الفهرس 
Effect of somatosensory stimulation on hand functions in post stroke hemparetic patients
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Abstract
Somatosensory cues provide the first chance to create an accuratemovement pattern and perform proper motor control. Somatosensory impairment can exacerbate hemiparesis, either directly because of a stroke or indirectly through the loss of the ability to interact with the environment.It is linked to upper limb motor function, activity, and activity after a stroke, as well as a longer hospital stay. The effects of hand function deficits following a stroke are complex because numerous domains may be affected so understanding the requirements of stroke patients requires knowledge of the prevalence of hand function deficits and their influence on many aspects of daily living in the chronic phase following a stroke.
Aim of Study: To investigate the impact ofsomatosensorytraining on hand functional activities,hand dexterity and handgrip strength in post stroke hemparetic patients.
Subjects and Methods: Thirty hempareticstroke patientsagedbetween 50 to 67 years were randomly assigned into two equal groups ((A) study and(B)control). group A(15 patients)received a selected physical therapy program in addition to somatosensory training (onvolar aspect of hand and forearm) while group B(15 patients) received a selected physical therapy program only. All patients undergone pre and post treatment evaluation of hand grip strength using hand held dynamometer, evaluation of hand dexterity using box and block test (BBT) and also evaluation of hand functions using Jebsen–Taylor hand function test (JTHFT).
Results: There was a statistically significant higher mean values of HGS, BBT scores andlower mean values of JTHFT scores in the study group compared with that of control group post treatment. There was a significant improvement in the HGS, hand dexterity evaluated by BBT and hand functional activitiesevaluated by JTHFT of group (A) post treatment compared with that pretreatment.Hand grip strength,hand dexterity andhand functional activities were improved post treatment compared with that pretreatment.
Conclusion: Somatosensory training could improve hand grip strength, manual hand dexterity and hand functional activities inpost strokehemparetic patients.