Tactile Stimulation and Active-Assisted Exercise on Motor Function and Functional Ability of Upper Extremity in Post-Stroke Patients
DOI:
https://doi.org/10.26630/jk.v16i3.5315Keywords:
Active exercise, Functional recovery, Motor recovery, Somatosensory stimulationAbstract
Post-stroke sensorimotor disorders are the leading cause of long-term disability in adults. The purpose of this research was to analyze the combined effect of tactile stimulation and active-assisted exercise on upper-extremity motor function and functional activity in post-stroke patients at Physio Dahsyat Home Care. A Quasi-Experimental Design was used with purposive sampling. Thirty participants were divided into two groups: Group A, a combination of tactile stimulation and active assisted exercise; and Group B, electrical stimulation and PNF. The average scores of FMA-UE and CAHAI-8 in Group A were 16.33 to 60.13 and 14.80 to 52.73. In Group B, the average score was 13.40 to 48.07 and 13.40 to 44.87. Paired t-tests showed p-values<0.001 for both Group A and Group B, indicating a significant effect in both groups. An independent test showed a significant. <0.001, indicating a comparison of the impact on motor function and functional activity of the upper extremity. The highest average scores for motor function and functional activity in Group A were 60.13 and 52.73. A combination of tactile stimulation and active-assisted exercise was more effective, leading to increased muscle strength through motor unit activation; the more motor units involved, the greater the increase in muscle strength.
References
Beijora, A. C., Back, A. P., Fréz, A. R., Azevedo, M. R. B., & Bertolini, G. R. F. (2023). Peripheral electrical stimulation on neuroplasticity and motor function in stroke patients: a systematic review and meta-analysis. Neurological Research, 45(12), 1111–1126. https://doi.org/10.1080/01616412.2023.2257419
Borstad, A., Nichols-Larsen, D., Uswatte, G., Strahl, N., Simeo, M., Proffitt, R., & Gauthier, L. (2022). Tactile Sensation Improves Following Motor Rehabilitation for Chronic Stroke: The VIGoROUS Randomized Controlled Trial. Neurorehabilitation and Neural Repair, 36(8), 525–534. https://doi.org/10.1177/15459683221107893
Chen, L., Meng, F., Huo, C., Shao, G., Pan, G., Zhang, X., Zhang, S., & Li, Z. (2025). Effects of tactile feedback in post-stroke hand rehabilitation on functional connectivity and cortical activation: an fNIRS study. Biomedical Optics Express, 16(2), 643. https://doi.org/10.1364/BOE.541820
Faccioruso, S., GUANZIROLI, E., BRAMBILLA, C., SPINA, S., GIRAUD, M., MOLINARI TOSATTI, L., SANTAMATO, A., MOLTENI, F., & SCANO, A. (2024). Muscle synergies in upper limb stroke rehabilitation: a scoping review. European Journal of Physical and Rehabilitation Medicine, 60(5). https://doi.org/10.23736/S1973-9087.24.08438-7
Karaca, O., & Kılınç, M. (2024). Sensory training combined with motor training improves trunk proprioception in stroke patients: a single-blinded randomized controlled trial. Neurological Research, 46(6), 553–560. https://doi.org/10.1080/01616412.2024.2337522
Kitai, K., Odagiri, M., Yamauchi, R., & Kodama, T. (2021). Evaluation of Intervention Effectiveness of Sensory Compensatory Training with Tactile Discrimination Feedback on Sensorimotor Dysfunction of the Hand after Stroke. Brain Sciences, 11(10), 1314. https://doi.org/10.3390/brainsci11101314
Kristensen, M. G. H., Busk, H., & Wienecke, T. (2022). Neuromuscular Electrical Stimulation Improves Activities of Daily Living Post Stroke: A Systematic Review and Meta-analysis. Archives of Rehabilitation Research and Clinical Translation, 4(1), 100167. https://doi.org/10.1016/j.arrct.2021.100167
