Prism Adaptation Treatment Improves Inpatient Rehabilitation Outcome in Individuals With Spatial Neglect: A Retrospective Matched Control Study

Autor: Peii Chen, PhD, Nicole Diaz-Segarra, MD, Kimberly Hreha, EdD, OTR/L, Emma Kaplan, BS, A.M. Barrett, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Archives of Rehabilitation Research and Clinical Translation, Vol 3, Iss 3, Pp 100130- (2021)
Druh dokumentu: article
ISSN: 2590-1095
DOI: 10.1016/j.arrct.2021.100130
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
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