Impact of Sensory Stimulation Techniques on Selected Responses among Patients with Cerebrovascular Stroke
Main Article Content
Keywords
Sensory Deficits - Stroke - Sensory Stimulation Techniques- GCS – WNSPP
Abstract
Background: Sensory dysfunctions are common symptoms associated with cerebrovascular stroke (CVS) that can have a significant impact on patient’s quality of life. Sensory deficits may include vision problems such as blurred vision or double vision, visual field cuts; hearing loss; numbness in the face or extremities; balance issues as dizziness, tingling sensations; pain; temperature sensitivity, and decreased sensitivity to touch.
Aim: The aim of the study was to evaluate the impact of sensory stimulation techniques on selected (visual and tactile) responses among patients with cerebrovascular stroke.
Research design: Pretest posttest nonequivalent quasi-experimental design was utilized in the study.
Subjects: A non-probability purposive sample of 60 male and female adult patients with a confirmed diagnosis of cerebrovascular stroke was recruited. The sample was equally assigned randomly to study and control groups.
Setting: The study was conducted in stroke unit at Al Manial University Hospital affiliated to Cairo University.
Tools: Three tools were used to collect pertinent data as follows: a- Personal and Medical Data Form (PMDF); Glasgow Coma Scale (GCS); Western Neuro Sensory Stimulation Profile (WNSSP).
Results: More than half of study and control groups were males between 40 to 60 years old. The WNSSP visual and tactile subscale scores for the subjects in the study group improved after implementation of sensory stimulation techniques.
Conclusion: The implementation of sensory stimulation techniques is an effective strategy to improve visual and tactile responses among patients with CVS.
Recommendations: Sensory stimulation should be an integral part of the total management of patients with CVS. Further study should be conducted on larger probability sample at different geographical areas for generalization of the findings.
References
2. Abdu, H., Tadese, F., & Seyoum, G. (2021). Comparison of Ischemic and Hemorrhagic Stroke in the Medical Ward of Dessie Referral Hospital, Northeast Ethiopia: A Retrospective Study. Neurology Research International, 2021, 9996958. https://doi.org/10.1155/2021/9996958
3. Abo Elazayem, M. G. M., El Agroudy, N., Shafiq, F. A., & Mansour, T. G. (2020). Challenges Facing Dissemination of Dialogue Values in the Egyptian Rural Society and Methods of Confrontation. Egyptian Journal of Agronomy, 42(3), 225–234.
4. Adineh, M., Elahi, N., Molavynejad, S., Jahani, S., & Savaie, M. (2022). Impact of a sensory stimulation program conducted by family members on the consciousness and pain levels of ICU patients: A mixed method study. Frontiers in Medicine, 9, 931304. https://doi.org/10.3389/fmed.2022.931304
5. Agustin Wulandari, R. (2020). The Effect of Family-Centered Affective Stimulation on Brain-Injured Comatose Patient’s Level of Consciousness Randomized Controlled Trial: A Literature Review. D’Nursing and Health Journal (DNHJ), 1(1 SE-Articles), 7–12. https://doi.org/10.36835/dnursing.v1i1.107
6. Ahmed, F. R., Attia, A. K., Mansour, H., & Megahed, M. (2022). Outcomes of family‐centred auditory and tactile stimulation implementation on traumatic brain injured patients. Nursing Open.
7. Alam, Z. A., Elsaay, O. E., Weheida, S. M., Elazazy, H. M., & Ahamed, E. (2016). Effect of sensory and motor stimulation program on clinical outcomes of patients with moderate head injury. J Nurs Health Sci, 5(5), 24–36.
8. Ansell, B. J., & Keenan, J. E. (1989). The Western Neuro Sensory Stimulation Profile: a tool for assessing slow-to-recover head-injured patients. Archives of Physical Medicine and Rehabilitation, 70(2), 104–108.
