Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis

PurposeThe aim of this study was to explore experiences of upper limb somatosensory discrimination retraining in persons with stroke.MethodsA qualitative methodology was used within the context of a randomized control trial of somatosensory retraining: the CoNNECT trial. Participants in the CoNNECT...

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Main Authors: Megan L. Turville, Johanne Walker, Jannette M. Blennerhassett, Leeanne M. Carey
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fnins.2019.00756/full
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author Megan L. Turville
Megan L. Turville
Johanne Walker
Jannette M. Blennerhassett
Leeanne M. Carey
Leeanne M. Carey
author_facet Megan L. Turville
Megan L. Turville
Johanne Walker
Jannette M. Blennerhassett
Leeanne M. Carey
Leeanne M. Carey
author_sort Megan L. Turville
collection DOAJ
description PurposeThe aim of this study was to explore experiences of upper limb somatosensory discrimination retraining in persons with stroke.MethodsA qualitative methodology was used within the context of a randomized control trial of somatosensory retraining: the CoNNECT trial. Participants in the CoNNECT trial completed a treatment program, known as SENSe therapy, to retrain upper limb somatosensory discrimination and recognition skills, and use of these skills in personally valued activities. Eight participants were interviewed on their experience of this therapy. Data were analyzed using Interpretative Phenomenological Analysis (IPA).ResultsFive themes represented participants’ experiences of upper limb somatosensory retraining after stroke: (1) loss of sensation and desire to reclaim normality; (2) harnessing positivity in the therapeutic relationship and specialized therapy; (3) facing cognitive and emotional challenges; (4) distinct awareness of gains and differences in bodily sensations; and (5) improved functioning: control and choice in daily performance. Persons with stroke experienced somatosensory retraining as a valuable treatment that provided them with sensory and functional gains.ConclusionUpper limb somatosensory retraining is a treatment that persons with stroke perceived as challenging and rewarding. People who have experienced stroke believed that somatosensory retraining therapy assisted them to improve their sensation, functional arm use, as well as daily performance and participation in life.
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spelling doaj.art-6b7bb75ee65b476cbd88a5bfa69004b72022-12-21T19:34:22ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2019-07-011310.3389/fnins.2019.00756463214Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological AnalysisMegan L. Turville0Megan L. Turville1Johanne Walker2Jannette M. Blennerhassett3Leeanne M. Carey4Leeanne M. Carey5Occupational Therapy, School of Allied Health, Human Services and Sport, College of Science, Health, and Engineering, La Trobe University, Melbourne, VIC, AustraliaNeurorehabilitation and Recovery, Stroke, Florey Institute of Neuroscience and Mental Health, Melbourne, VIC, AustraliaOccupational Therapy Program, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, VIC, AustraliaDepartment of Physiotherapy, Austin Health, Melbourne, VIC, AustraliaOccupational Therapy, School of Allied Health, Human Services and Sport, College of Science, Health, and Engineering, La Trobe University, Melbourne, VIC, AustraliaNeurorehabilitation and Recovery, Stroke, Florey Institute of Neuroscience and Mental Health, Melbourne, VIC, AustraliaPurposeThe aim of this study was to explore experiences of upper limb somatosensory discrimination retraining in persons with stroke.MethodsA qualitative methodology was used within the context of a randomized control trial of somatosensory retraining: the CoNNECT trial. Participants in the CoNNECT trial completed a treatment program, known as SENSe therapy, to retrain upper limb somatosensory discrimination and recognition skills, and use of these skills in personally valued activities. Eight participants were interviewed on their experience of this therapy. Data were analyzed using Interpretative Phenomenological Analysis (IPA).ResultsFive themes represented participants’ experiences of upper limb somatosensory retraining after stroke: (1) loss of sensation and desire to reclaim normality; (2) harnessing positivity in the therapeutic relationship and specialized therapy; (3) facing cognitive and emotional challenges; (4) distinct awareness of gains and differences in bodily sensations; and (5) improved functioning: control and choice in daily performance. Persons with stroke experienced somatosensory retraining as a valuable treatment that provided them with sensory and functional gains.ConclusionUpper limb somatosensory retraining is a treatment that persons with stroke perceived as challenging and rewarding. People who have experienced stroke believed that somatosensory retraining therapy assisted them to improve their sensation, functional arm use, as well as daily performance and participation in life.https://www.frontiersin.org/article/10.3389/fnins.2019.00756/fullstrokesomatosensationtherapyrehabilitationinterpretative phenomenological analysis
spellingShingle Megan L. Turville
Megan L. Turville
Johanne Walker
Jannette M. Blennerhassett
Leeanne M. Carey
Leeanne M. Carey
Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis
Frontiers in Neuroscience
stroke
somatosensation
therapy
rehabilitation
interpretative phenomenological analysis
title Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis
title_full Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis
title_fullStr Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis
title_full_unstemmed Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis
title_short Experiences of Upper Limb Somatosensory Retraining in Persons With Stroke: An Interpretative Phenomenological Analysis
title_sort experiences of upper limb somatosensory retraining in persons with stroke an interpretative phenomenological analysis
topic stroke
somatosensation
therapy
rehabilitation
interpretative phenomenological analysis
url https://www.frontiersin.org/article/10.3389/fnins.2019.00756/full
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