Current trends in the treatment of patients with post-stroke unilateral spatial neglect: a scoping review

Umeonwuka, Chuka; Roos, Ronel; Ntsiea, Veronica

doi:10.1080/09638288.2020.1824026

Cited by 21 publications

(16 citation statements)

References 106 publications

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“…Neglect is a multifaceted syndrome that can manifest in a variety of ways [ 139 ] with most treatment research addressing unilateral visuospatial neglect. While individuals with persistent neglect may be trained to compensate for attentional biases in some contexts (e.g., reading), there is only limited evidence for effective remediation of the impairment [ 140 , 141 •]. A lack of consensus stems, in part, from the many differences that exist across treatment study methodologies, participants, outcome measures, etc.…”

Section: Attentionmentioning

confidence: 99%

“…However, this may be due to the relatively small amount of total practice (i.e., most studies administered only about 5 h total over 2 weeks), differences in the prism parameters (i.e., degree of visual shift), or heterogeneity of recovery stage. Visual scanning training (VST) has yielded mixed results [ 60 , 141 •]. Evidence for other behavioral approaches, such as mirror therapy, are scant [ 141 •, 143 ].…”

Section: Attentionmentioning

confidence: 99%

“…Visual scanning training (VST) has yielded mixed results [ 60 , 141 •]. Evidence for other behavioral approaches, such as mirror therapy, are scant [ 141 •, 143 ].…”

Section: Attentionmentioning

confidence: 99%

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Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Stockbridge

Bunker

Hillis

2022

Curr Neurol Neurosci Rep

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Purpose of Review Stroke is a common cause of disability in aging adults. A given individual’s needs after stroke vary as a function of the stroke extent and location. The purpose of this review was to discuss recent clinical investigations addressing rehabilitation of an array of overlapping functional domains. Recent Findings Research is ongoing in the domains of movement, cognition, attention, speech, language, swallowing, and mental health. To best assist patients’ recovery, innovative research has sought to develop and evaluate behavioral approaches, identify and refine synergistic approaches that augment the response to behavioral therapy, and integrate technology where appropriate, particularly to introduce and titrate real-world complexity and improve the overall experience of therapy. Summary Recent and ongoing trials have increasingly adopted a multidisciplinary nature — augmenting refined behavioral therapy approaches with methods for increasing their potency, such as pharmaceutical or electrical interventions. The integration of virtual reality, robotics, and other technological advancements has generated immense excitement, but has not resulted in consistent improvements over more universally accessible, lower technology therapy.

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Section: Attentionmentioning

confidence: 99%

Section: Attentionmentioning

confidence: 99%

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Reversing the Ruin: Rehabilitation, Recovery, and Restoration After Stroke

Stockbridge

Bunker

Hillis

2022

Curr Neurol Neurosci Rep

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“…Consequently, many rehabilitation procedures have been proposed in order to improve a patient's condition [4]. Systematic reviews, meta-analyses, and comparisons have shown the levels of efficacy of each type of treatment [5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Prism adaptation (PA) is one of the most investigated and effective bottom-up techniques among those used for the rehabilitation of unilateral spatial neglect [6,9,16]. It consists of a visuomotor adaptation to rightward prismatic goggles for a short period of time (approximately 20 min), which induces a subsequent realignment of spatial coordinates.…”

Section: Introductionmentioning

confidence: 99%

Prism Adaptation and Optokinetic Stimulation Comparison in the Rehabilitation of Unilateral Spatial Neglect

2021

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Prism adaptation (PA) is one of the most effective treatments for the rehabilitation of unilateral spatial neglect. Optokinetic stimulation (OKS) has also been demonstrated to be effective in ameliorating symptoms of neglect. The aim of this study is to compare the effectiveness of these two methods in a group of neglect patients using a crossover design. A group of 13 post-acute brain-damaged patients with unilateral spatial neglect, who had never been rehabilitated, were treated using PA and OKS. Each treatment was applied for 10 sessions, twice a day, to all patients with both treatments in crossed order (i.e., PA followed by OKS or vice versa). Neuropsychological assessments were performed: before the first (T1), at the end of the first/beginning of the second (T2) and at the end of the second training sessions (T3), and two weeks after the end of treatment (T4). Both procedures produced a significant improvement in clinical tests at T2, independent of the type of training. The results suggest that either PA or OKS induces a significant amelioration of neglect in right brain-damaged patients, mainly in the first block of treatment. Since no differences between treatments were found, they could be applied in clinical practice, according to the requirements of the individual patient.

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