélène Pessah-Rasmussen, Christina Brogårdh

Affiliations

  1. Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Malmö, Sweden. [email protected].
  2. Department of Health Sciences, Lund University, Lund, Sweden. [email protected].
  3. Department of Translational Medicine - Hand Surgery, Skåne University Hospital, Malmö, Sweden.
  4. Department of Hand Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  5. Department of Neurology, Rehabilitation Medicine, Memory Disorders and Geriatrics, Skåne University Hospital, Malmö, Sweden.
  6. Department of Clinical Sciences, Lund University, Lund, Sweden.
  7. Department of Health Sciences, Lund University, Lund, Sweden.

PMID: 34225764 PMCID: PMC8259306 DOI: 10.1186/s13063-021-05375-6

Abstract

BACKGROUND: Sensorimotor impairments of upper limb (UL) are common after stroke, leading to difficulty to use the UL in daily life. Even though many have sensory impairments in the UL, specific sensory training is often lacking in stroke rehabilitation. Thus, the aim of this paper is to provide a detailed description of the novel intervention "SENSory re-learning of the UPPer limb after stroke (SENSUPP)" that we have developed to improve functioning in the UL in persons with mild to moderate impairments after stroke.

METHODS: The SENSUPP protocol was designed using information from literature reviews, clinical experience and through consultation of experts in the field. The protocol integrates learning principles based on current neurobiological knowledge and includes repetitive intensive practice, difficulty graded exercises, attentive exploration of a stimulus with focus on the sensory component, and task-specific training in meaningful activities that includes feedback. For reporting the SENSUPP protocol, the Template for Intervention Description and Replication (TIDieR) checklist was used.

RESULTS: The essential features of the SENSUPP intervention comprise four components: applying learning principles based on current neurobiological knowledge, sensory re-learning (exercises for touch discrimination, proprioception and tactile object recognition), task-specific training in meaningful activities, and home-training. The training is performed twice a week, in 2.5-h sessions for 5 weeks.

CONCLUSION: Since there is close interaction between the sensory and motor systems, the SENSUPP intervention may be a promising method to improve UL functioning after stroke. The TIDieR checklist has been very useful for reporting the procedure and development of the training.

TRIAL REGISTRATION: ClinicalTrials.gov NCT03336749 . Registered on 8 November 2017.

Keywords: Sensory training; Stroke; Task-specific training; Upper limb

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