Kwon, H., Kim, J., & Lee, M. (2020). Brain activation induced by different strengths of hand grasp: a functional magnetic resonance imaging study. Neural Regeneration Research, 15(5), 875. https://doi.org/10.4103/1673-5374.268907
Lee, K. E., Choi, M., & Jeoung, B. (2022). Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review. International Journal of Environmental Research and Public Health, 19(19), 12739. https://doi.org/10.3390/ijerph191912739
Liu, G., Chia, C., Wang, W., Cao, Y., Tian, S., Shen, X., Chen, Y., Lu, R., Wu, J., Zhu, Y., & Wu, Y. (2021). The Muscle Activation Differences in Post-Stroke Upper Limb Flexion Synergy Based on Spinal Cord Segments: A Preliminary Proof-of-Concept Study. Frontiers in Neurology, 12. https://doi.org/10.3389/fneur.2021.598554
Martins, S. C. O. (2025). HEADS UP 2024: Policy Efforts to Improve Equitable Access to Acute Stroke Care Globally. Journal of the American Heart Association, 14(16), e037784. https://doi.org/10.1161/JAHA.124.037784
Merdiyanti, D., Ayubbana, S., & Sari, H.S. (2021). Penerapan Range of Motion (Rom) Pasif Untuk Meningkatkan Kekuatan Otot Pasien Stroke Non Hemoragik. Jurnal Cendikia Muda, 1, 98–102. http://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/viewFile/187/98
Mihara, M., Fujimoto, H., Hattori, N., Otomune, H., Kajiyama, Y., Konaka, K., Watanabe, Y., Hiramatsu, Y., Sunada, Y., Miyai, I., & Mochizuki, H. (2021). Effect of Neurofeedback Facilitation on Poststroke Gait and Balance Recovery. Neurology, 96(21). https://doi.org/10.1212/WNL.0000000000011989
Murphy, S. JX., & Werring, D. J. (2020). Stroke: causes and clinical features. Medicine, 48(9), 561–566. https://doi.org/10.1016/j.mpmed.2020.06.002
Nguyen, P. T., Chou, L.-W., & Hsieh, Y.-L. (2022). Proprioceptive Neuromuscular Facilitation-Based Physical Therapy on the Improvement of Balance and Gait in Patients with Chronic Stroke: A Systematic Review and Meta-Analysis. Life, 12(6), 882. https://doi.org/10.3390/life12060882
Pratiwi, R. M. (2023). The Effect of Cylindrical Grip ROM Exercise Therapy on Finger Grip Muscle Strength in The Upper Extremities of Post Stroke Patients. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 10(3), 329–338. https://doi.org/10.26699/jnk.v10i3.ART.p329-338
Shahid, J., Kashif, A., & Shahid, M. K. (2023). A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals. Brain Sciences, 13(5), 717. https://doi.org/10.3390/brainsci13050717
Syah, L. O. M. G., Pangkahila, J. A., Irfan, M., Sundari, L. P. R., Adiputra, I. N., & Jawi, I. M. (2020). Biofeedback Exercise Lebih Baik Daripada Active Assisted Exercise Untuk Meningkatkan Kinerja Otot Bahu Pada Fungsional Meraih Posisi 900 Fleksi Bahu Pasien Pasca Stroke. Sport and Fitness Journal, 8(1), 29. https://doi.org/10.24843/spj.2020.v08.i01.p05
The F. P., Rusly, H., & Darwis, A. (2020). Influence of proprioceptive neuromuscular facilitation on activities of daily living ability in post-stroke patients. Journal of Physics: Conference Series, 1529(3), 032031. https://doi.org/10.1088/1742-6596/1529/3/032031
Van de Winckel, A., De Patre, D., Rigoni, M., Fiecas, M., Hendrickson, T. J., Larson, M., Jagadeesan, B. D., Mueller, B. A., Elvendahl, W., Streib, C., Ikramuddin, F., & Lim, K. O. (2020). Exploratory study of how Cognitive Multisensory Rehabilitation restores parietal operculum connectivity and improves upper limb movements in chronic stroke. Scientific Reports, 10(1), 20278. https://doi.org/10.1038/s41598-020-77272-y
Zandvliet, S. B., Kwakkel, G., Nijland, R. H. M., van Wegen, E. E. H., & Meskers, C. G. M. (2020). Is Recovery of Somatosensory Impairment Conditional for Upper-Limb Motor Recovery Early After Stroke?. Neurorehabilitation and Neural Repair, 34(5), 403–416. https://doi.org/10.1177/1545968320907075
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