9. Aref, H., Zakaria, M., Shokri, H., Roushdy, T., El Basiouny, A., & El Nahas, N. (2021). Changing the Landscape of Stroke in Egypt. Cerebrovascular Diseases Extra, 11(3), 155–159. https://doi.org/10.1159/000521271
10. Ashcraft, S., Wilson, S. E., Nyström, K. V, Dusenbury, W., Wira, C. R., & Burrus, T. M. (2021). Care of the patient with acute ischemic stroke (prehospital and acute phase of care): Update to the 2009 comprehensive nursing care scientific statement: A scientific statement from the American Heart Association. Stroke, 52(5), e164–e178.
11. Ayoobi, F., Khalili, P., Azin, H., Shahrokhabadi, S., & Azin, M. (2021). Effects of tactile stimulation on the sensory, motor and cognitive function in people with multiple sclerosis. Clinical Neurology and Neurosurgery, 205, 106643. https://doi.org/10.1016/j.clineuro.2021.106643
12. Becher, H., Palm, F., Aigner, A., Safer, A., Urbanek, C., Buggle, F.,... Grau, A.J. (2016). Socioeconomic conditions in childhood, adolescence, and adulthood and the risk of ischemic stroke. Stroke, 47(1), 173–179. https://doi.org/10.1161/STROKEAHA.115.011523
13. Bindawas, S. M., Mawajdeh, H. M., Vennu, V. S., & Alhaidary, H. M. (2017). Functional recovery differences after stroke rehabilitation in patients with uni- or bilateral hemiparesis. Neurosciences (Riyadh, Saudi Arabia), 22(3), 186–191. https://doi.org/10.17712/nsj.2017.3.20170010
14. Campbell, B. C. V, De Silva, D. A., Macleod, M. R., Coutts, S. B., Schwamm, L. H., & Davis, S. M. (2019). Ischaemic stroke. Nature Reviews Disease Primers, 5(1), 70. https://doi.org/10.1038/s41572-019-0118-8
15. Cheng, L., Cortese, D., Monti, M. M., Wang, F., Riganello, F., Arcuri, F., & Schnakers, C. (2018). Do sensory stimulation programs have an impact on consciousness recovery? Frontiers in Neurology, 9, 826.
16. Cho, S.-M., Premraj, L., Fanning, J., Huth, S., Barnett, A., & Whitman, G. (2021). Ischemic and hemorrhagic stroke among critically ill patientswith coronavirus disease 2019: An international multicenter coronavirus disease 2019 Critical Care Consortium Study. Critical Care Medicine, 49(12), e1223.
17. Cusick, A., Lannin, N. A., Hanssen, R., & Allaous, J. (2014a). Validating the W estern N euro S ensory S timulation P rofile for patients with severe traumatic brain injury who are slow‐to‐recover. Australian Occupational Therapy Journal, 61(4), 276–283.
18. Cusick, A., Lannin, N. A., Hanssen, R., & Allaous, J. (2014b). Validating the Western Neuro Sensory Stimulation Profile for patients with severe traumatic brain injury who are slow-to-recover. Australian Occupational Therapy Journal, 61(4), 276–283. https://doi.org/10.1111/1440-1630.12128
19. Dantes, E., Axelerad, S. D., Stroe, A. Z., Axelerad, D. D., & Axelerad, A. D. (2020). The rehabilitation of hemiparesis after stroke. Ovidius University Annals, Series Physical Education & Sport/Science, Movement & Health, 20(1).
20. Deshpande, S. D., Varadharajulu, G., & Kanase, S. (2019). Effect of Choice-Based Sensory Stimulation as a Coma Stimulation Technique on Traumatic Brain Injury. SCOPUS IJPHRD CITATION SCORE, 10(7), 94.
21. Dwivedi, C. (2019). A study of selected-response type assessment (MCQ) and essay type assessment methods for engineering students. Journal of Engineering Education Transformations, 32(3), 91–95.
