Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect
| Autor: | Christopher S.Y. Benwell, Keith W. Muir, Laura McKernan-Ward, Margaret Roberts, George Duncan, Stephanie Rossit, Pauline Castle, Hazel Jackson, Gemma Learmonth, Monika Harvey, Ian Reeves, Larissa Szymanek, Katrina Livingstone, Elaine Corrigan, Philip Birschel |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Activities of daily living medicine.medical_treatment media_common.quotation_subject Task (project management) Neglect Perceptual Disorders 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Arts and Humanities (miscellaneous) Feedback Sensory Activities of Daily Living medicine Humans Attention Stroke Applied Psychology media_common Aged Aged 80 and over Rehabilitation Hand Strength Stroke Rehabilitation Hemispatial neglect Cognition Middle Aged medicine.disease 3. Good health Neuropsychology and Physiological Psychology Hemiparesis Treatment Outcome Space Perception Physical therapy Female medicine.symptom 0305 other medical science Psychology 030217 neurology & neurosurgery |
| ISSN: | 0960-2011 |
| Popis: | Hemispatial neglect is a severe cognitive condition frequently observed after a stroke, associated with unawareness of one side of space, disability and poor long-term outcome. Visuomotor feedback training (VFT) is a neglect rehabilitation technique that involves a simple, inexpensive and feasible training of grasping-to-lift rods at the centre. We compared the immediate and long-term effects of VFT vs. a control training when delivered in a home-based setting. Twenty participants were randomly allocated to an intervention (who received VFT) or a control group (n = 10 each). Training was delivered for two sessions by an experimenter and then patients self-administered it for 10 sessions over two weeks. Outcome measures included the Behavioural Inattention Test (BIT), line bisection, Balloons Test, Landmark task, room description task, subjective straight-ahead pointing task and the Stroke Impact Scale. The measures were obtained before, immediately after the training sessions and after four-months post-training. Significantly greater short and long-term improvements were obtained after VFT when compared to control training in line bisection, BIT and spatial bias in cancellation. VFT also produced improvements on activities of daily living. We conclude that VFT is a feasible, effective, home-based rehabilitation method for neglect patients that warrants further investigation with well-designed randomised controlled trials on a large sample of patients. |
| Databáze: | OpenAIRE |
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