Abstract
The purpose of this quantitative, cross-sectional survey was to determine occupational and physical therapists' current practice of assessment and intervention related to somatosensory impairment across the United States.
Primary Author and Speaker: Demma Franklin
Additional Authors and Speakers: Krystal Robinson-Bert, Allison Dickes
Contributing Authors: Senna Larson, Rebecca Puleo, Morgan Hissong
The purpose of this quantitative, cross-sectional survey was to determine occupational and physical therapists’ current practice of assessment and intervention related to somatosensory impairment across the United States. Survey responses from four-hundred-and-four occupational and physical therapists were collected through Qualtrics. Light touch and pain discrimination, the RASP (Rivermead Assessment of Somatosensory Performance), NSA (Nottingham Sensory Assessment) and observation were reported as the most frequently used methods of assessment for somatosensory impairment. Reported interventions varied but the most frequently reported intervention included light touch and attended stimulation, sensory feedback through vision and touch and discrimination of limb position and movement. Although most therapists were moderately to very satisfied with current assessment and intervention practices, over half of the respondents reported the need for change in the assessment and intervention of somatosensory impairment. Differences were found between education level, experience, and practice setting of occupational and physical therapists. Lack of time and resources were found to be barriers to implementing evidence-based practice within somatosensory assessment and intervention. Given these barriers, further research should be conducted to improve the ability of occupational and physical therapists to provide quality services aimed at addressing somatosensory impairment. Occupational and physical therapists are the primary providers assessing and treating somatosensory impairment therefore is important to provide the most effective assessment and intervention for clients. To improve the overall assessment and intervention of somatosensory impairment, continued education for somatosensory impairment must be increased nationwide as a functioning somatosensory system improves overall quality of life.
Pumpa, L. U., Cahill, L. S., & Carey, L. M. (2015). Somatosensory assessment and treatment after stroke: An evidence-practice gap. Australian Occupational Therapy Journal,62(2), 93–104. https://doi.org/10.1111/1440-1630.12170
Walmsley, C., Taylor, S., Parkins, T., Carey, L., Girdler, S., & Elliott, C. (2018). What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders? Australian Occupational Therapy Journal, 65(2), 89–97. https://doi.org/10.1111/1440-1630.12431
Turville, M. L., Cahill, L. S., Matyas, T. A., Blennerhassett, J. M., & Carey, L. M. (2019). The effectiveness of somatosensory retraining for improving sensory function in the arm following stroke: a systematic review. Clinical Rehabilitation, 33(5), 834–846.
Borstad, A. L., & Nichols-Larsen, D. S. (2014). Assessing and treating higher level somatosensory impairments post stroke. Topics in Stroke Rehabilitation, 21(4), 290–295. https://doi.org/10.1310/tsr2104-290