الفهرس 
Post Stroke Sensory Impairment Burden, Incidence and SignificanceOnly 14 pages are availabe for public view
 |  | from | 212 |  |  |
| | | from | 212 | | |
Abstract
• from previous conclusion, the following clinical recommendations could be proposed:
Any patient with post stroke sensory impairment especially unilateral spatial neglect should be referred for a trial of an intensive course of tDCS and TENS plus regular physiotherapy sessions (at least 12 sessions, 3 times per week) in order to minimize deficit and improve functional recovery followed by booster sessions in order to enhance the effect of sessions.
It is better to increase the awareness of neuro-rehabilitation and neuroplasticity concept among general practitioners, patients and caregivers to minimize deficit and improve functional recovery.
There is a need to establish a tailored, professional program for rehabilitation of post stroke sensory impairment and neglect cases and not just focusing on motor disabilities in rehabilitation.
• As regards research recommendations, the following should be purposed :
Replicating more prospective studies on larger sample of post stroke sensory impairment patients with different types and durations in order to compare the effect of tDCS in such patients, to determine the best candidates for tDCS as well as the best protocol of stimulation (either anodal stimulation or cathodal stimulation or dual stimulation), dosing, number of sessions and the best time of intervention (acute vs sub-acute vs chronic).
Replicate more studies on selected individual sensory impairment and central post stroke pain (dysesthesia) with assessment of the response of each type of sensory impairment to tDCS.
Replicating studies with availability of brain mapping techniques as fMRI and observation of the patient’s response to different interventional techniques by VSLM (Voxel symptom lesion mapping).
The advance in brain network science and neuroimaging enable the longitudinal studies of structural and functional networks to have an important impact on patient selection for specific interventions in future stroke rehabilitation.
The choice of patients that could benefit from such techniques must take into account the location and size of the stroke lesion, dose response relationships and clinical prediction rules that identify the interventions which produce the greatest effects.