Prism Adaptation Treatment Improves Inpatient Rehabilitation Outcome in Individuals With Spatial Neglect: A Retrospective Matched Control Study
| Autor: | Peii Chen, Kimberly Hreha, Emma Kaplan, Nicole Diaz-Segarra, Anna M. Barrett |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Stroke rehabilitation
SN spatial neglect Medicine (General) medicine.medical_specialty media_common.quotation_subject medicine.medical_treatment Psychological intervention KF-PAT Kessler Foundation Prism Adaptation Treatment Neglect CBS Catherine Bergego Scale R5-920 Medicine CMS Centers for Medicare and Medicaid Services Brain injury RCT randomized controlled trial Stroke Neurorehabilitation media_common Original Research Outcome MCID minimal clinically important difference Rehabilitation business.industry Minimal clinically important difference General Medicine Odds ratio OT occupational therapist medicine.disease OR odds ratio Physical therapy PAT prism adaptation treatment business Prism adaptation KF-NAP Kessler Foundation Neglect Assessment Process List of abbreviations: ANOVA analysis of variance IRB institutional review board LOS length of stay |
| Zdroj: | Archives of Rehabilitation Research and Clinical Translation Archives of Rehabilitation Research and Clinical Translation, Vol 3, Iss 3, Pp 100130-(2021) |
| ISSN: | 2590-1095 |
| Popis: | Objective: To determine whether prism adaptation treatment (PAT) integrated into the standard of care improves rehabilitation outcome in patients with spatial neglect (SN). Design: Retrospective matched control study based on information extracted from June 2017-September 2019. Setting: Inpatient rehabilitation. Participants: Patients from 14 rehabilitation hospitals scoring >0 on the Catherine Bergego Scale (N=312). The median age was 69.5 years, including 152 (49%) female patients and 275 (88%) patients with stroke. Interventions: Patients were matched 1:1 by age (±5 years), FIM score at admission (±2 points), and SN severity using the Catherine Bergego Scale (±2 points) and classified into 2 groups: treated (8-12 daily sessions of PAT) vs untreated (no PAT). Main Outcome Measures: FIM and its minimal clinically important difference (MCID) were the primary outcome variables. Secondary outcome was home discharge. Results: Analysis included the 312 matched patients (156 per group). FIM scores at discharge were analyzed using repeated-measures analyses of variance. The treated group showed reliably higher scores than the untreated group in Total FIM, F=5.57, P=.020, partial η2=0.035, and Cognitive FIM, F=19.20, P |
| Databáze: | OpenAIRE |
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