22. El Nahas, N. M., Shokri, H. M., Roushdy, T. M., Aref, H. M., Hamed, S. M., Shalash, A. S., … Georgy, S.S. (2019). Urban versus rural Egypt: Stroke risk factors and clinical profile: Cross-sectional observational study. Journal of Stroke and Cerebrovascular Diseases, 28(11), 104316.
23. Faozi, E., Fadlilah, S., Dwiyanto, Y., Retnaningsih, L. N., & Krisnanto, P. D. (2021). Effects of a Multimodal Sensory Stimulation Intervention on Glasgow Coma Scale Scores in Stroke Patients with Unconsciousness. Korean Journal of Adult Nursing, 33(6), 649–656.
24. Freytes, I. M., Sullivan, M., Schmitzberger, M., LeLaurin, J., Orozco, T., Eliazar-Macke, N., & Uphold, C. (2021). Types of stroke-related deficits and their impact on family caregiver’s depressive symptoms, burden, and quality of life. Disability and Health Journal, 14(2), 101019.
25. Gandhi, D. B. C., Sebastian, I. A., & Bhanot, K. (2021). Rehabilitation of Post Stroke Sensory Dysfunction—A Scoping Review. Journal of Stroke Medicine, 4(1), 25–33.
26. Gao, L., DU, M., Li, J., Zhao, N. J., Yang, Y., Dong, C., … Sun, J. (2019). Effects of occupation
on intracerebral hemorrhage-related deaths in Inner Mongolia. Industrial Health, 57(3), 342–350. https://doi.org/10.2486/indhealth.2018-0057
27. Gorji, M.A.H., Araghiyansc, F., Jafari, H., Gorgi, A.M.H., & Yazdani, J. (2014). Effect of auditory stimulation on traumatic coma duration in intensive care unit of Medical Sciences University of Mazandarn, Iran. Saudi Journal of Anesthesia. 2014;8(1):69-72. https://doi.org/10.4103/1658-354X.125940
28. Gosseries, O., & Laureys, S. (2022). Severe Brain Damage: Coma and Related Disorders of Consciousness. In Neuroscience in the 21st Century: From Basic to Clinical (pp. 3757–3790). Springer.
29. Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and improving quasi-experimental designs in effectiveness and implementation research. Annual Review of Public Health, 39, 5–25.
30. Hankey, G. J. (2020). Population impact of potentially modifiable risk factors for stroke. Stroke, 51(3), 719–728.
31. Hoseinzadeh, E., Shan, G. R. M., Vakili, M. A., & Kazemnejad, K. (2017). Effect of auditory stimulation on consciousness in coma patients with head injury: A randomized clinical trial. Journal of Nursing and Midwifery Sciences, 4(3), 82.
32. Kebapçı, A., Dikeç, G., & Topçu, S. (2020). Interobserver reliability of glasgow coma scale scores for intensive care unit patients. Critical Care Nurse, 40(4), e18-e26.
33. Kapral, M. K., Austin, P. C., Jeyakumar, G., Hall, R., Chu, A., Khan, A. M.,… Silver, F.L. (2019). Rural-urban differences in stroke risk factors, incidence, and mortality in people with and without prior stroke: The CANHEART stroke study. Circulation: Cardiovascular Quality and Outcomes, 12(2), e004973.
34. Kavanagh, N. (2022). The effects of sensory stimuli on the rehabilitation of behaviourally low Glasgow Coma Scale patients. British Journal of Neuroscience Nursing, 18(4), 176–181.
35. Kharbach, A., Obtel, M., Achbani, A., Bouchriti, Y., Hassouni, K., Lahlou, L., & Razine, R. (2020). Level of knowledge on stroke and associated factors: A Cross-sectional study at primary health care centers in Morocco. Annals of Global Health, 86(1), 83. https://doi.org/10.5334/aogh.2885
36. Kushwaha, G., Subin, S., Agrawal, A., & Siddiqui, S. S. (2022). Effectiveness of coma arousal techniques to improve the sensory stimulation in unconscious patient’s. Annals ofthe Romanian Society for Cell Biology, 26(01), 3594–3613.
