Comfortably numb? Experiences of people with stroke and lower limb sensation deficits : impact and solutions

Luckie, H ORCID:, Hollands, K ORCID:, Williamson, T ORCID:, Nester, CJ ORCID: and Williams, AE ORCID: 2021, 'Comfortably numb? Experiences of people with stroke and lower limb sensation deficits : impact and solutions' , Disability and Rehabilitation: Assistive Technology, 16 (3) , pp. 262-269.

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Access Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation: Assistive Technology on 9th October 2019, available online:


Purpose: To explore personal experiences of loss of foot sensation following stroke in order to inform the focus of clinical assessments and development of a vibrotactile insole.
Methods: Qualitative design with an interpretive phenomenological approach to data collection and analysis. Eight community dwelling adults with stroke (>6 months) and sensory impairment in the feet participated. Data was collected via conversational style interviews which were transcribed and analyzed using a thematic framework. Themes were verified with co-researchers and a lay advisory group.
Results: Data formed four themes: Sensory deficits are prevalent and constant, but individual and variable; Sensory deficits have a direct impact on balance, gait, mobility and falls; Sensory deficits have consequences for peoples’ lives; Footwear is the link between function, the environment and identity. They embraced the concept of discrete vibrotactile insoles, their potential benefits and demonstrated a willingness to try it.
Conclusions: Sensory deficit contributes to effects upon physical function, mobility and activity. Clinical outcome measures need to capture the emotional, psychological and social impacts of sensory deficit. Participants demonstrated a resilience and resourcefulness through adaption in daily living and self-management of footwear. The participants focus on footwear provides the opportunity to develop discrete and non-burdensome vibrotactile insoles for this patient group.

Item Type: Article
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Disability and Rehabilitation: Assistive Technology
Publisher: Taylor & Francis
ISSN: 1748-3107
Related URLs:
Funders: National Institute for Health Research Brain Injury Healthcare Technology Co-operative Trust
Depositing User: K Hollands
Date Deposited: 16 Oct 2019 13:58
Last Modified: 16 Feb 2022 02:56

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