Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden: A systematic review

Bosma, Martine S.; Nijboer, Tanja C.W.; Caljouw, Monique A. A.; Achterberg, Wilco P.

doi:10.1016/j.rehab.2019.05.006

Cited by 42 publications

(44 citation statements)

References 121 publications

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“…We extracted stroke type (ischemic, hemorrhage, or cerebral ischemia after subarachnoid hemorrhage), lesion side (left, right, both), and number of days post-stroke onset from the medical files. VSN has been associated with slower and poorer recovery patterns of motor impairment (Nijboer, Kollen et al, 2014;Katz et al, 1999), as well as limitations in ADL (Bosma et al, 2019;Nijboer et al, 2013;Katz et al, 1999), postural imbalance (Nijboer, Ten Brink et al, 2014;Van Nes et al, 2009), and walking disabilities (Nijboer et al, 2013). We extracted the scores on several clinical variables that were administered at admission to test the association between motor impairment and VSN.…”

Section: Demographic and Clinical Characteristicsmentioning

confidence: 99%

“…VSN is known to negatively affect rehabilitation outcomes, such as functional recovery (Nijboer et al, 2013), motor recovery (Nijboer, Kollen et al, 2014), and reintegration into the community (Chen et al, 2015). In general, patients with VSN require more help and ongoing assistance from caregivers, which increases caregivers' burden and stress levels (Bosma et al, 2019;Chen et al, 2017). Given its negative effect, early detection of VSN is crucial to start appropriate treatment.…”

Section: Introductionmentioning

confidence: 99%

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Increasing cognitive demand in assessments of visuo-spatial neglect: Testing the concepts of static and dynamic tests

Spreij

Brink

Visser-Meily

et al. 2020

Journal of Clinical and Experimental Neuropsychology

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Introduction: Numerous tests of visuo-spatial neglect (VSN) have been developed. In this study, we propose a clustering of VSN tests by making a distinction between static tests with low levels of cognitive demand (i.e. tests without movement or time-restrictions, such as paper-and-pencil tests) and dynamic tests with high levels of cognitive demand (i.e. tests incorporating movement and timerestrictions, such as virtual reality tests). The concepts of static and dynamic tests have not been systematically investigated so far. Here, we investigated (1) whether we would find dissociations between patients showing VSN on test within the static cluster but not on tests within the dynamic cluster, and vice versa; (2) whether differences in demographic or clinical characteristics could be identified between these groups of patients; and (3) whether the underlying factor structure would correspond to our proposed distinction between static and dynamic clusters of tests. Method: Sixty-one patients with VSN completed three static tests (shape cancellation, line bisection, letter cancellation) and three dynamic tests (Catherine Bergego Scale, Mobility Assessment Course, simulated driving test). Results: Thirteen percent of patients showed VSN on tests within the static cluster, 33% on tests within the dynamic cluster, and 54% on tests within both clusters. Patients with VSN on the dynamic tests (alone or in addition to static tests) had poorer motor function, poorer walking abilities and were more dependent in daily life than patients showing VSN on the static cluster alone. The underlying factor structure corresponded to our proposed conceptual distinction between static and dynamic clusters of tests. Conclusions: Static and dynamic tests compose different clusters and double dissociations are shown between clusters. Future research involving data-driven approaches might result in a better understanding on how different tests of VSN relate to each other, and, more importantly, a better understanding of VSN and its phenotypes.

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Section: Demographic and Clinical Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Increasing cognitive demand in assessments of visuo-spatial neglect: Testing the concepts of static and dynamic tests

Spreij

Brink

Visser-Meily

et al. 2020

Journal of Clinical and Experimental Neuropsychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…13 Given this limited assessment scope, it is not surprising that UN is often considered a singular condition and associated solely with visuospatial impairment, neglecting other domains, and thus, the heterogeneous nature of the condition. 9,23 Importantly, a sensorimotor impairment in UN that is often clinically neglected is proprioception. 24 Proprioception, as defined by Sherrington in 1906, derives from the Latin word proprius, meaning 'one's own', combined with the concept of perception and thus refers to 'perceiving one's own self'.…”

