Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial. (3rd April 2017)

• Record Type: Journal Article
• Authors: Rich, Tonya; Cassidy, Jessica; Menk, Jeremiah; Van Heest, Ann; Krach, Linda; Carey, James; Gillick, Bernadette T.
• Is Part Of: Developmental neurorehabilitation. Volume 20:Number 3(2017)
• Page Start: 169
• Page End: 172
• Publication Date: 2017-04-03
• Subjects: Constraint-induced movement therapy -- hemiparesis -- non-invasive brain stimulation -- pediatrics -- stroke -- transcranial magnetic stimulation; Children with disabilities -- Rehabilitation -- Periodicals; Developmentally disabled children -- Rehabilitation -- Periodicals; 615.542
• DOI: 10.3109/17518423.2016.1139008
• Languages: English
• ISSNs: 1751-8423

Abstract

ABSTRACT: Objective : Poor sensibility affecting stereognosis, the ability to discriminate objects without visual input, can potentiate disuse of the paretic limb following stroke. The purpose of this study was to examine potential change in stereognosis after intervention. Methods : Stereognosis testing in a secondary subgroup of 10 children with hemiparesis and baseline stereognosis deficits (ages 11–16) after a 13-day clinical trial of real or sham repetitive transcranial magnetic stimulation (rTMS) and constraint-induced movement therapy (CIMT) is reported. All children received 10 h of CIMT while wearing a cast full-time. Results : Post-trial, 80% of participants from both intervention groups demonstrated improvement in stereognosis (95% CI: 44.4%–97.5%). Pre-trial to long-term follow-up (range: 21–57 months), 60% retained gains or improved (95% CI: 26.2%–87.8%). Between-group differences were not detected. Discussion : Children demonstrated stereognosis change following intervention. Research on this change and potential minimal clinically important differences are indicated.