37. Lee A. K., 1958-. (2013). A simple guide to IBM SPSS statistics for versions 20.0 & 21.0. Australia ; Belmont, CA :Wadsworth,
38. Li, J., Cheng, Q., Liu, F.-K., Huang, Z., & Feng, S. S. (2020). Sensory stimulation to improve arousal in comatose patients after traumatic brain injury: a systematic review of the literature. Neurological Sciences, 1–10.
39. Lindmark, A., Eriksson, M., & Darehed, D. (2022). Socioeconomic status and stroke severity: Understanding indirect effects via risk factors and stroke prevention using innovative statistical methods for mediation analysis. PloS One, 17(6), e0270533.
40. Matsuo, R., Ago, T., Kiyuna, F., Sato, N., Nakamura, K., Kuroda, J., … Kitazono , T. (2020). Smoking status and functional outcomes after acute ischemic stroke. Stroke, 51(3), 846–852. https://doi.org/10.1161/STROKEAHA.119.027230
41. Megha M, Harpreet S, & Nayeem Z. (2013). Effect of frequency of multimodal coma stimulation on the consciousness levels of traumatic brain injury comatose patients. Brain Injury, 27(5):570-7. https://doi.org/10.3109/02699052.2013.767937
42. Moattari, M., Alizadeh Shirazi, F., Sharifi, N., & Zareh, N. (2016). Effects of a Sensory Stimulation by Nurses and Families on Level of Cognitive Function, and Basic Cognitive Sensory Recovery of Comatose Patients With Severe Traumatic Brain Injury: A Randomized Control Trial. Trauma Monthly, 21(4), e23531. https://doi.org/10.5812/traumamon.23531
43. Morente-Oria, H., Ruiz-Montero, P. J., Chiva-Bartoll, Ó., & González-Fernández, F. T. (2020). Effects of 8-weeks concurrent strength and Aerobic training on body composition, physiological and cognitive performance in older adult women. Sustainability, 12(5), 1944.
44. Murphy, S. J. X., & Werring, D. J. (2020). Stroke: causes and clinical features. Medicine, 48(9), 561–566. https://doi.org/https://doi.org/10.1016/j.mpmed.2020.06.002
45. Norwood, M. F., Lakhani, A., Watling, D. P., Marsh, C. H., & Zeeman, H. (2022). Efficacy of multimodal sensory therapy in adult acquired brain injury: A Systematic review. Neuropsychology Review, 1–21.
46. Olson, D. M., & Ortega-Pérez, S. (2019). The Cue-Response Theory and nursing care of the patient with acquired brain injury. Journal of
Neuroscience Nursing, 51(1). https://journals.lww.com/jnnonline/Fulltext/2019/02000/The_Cue_Response_Theory_and_Nursing_Care_of_the.10.aspx
47. Osama, A., Ashour, Y., El-Razek, R. A., & Mostafa, I. (2019). Public knowledge of warning signs and risk factors of cerebro-vascular stroke in Ismailia Governorate, Egypt. The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 55(1), 1–6.
48. Othman, S. Y., Mohamed, A. M., El-Soussi, A. H., El-Monaem, S. A. A., & Ahmed, F. R. (2020). Effect of integrative nursing practices on cognitive recovery among severe traumatic brain injury patients. Journal of Nursing Education and Practice, 10(10), 75–89.
49. Park, C. S., Choi, E.-K., Han, K.-D., Lee, … Oh, S. (2018). Association between adult height, myocardial infarction, heart failure, stroke and death: A Korean nationwide population-based study. International Journal of Epidemiology, 47(1), 289–298.
50. Park, Y.-S., An, C.-S., & Lim, C.-G. (2021). Effects of A rehabilitation program using a wearable device on the upper limb function, performance of activities of daily living, and rehabilitation participation in patients with acute stroke. International Journal of Environmental Research and Public Health, 18(11), 5524.
