Patients' views on early sensory relearning following nerve repair-a Q-methodology study

Study Design: Descriptive study. Introduction: Early sensory relearning where the dynamic capacity of the brain is used has been shown to improve sensory outcome after nerve repair. However, no previous studies have examined how patients experience early sensory relearning. Purpose of the Study: To describe patient's views on early sensory relearning. Methods: Statements' scores were analyzed by factor analysis. Results: Thirty-seven consecutive adult patients with median and/or ulnar nerve repair who completed early sensory relearning were included. Three factors were identified, explaining 45% of the variance: (1) Believe sensory relearning is meaningful, manage to get an illusion of touch and complete the sensory relearning; (2) Do not get an illusion of touch easily and need support in their sensory relearning (3) Are not motivated, manage to get an illusion of touch but do not complete sensory relearning. Discussion: Many patients succeed in implementing their sensory relearning. However, a substantial part of the patient population need more support, have difficulties to create illusion of touch, and lack motivation to complete the sensory relearning. To enhance motivation and meaningfulness by relating the training clearly to everyday occupations and to the patient's life situation is a suggested way to proceed. Conclusion: The three unique factors indicate motivation and sense of meaningfulness as key components which should be taken into consideration in developing programs for person-centered early sensory relearning. (C) 2017 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.