Section: Introductionmentioning

confidence: 99%

Proprioceptive impairment in unilateral neglect after stroke: A systematic review

et al. 2020

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Introduction: Unilateral neglect is a debilitating condition that can occur after stroke and can affect a variety of domains and modalities, including proprioception. Proprioception is a sensorimotor process essential to motor function and is thus important to consider in unilateral neglect. To date, there has not been a comprehensive review of studies examining the various aspects of proprioceptive impairment in unilateral neglect after stroke. This review aimed to determine if people with unilateral neglect have more severe proprioceptive impairments than those without unilateral neglect after stroke. Methods: The MEDLINE, Embase, Scopus, CINAHL and Web of Science databases were searched from inception to September 2019 using an a priori search strategy. Two independent reviewers screened abstracts and full texts, and extracted data from the included full texts. A third reviewer resolved disagreements at each step. Risk of bias was assessed using the AXIS Quality Assessment tool. Results: A total of 191 abstracts were identified, with 56 eligible for full-text screening. A total of 18 studies were included in the review and provided evidence that people with unilateral neglect have more severe proprioceptive impairment than people without unilateral neglect. This impairment is present in multiple subtypes of unilateral neglect and aspects of proprioception. Most studies had a moderate risk of bias. Conclusion: People with unilateral neglect after stroke are more likely to have impaired processing of multiple types of proprioceptive information than those without unilateral neglect. However, the available evidence is limited by the large heterogeneity of assessment tools used to identify unilateral neglect and proprioception. Unilateral neglect and proprioception were rarely assessed comprehensively. PROSPERO Registration: CRD42018086070.

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“…1,4 Stroke might cause significant body scheme/body image and spatial relation disorders, and motor and sensory impairments, which potentially leads to different health problems, and compromised individuals' quality of life. [5][6][7] Stroke survivors usually suffered postural control impairments that could be potentially affecting balance and gait function. [8][9][10] As a result, stroke rehabilitative interventions are focused to enhance postural control, balance, and gait functioning for independence of daily activities for individuals with stroke.…”

Section: Introductionmentioning

confidence: 99%

<p>Effectiveness of Body Awareness Therapy in Stroke Survivors: A Systematic Review of Randomized Controlled Trials</p>

Alamer¹,

Getie²,

Melese³

et al. 2020

OAJCT

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Body awareness therapy has been hypothesized as an effective program for maintaining balance and improving gait function in patients with neurological diseases. Nevertheless, there is a dearth of recent studies in a systematic way to confirm its efficacy on stroke survivors. The objective of this review was to synthesize the current evidence on the effectiveness of body awareness therapy on balance and gait function in stroke survivors. A comprehensive search of PubMed, CINAHL, AMED, PEDro, EMBASE, REHABDATA Database, and Scopus was done to identify randomized controlled trials of body awareness therapy in individuals with stroke. The PEDro scale was used to evaluate the methodological quality of included trials. The primary outcome measures of this review were the 10-Meter Walk Test (10MWT) and Berg Balance Scale (BBS). Due to varying included trials, metaanalysis was not carried out. Nine randomized controlled trials with 332 patients were analyzed. Body awareness therapy exhibited a moderate confirmation to better balance and gait function of stroke survivors. Body awareness therapy could be a well-founded rehabilitative intervention and might support enhanced balance and gait function of individuals with stroke.

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Impact of visuospatial neglect post-stroke on daily activities, participation and informal caregiver burden: A systematic review

Cited by 42 publications

References 121 publications

Increasing cognitive demand in assessments of visuo-spatial neglect: Testing the concepts of static and dynamic tests

Increasing cognitive demand in assessments of visuo-spatial neglect: Testing the concepts of static and dynamic tests

Proprioceptive impairment in unilateral neglect after stroke: A systematic review

<p>Effectiveness of Body Awareness Therapy in Stroke Survivors: A Systematic Review of Randomized Controlled Trials</p>

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