Case study of a five-stage sensory reeducation program.
The purpose of this paper is to describe a sensory reeducation program classified into five stages: (1) feature detection and recognition of objects; (2) correction of the pattern of prehension in the hand; (3) control of precise force for grasping objects; (4) maintenance of grip force during movement of the proximal joints; and (5) manipulation of objects. The program is specific to hand function in activities of daily living and is based on recent neurophysiological findings. It is illustrated by a detailed case study. The authors report that, through sensory reeducation a patient who had an insensitive hand gained the ability to recognize objects. She learned to utilize a sense of muscle resistance and a sense of vibration in the shoulder. Her body image improved along with the usefulness of her hand in activities of daily living.
Nakada
M
M
Department of Occupational Therapy School of Health Sciences Ibaraki Prefectural University of Health Sciences, Japan.
Uchida
H
H
D002985:Clinical Protocols; D005260:Female; D006225:Hand / Q000294:innervation*; D006801:Humans; D008875:Middle Aged; D009048:Motor Skills; D059348:Peripheral Nerve Injuries; D011434:Proprioception; D012677:Sensation