51. Peters, S. A. E., Carcel, C., Millett, E. R. C., & Woodward, M. (2020). Sex differences in the association between major risk factors and the risk of stroke in the UK Biobank cohort study. Neurology, 95(20), e2715--e2726. https://doi.org/10.1212/WNL.0000000000010982
52. Polivka, J., Polivka, J., Pesta, M., Rohan, V., Celedova, L., Mahajani, S., … Golubnitschaja, O. (2019). Risks associated with the stroke predisposition at young age: Facts and hypotheses in light of individualized predictive and preventive approach. EPMA Journal, 10(1), 81–99. https://doi.org/10.1007/s13167-019-00162-5
53. Pont, W., Groeneveld, I., Arwert, H., Meesters, J., Mishre, R. R., Vliet Vlieland, T., ……….. (2020). Caregiver burden after stroke: Changes over time? Disability and Rehabilitation, 42(3), 360–367.
54. Price, A. J., Wright, F. L., Green, J., Balkwill, A., Kan, S. W., Yang, T. O., … Sudlow, C. L.M. (2018). Differences in risk factors for 3 types of stroke: UK prospective study and meta-analyses. Neurology, 90(4), e298–e306.
55. Rennert, R. C., Wali, A. R., Steinberg, J. A., Santiago-Dieppa, D. R., Olson, S. E., Pannell, J. S., & Khalessi, A. A. (2019). Epidemiology,natural history, and clinical presentation of large vessel ischemic stroke. Neurosurgery, 85(Suppl 1), S4.
56. Rochmah, T. N., Rahmawati, I. T., Dahlui, M., Budiarto, W., & Bilqis, N. (2021). Economic burden of stroke disease: A systematic review. International Journal of Environmental Research and Public Health, 18(14), 7552.
57. Salvadori, E., Papi, G., Insalata, G., Rinnoci, V., Donnini, I., Martini, M., … Poggesi, A. (2020). Comparison between ischemic and hemorrhagic strokes in functional outcome at discharge from an intensive rehabilitation hospital. Diagnostics (Basel, Switzerland), 11(1). https://doi.org/10.3390/diagnostics11010038
58. Soto-Cámara, R., González-Bernal, J. J., González-Santos, J., Aguilar-Parra, J. M., Trigueros, R., & López-Liria, R. (2020). Knowledge on signs and risk factors in stroke patients. Journal of Clinical Medicine, 9(8), 2557.
59. Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness: A practical scale. The Lancet, 304(7872), 81–84.
60. Teasdale, G., Maas, A., Lecky, F., Manley, G., Stocchetti, N., & Murray, G. (2014). The Glasgow coma scale at 40 years: Standing the test of time. The Lancet Neurology, 13(8), 844–854.
61. Upadhyay, S., & Verma, N. (2021). Effect of sensory stimulation in comatose patients: an evidence based review of literature. 9(10), a15–a24.
62. Verdelho, A., Wardlaw, J., Pavlovic, A., Pantoni, L., Godefroy, O., Duering, M., Charidimou, A., Chabriat, H., & Biessels, G. J. (2021). Cognitive impairment in patients with cerebrovascular disease: a white paper from the links between stroke ESO Dementia Committee. European Stroke Journal, 6(1), 5–17.
63. World Stroke Organization. (2021). Understanding smoking and stroke. https://www.worldstroke.org/assets/downloads/STROKE_RISK_AND_PREVENTION_LEAFLET_SMOKING-EN.pdf
64. Zhang, S., Zhang, W., & Zhou, G. (2019). Extended risk factors for stroke prevention. Journal of the National Medical Association, 111(4), 447–456.
65. Zuo, J., Tao, Y., Liu, M., Feng, L., Yang, Y., & Liao, L. (2021). The effect of family-centered sensory and affective stimulation on comatose patients with traumatic brain injury: a systematic review and meta-analysis. International Journal of Nursing Studies, 115, 103846.