A comparison of two approaches in the treatment of perceptual problems after stroke

Edmans, Judi; Webster, J. C.; Lincoln, NB

doi:10.1191/026921500673333145

Cited by 56 publications

(30 citation statements)

References 108 publications

(288 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One low-quality RCT 49 compared training of cognitive functions with strategy training and presented no significant difference between treatments on Barthel Index, extended ADL, cognitive functions, and arm-hand function.…”

Section: Process Measuresmentioning

confidence: 99%

Occupational Therapy for Stroke Patients

Steultjens¹,

Dekker²,

Bouter³

et al. 2003

Stroke

195

View full text Add to dashboard Cite

Background and Purpose-Occupational therapy (OT) is an important aspect of stroke rehabilitation. The objective of this study was to determine from the available literature whether OT interventions improve outcome for stroke patients. Methods-An extensive search in MEDLINE, CINAHL, EMBASE, AMED, and SCISEARCH was performed. Studies with controlled and uncontrolled designs were included. Seven intervention categories were distinguished and separately analyzed. If a quantitative approach (meta-analysis) of data analysis was not appropriate, a qualitative approach (best-evidence synthesis), based on the type of design, methodological quality, and significant findings of outcome and/or process measures, was performed. Results-Thirty-two studies were included in this review, of which 18 were randomized controlled trials. Ten randomized controlled trials had a high methodological quality. For the comprehensive OT intervention, the pooled standardized mean difference for primary activities of daily living (ADL) (0.46; CI, 0.04 to 0.88), extended ADL (0.32; CI, 0.00 to 0.64), and social participation (0.33; CI, 0.03 to 0.62) favored treatment. For the training of skills intervention, some evidence for improvement in primary ADL was found. Insufficient evidence was found to indicate that the provision of splints is effective in decreasing muscle tone. Conclusions-This review identified small but significant effect sizes for the efficacy of comprehensive OT on primary ADL, extended ADL, and social participation. These results correspond to the outcome of a systematic review of intensified rehabilitation for stroke patients. The amount of evidence with respect to specific interventions, however, is limited. More research is needed to enable evidence-based OT for stroke patients.

show abstract

Section: Process Measuresmentioning

confidence: 99%

Occupational Therapy for Stroke Patients

Steultjens¹,

Dekker²,

Bouter³

et al. 2003

Stroke

195

View full text Add to dashboard Cite

show abstract

“…Measures of functional ability / disability as a primary outcome measure were used. Twenty‐three trials were identified as meeting the inclusion criteria, eleven of which were new to this update (Cherney, Halper, & Papachronis, 2002; Cottam, 1987; Edmans, Webster, & Lincoln, 2000; Fanthome, Lincoln, Drummond, & Walker, 1995; Ferreira, Leite Lopes, Luiz, Cardoso, & André, 2011; Fong et al., 2007; Kalra, Perez, Gupta, & Wittink, 1997; Kerkhoff et al., 2012; Luukkainen‐Markkula, Tarkka, Pitkanen, Sivenius, & Hamalainen, 2009; Mizuno et al., 2011; Nys, Seurinck, & Dijkerman, 2008; Polanowska, Seniow, Paprot, Leniak, & Czonkowska, 2009; Robertson, 1990; Robertson, McMillan, MacLeod, Edgeworth, & Brock, 2002; Rossi et al., 1990; Rusconi, Meinecke, Sbrissa, & Bernardini, 2002; Schroder, Wist, & Homberg, 2008; Tsang, Sze, & Fong, 2009; Turton, O'Leary, Gabb, Woodward, & Gilchrist, 2010; Weinberg et al., 1977; Welfringer, Leifert‐Fiebach, Babinsky, & Brandt, 2011; Wiart et al., 1997; Zeloni, Farne, & Baccini, 2002). Meta‐analyses showed no significant persistent effect either on standardized assessments or for functional ability.…”

Section: Interventionsmentioning

confidence: 99%

“…However, patients reported a benefit from verbal advice and coping strategies, as well as the relief associated with diagnosis and recognition of the impairment which can cause significant distress to the patient. A Cochrane review reported on the interventions for perceptual disorders following stroke (Bowen, Knapp, Gillespie, & Nicolson, 2011), however, the relevant papers for this review have been extracted and discussed elsewhere (Edmans et al., 2000; Mazer et al., 2003). …”

