Cognitive rehabilitation with right hemifield eye-patching for patients with sub-acute stroke and visuo-spatial neglect: A randomized controlled trial

Aparicio-López, Celeste; García-Molina, Alberto; García-Fernández, J.; López-Blázquez, Raquel; Enseñat-Cantallops, Antònia; Sánchez-Carrión, Rocío; Muriel, Vega; Tormos, José; Roig-Rovira, Teresa

doi:10.3109/02699052.2014.995230

Cited by 10 publications

(4 citation statements)

References 49 publications

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“…This training led to improvements in the Line bisection task (Schenkenberg et al, 1980) ( p = .039), and combined with right hemifield eye-patching resulted in improvements both in the Line bisection task and in the Bells test (all p = .043). In the pre- and post-intervention comparison between stroke groups, patients who received the combined treatment had better performance in the Reading Task ( p = .048), than patients only received cognitive training (Aparicio-Lopez et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the outcomes of the intervention programs (RQ5), Class I studies showed evidence of immediate improvement of vision (hemianopia) with compensation method (Mödden et al, 2012), hemineglect using vestibular intervention – Cawthorne-Cooksey exercises (Dai et al, 2013), cognitive functioning using proprioceptive stimulation – muscle vibration (Müller et al, 2002), sustained attention using olfactory stimulation (Sullivan et al, 1998) and an adapted version of Attention Process Training Program (Dundon et al, 2015). Immediate and long-term improvements were found on somatosensory discrimination using this intervention (Carey et al, 2011) and hemineglect using Guttman-NeuroPersonalTrainer with and without eye-patching (Aparicio-Lopez et al, 2015). Only one study of Class III used a stimulus-generalization training.…”

Section: Discussionmentioning

confidence: 99%

“…The hemineglect treatment was accomplished mainly with top-down approaches, and using virtual reality (Fordell et al, 2016;Katz et al, 2005;Yasuda et al, 2017). Sensory and cognitive stimulation were applied in a small number of studies, which used computerized tasks, among others (Aparicio-Lopez et al, 2015;Funk et al, 2013) and a program based on Attention Process Training (Dundon et al, 2015). Regarding somatosensory stimulation, the most frequently used methods were texture discrimination training and proprioceptive discrimination training (Carey & Matyas, 2005;Carey et al, 1993Carey et al, , 2011Carey et al, , 2016.…”

Section: Discussionmentioning

confidence: 99%

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Systematic Review of Sensory Stimulation Programs in the Rehabilitation of Acquired Brain Injury

Pinto

Dores

Peixoto

et al. 2022

European Psychologist

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Abstract. Acquired Brain Injury (ABI) can lead to sensory deficits and compromise functionality. However, most studies have been focused on motor stimulation in stroke and traumatic brain injury (TBI). Sensory stimulation in stroke and mild/moderate TBI has received reduced interest. The main objective of this review is to know the methodological characteristics and effects of sensory programs in ABI. Studies with the purpose of testing the efficacy of those programs were identified through a literature search, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the Cochrane Collaboration Guidelines. Twenty-three studies were included in this review. The results show that in most studies sensory stimulation started within 12 months after injury and there is no consensus regarding frequency, duration and number of sessions, duration of intervention, and instruments used to assess outcomes. Most programs involved unisensory stimulation, and vision was the predominant target. The most used methods were compensation and somatosensory discrimination training. Most studies used a pre- and post-intervention assessment, with few studies comprising follow-up assessment. Regarding the studies revised, the interventions with positive outcomes in ABI are: compensation, cognitive training, vestibular intervention, somatosensory discrimination training, proprioceptive stimulation with muscle vibration, and sustained attention training with olfactory stimulation. Available findings suggest that sensory stimulation has positive results with immediate and long-term improvements in sensory functioning. This review provides useful information to improve rehabilitation and to design future investigation.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Systematic Review of Sensory Stimulation Programs in the Rehabilitation of Acquired Brain Injury

Pinto

Dores

Peixoto

et al. 2022

European Psychologist

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“…Top-down approaches, aimed at teaching patients strategies to compensate for their neglect deficits voluntarily, require full cooperation from the patient to be aware of the neglected space, such as visual scanning and mental imagery ( 7 , 8 ). Bottom-up approaches, designed to adapt the external environment or apply sensory stimulation, focus on remediating patients' perception of neglected space, such as prism adaptation ( 9 ), limb activation therapy ( 10 ), optokinetic stimulation ( 11 , 12 ), feedback training ( 13 ), neck muscle vibration ( 14 ), trunk rotation ( 15 ), and eye patching ( 16 ). However, there is only limited evidence and effects of these methods on neglect symptoms and functional performance with current methods ( 17 , 18 ).…”

Section: Introductionmentioning

confidence: 99%

Robot-Assisted Arm Training in Stroke Individuals With Unilateral Spatial Neglect: A Pilot Study

Chen

et al. 2021

Front. Neurol.

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Background: Robot-assisted arm training (RAT) is an innovative exercise-based therapy that provides highly intensive, adaptive, and task-specific training, yet its effects for stroke individuals with unilateral spatial neglect remain to be explored. The study was aimed to investigate the effects of RAT on unilateral spatial neglect, arm motor function, activities of daily living, and social participation after stroke.Methods: In a pilot randomized controlled trial, individuals with unilateral spatial neglect after right hemisphere stroke were equally allocated to intervention group and control group, 45-min training daily, 5 days/week, for 4 weeks. Outcome measures included the Behavioral Inattention Test-conventional section (BIT-C), Catherine Bergego Scale (CBS), Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Modified Barthel Index (MBI), and World Health Organization Disability Assessment Schedule Version 2.0 (WHODAS 2.0).Results: From November 2018 to February 2021, 20 stroke patients (mean age 47.40 ± 8.47) were enrolled in the study. Robot-assisted arm training was feasible and safe for individuals with unilateral spatial neglect. Both groups had significant improvements in all outcome measures. Participants assigned to RAT therapy had significantly greater improvements in BIT-C (difference, 7.70; 95% CI, 0.55–14.85, P = 0.04), FMA-UE (difference, 5.10; 95% CI, 1.52–8.68, P = 0.01), and WHODAS 2.0 (difference, −7.30; 95% CI, −12.50 to −2.10, P = 0.01). However, the change scores on CBS and MBI demonstrated no significance between the groups.Conclusion: Our findings provide preliminary support for introducing robot-assisted arm training to remediate unilateral spatial neglect after stroke. The training program focusing on neglect of contralateral space and affected upper extremity may be effective in neglect symptoms, motor function recovery, and social participation, while not generalizing into improvements in activities of daily living.Clinical Trial Registration: Chinese Clinical Trial Registry (http://www.chictr.org.cn/) on 17 October 2019, identifier: ChiCTR1900026656.

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Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury

Longley

Hazelton

Heal

et al. 2021

Cochrane Database of Systematic Reviews

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Cognitive rehabilitation with right hemifield eye-patching for patients with sub-acute stroke and visuo-spatial neglect: A randomized controlled trial

Cited by 10 publications

References 49 publications

Systematic Review of Sensory Stimulation Programs in the Rehabilitation of Acquired Brain Injury

Systematic Review of Sensory Stimulation Programs in the Rehabilitation of Acquired Brain Injury

Robot-Assisted Arm Training in Stroke Individuals With Unilateral Spatial Neglect: A Pilot Study

Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury

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