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[Purpose] We investigated the effect of somatosensory training, e.g. facilitation of reaching and somatosensory stimulus of upper limb (UL) on hand function and postural control. [Subjects] The subjects were 20 stroke patients in the Bobath Memorial Hospital, who has problems with unilateral neglect, and somatosensory deficits. [Methods] The patients were divided into two groups: a unilateral neglect group (NG), and a sensrimotor deficit group (SMG). Somatosensory training for the hand was carried out eighteen times, three times a week for six weeks, together with 40 minutes preservative treatment. To compare the groups, we used several assessment tools: the manual function test (MFT), the postural assessment scale for stroke (PASS) and the functional reach test (FRT). [Results] In NG, somatosensory training for the hand significantly improved MFT, and PASS (p<0.05). In the SMG, somatosensory training for the hand significantly improved MFT, PASS and FRT (p<0.05). Also, there were significantly differences in MFT, and PASS between the groups. [Conclusion] Somatosensory training for the hand influenced hand function and postural control. Therefore, we consider that somatosensory function plays a major role in hand and postural control.

journal of physical therapy science

The Effects of Somatosensory Training Focused on the Hand on Hand Function, Postural Control and ADL of Stroke Patients with Unlateral Spatial Neglect and Sensorimotor Deficits