Section: Interventionsmentioning

confidence: 99%

The treatment methods for post‐stroke visual impairment: A systematic review

2017

View full text Add to dashboard Cite

AimTo provide a systematic overview of interventions for stroke related visual impairments.MethodA systematic review of the literature was conducted including randomized controlled trials, controlled trials, cohort studies, observational studies, systematic reviews, and retrospective medical note reviews. All languages were included and translation obtained. This review covers adult participants (aged 18 years or over) diagnosed with a visual impairment as a direct cause of a stroke. Studies which included mixed populations were included if over 50% of the participants had a diagnosis of stroke and were discussed separately. We searched scholarly online resources and hand searched articles and registers of published, unpublished, and ongoing trials. Search terms included a variety of MESH terms and alternatives in relation to stroke and visual conditions. Article selection was performed by two authors independently. Data were extracted by one author and verified by a second. The quality of the evidence and risk of bias was assessed using appropriate tools dependant on the type of article.ResultsForty‐nine articles (4142 subjects) were included in the review, including an overview of four Cochrane systematic reviews. Interventions appraised included those for visual field loss, ocular motility deficits, reduced central vision, and visual perceptual deficits.ConclusionFurther high quality randomized controlled trials are required to determine the effectiveness of interventions for treating post‐stroke visual impairments. For interventions which are used in practice but do not yet have an evidence base in the literature, it is imperative that these treatments be addressed and evaluated in future studies.

show abstract

“…Finally, the group that examined spatial neglect identified 11 studies that evaluated the effectiveness of various interventions (see Table 2; Cherney, Halper, & Papachronis, 2003;Edmans, Webster, & Lincoln, 2000;Fanthome, Lincoln, Drummond, & Walker, 1995;Kalra, Perez, Gupta, & Wittink, 1997;Robertson, Gray, Pentland, & Waite, 1990;Robertson, McMillan, MacLeod, Edgeworth, & Brock, 2002;Rossi, Kheyfets, & Reding, 1990;Rusconi, Meinecke, Sbrissa, & Bernardini, 2002;Weinberg et al, 1977;Wiart et al, 1997;Zeloni, Farne, & Baccini, 2002). Again, the group concluded that although some evidence has supported the effectiveness of the interventions in improving performance on impairment-level testing, insufficient evidence exists to support or refute the effectiveness of any of the intervention approaches in reducing disability and improving independence in everyday life activities (Bowen & Lincoln, 2007).…”

Section: Cochrane Reviewsmentioning

confidence: 99%

Rehabilitation, Disability, and Participation Research: Are Occupational Therapy Researchers Addressing Cognitive Rehabilitation After Stroke?

Wolf

2011

The American Journal of Occupational Therapy

View full text Add to dashboard Cite

I reviewed articles published in the American Journal of Occupational Therapy (AJOT) in 2009 and 2010 to assess (1) whether research was published in the practice area of rehabilitation, disability, and participation and (2) the evidence being produced in an underdeveloped subcategory of this practice area: cognitive rehabilitation after stroke. The review revealed one intervention effectiveness study that addressed cognitive rehabilitation poststroke published in the 2-year period. Further analysis of outside repositories of evidence in this area revealed that although some evidence supports rehabilitation approaches for people with cognitive dysfunction after a stroke, little research has been devoted to this practice area. The poststroke cognitive intervention approaches in use have been shown to have little or no effect on improving everyday life activity. Occupational therapy has a key research and practice role with the poststroke population, and occupational therapists should be at the forefront in developing the science to support the effectiveness of their services.

show abstract

A comparison of two approaches in the treatment of perceptual problems after stroke

Cited by 56 publications

References 108 publications

Occupational Therapy for Stroke Patients

Occupational Therapy for Stroke Patients

The treatment methods for post‐stroke visual impairment: A systematic review

Rehabilitation, Disability, and Participation Research: Are Occupational Therapy Researchers Addressing Cognitive Rehabilitation After Stroke?

Contact Info

Product

Resources

About