Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial

Dai, Chin Ying; Huang, Yao Zhi; Chou, Li‐Wei; Wu, Shiao Chi; Wang, Ray Yau; Li, Lin

doi:10.2147/ndt.s42426

Cited by 22 publications

(40 citation statements)

References 36 publications

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“…The Cawthorne-Cooksey exercises (Cooksey, 1946) were used by Dai and colleagues (2013) to vestibular rehabilitation of stroke patients with hemineglect. These exercises encompass several steps: (a) to move the head up and down and to both sides with eyes open; (b) same as previous with eyes shut; (c) same as previous while looking at a moving target.…”

Section: Resultsmentioning

confidence: 99%

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%

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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“…There was a statistically significant difference between the groups ( p < 0.05). Dai et al [ 22 ] reported that the mean balancing exercise score had increased from 12.88 points to 19.29 points with virtual rehabilitation and trunk stability-based upper limb training, showing a significant difference. Wee et al [ 10 ] reported that when the upper limb reaches an object within its length, the shoulders and elbows stretch, and the center of gravity of the arm deviates from the center of gravity of the body.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Trunk Stability Training Based on Visual Feedback on Trunk Stability, Balance, and Upper Limb Function in Stroke Patients: A Randomized Control Trial

et al. 2021

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This study aimed to investigate the effects of trunk stability training based on visual feedback on trunk stability, balance, and upper limb function in patients with stroke. Twenty-eight patients with chronic stroke were randomly assigned to either a trunk support group (n = 14) or a trunk restraint group (n = 14) that practiced upper limb training with trunk support and trunk restraint, respectively, based on visual feedback for 30 min per day, three times per week, for 4 weeks. The postural assessment scale for stroke (PASS) was used to assess the stability of patients, and the functional reaching test (FRT) was performed to assess balance. To assess upper extremity function, a range of motion (ROM) test, manual muscle testing (MMT), and Fugl–Meyer assessment-upper limb (FMA-upper limb) were performed. Consequently, both groups showed significant differences before and after training in the PASS, FRT, shoulder flexion ROM, triceps brachii MMT, and FMA-upper limb (p < 0.05), while the trunk support group showed more significant improvements than the trunk restraint group in the PASS, FRT, and FMA-upper limb (p < 0.05). Trunk support-based upper limb training effectively improved trunk stability, balance, and upper limb function and is beneficial as an upper limb training method. Providing trunk support is more effective than restricting the trunk; trunk support-based upper limb training is expected to promote voluntary participation when combined with visual feedback.

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“…A similar small study with some different methodology, interventions and primary outcome demonstrated that individuals with neglect after right hemispheric stroke, through participation in VR, improved regarding the degree of neglect, ADL and balance [36]. However, both the VR and control groups in that study improved in balance but there were no statistically significant differences in improvement between the groups and they did not use data on self-rated health.…”

Section: Discussionmentioning

confidence: 93%

Vestibular rehabilitation for persons with stroke and concomitant dizziness—a pilot study

Hansson

Pessah‐Rasmussen

Bring

et al. 2020

Pilot Feasibility Stud

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Background Dizziness is common among patients with first time stroke. It affects self-perceived health and is a risk factor for falls. Vestibular rehabilitation (VR) is effective for treating dizziness among various conditions, but the effect of dizziness with origin in the central nervous system is poorly studied. This pilot study of a randomized controlled trial aimed at investigating a vestibular rehabilitation programme among patients with first time stroke and concomitant dizziness. A second aim was to study the feasibility of performing the randomized controlled trial. Methods The participants were computer generated randomized to either an intervention or a control group. The intervention comprised of four different vestibular rehabilitation exercises, adapted for each patient and usual rehabilitation. The control group received usual rehabilitation without the vestibular rehabilitation exercises. Outcome measures used were The Activities-specific Balance Confidence Scale, the Berg Balance Scale, the Functional Gait Assessment Scale and the EuroQol-5D. Feasibility was studied in terms of recruitment, adherence and retention rates, also as the ability to collect primary and secondary outcomes as well as to find indications of treatment differences. Results Self-rated health improved for all participants. No other differences between baseline and follow-up were detected neither within nor between groups. Recruitment rate was 23%, adherence to the intervention 90%, retention rate 69% and ability to collect outcome measures 90%. No adverse events occurred. Conclusion Both the intervention and the control groups improved in self-perceived health. The measures of feasibility were satisfactory in this study, apart from a low recruitment rate.

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Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial

Cited by 22 publications

References 36 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

The Effect of Trunk Stability Training Based on Visual Feedback on Trunk Stability, Balance, and Upper Limb Function in Stroke Patients: A Randomized Control Trial

Vestibular rehabilitation for persons with stroke and concomitant dizziness—a pilot study

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