Enfoques top-down y bottom-up para el tratamiento de la heminegligencia espacial en sujetos con ictus: revisión sistemática

Dintén-Fernández, A.; Fernández-González, P.; Koutsou, Aikaterini D.; Alguacil-Diego, Isabel M.; Laguarta-Val, Sofía; Molina‐Rueda, Francisco

doi:10.1016/j.rh.2018.10.001

Cited by 5 publications

(6 citation statements)

References 32 publications

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“…Several rehabilitation methods have been developed to improve spatial neglect in the last few decades. These can be classified according to their theoretical basis: 132 1) enhancing awareness of neglect behavior through a top-down mechanism; 2) low-level bottom-up sensory stimulation; and 3) neuromodulation.…”

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

“…However, these methods are limited because they require attention skills, which can be hampered by the lack of awareness of spatial neglect behaviors, such as anosognosia. 132…”

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

“…Bottom-up treatments, including prismatic adaptation, visual scanning training, optokinetic stimulation, VR, limb activation, neck vibration combined with prism adaptation, voluntary trunk rotation, and vestibular rehabilitation improve immediate and long-term performance in USN. 132 133…”

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

“…However, these methods are limited because they require attention skills, which can be hampered by the lack of awareness of spatial neglect behaviors, such as anosognosia. 132 Bottom-up treatments, including prismatic adaptation, visual scanning training, optokinetic stimulation, VR, limb activation, neck vibration combined with prism adaptation, voluntary trunk rotation, and vestibular rehabilitation improve immediate and long-term performance in USN. 132,133 Moderate-quality evidence showed that rTMS was more efficient than sham for USN after stroke.…”

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

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Brazilian practice guidelines for stroke rehabilitation: Part II

et al. 2022

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The Brazilian Practice Guidelines for Stroke Rehabilitation – Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.

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Section: Unilateral Spatial Neglectmentioning

confidence: 99%

“…However, these methods are limited because they require attention skills, which can be hampered by the lack of awareness of spatial neglect behaviors, such as anosognosia. 132…”

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

Section: Unilateral Spatial Neglectmentioning

confidence: 99%

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Brazilian practice guidelines for stroke rehabilitation: Part II

et al. 2022

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“…The last search date for databases and the electronic registers were 31/06/2021 and 14/06/2021 respectively. To identify further potentially eligible studies, the reference lists of previous related reviews (Bowen et al, 2013;Champod et al, 2014;Dintén-Fernández et al, 2019;Li et al, 2020;Liu et al, 2019;Longley et al, 2021;Qiu et al, 2021) were checked.…”

Section: Information Sourcesmentioning

confidence: 99%

No Immediate Treatment Effect of Prism Adaptation for Spatial Neglect: An Inclusive Meta-analysis

Székely¹,

Brink²,

Mitchell³

et al. 2022

Preprint

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Despite nearly 25 years of research on the topic, there is still no consensus on whether prism adaptation is an effective therapy for visuospatial neglect. We present a meta-analysis from 1998 to 2021 on immediate treatment effects measured by paper-and-pencil clinical tests (BIT-C and cancellation tasks combined), and a standard assessment of neglect in everyday activities (Catherine Bergego Scale). We combined the Behavioural Inattention Test-conventional sub-tests (BIT-C) and cancellation scores into one random effect meta-analytic model, justified by the fact that 89% of the BIT-C score is determined by cancellation tasks. With this approach, we were able to obtain a larger dataset than previous meta-analyses while also including a more specific patient sample: right hemisphere stroke patients with left-sided neglect. We found no evidence for beneficial effects of prism adaptation within our main meta-analytic model (BIT-C/cancellation) where sixteen randomised and non-random controlled trials, altogether including 430 patients for the task of interest, were included. Nor did we find evidence for therapeutic effects as measured by CBS, albeit half as many studies were available for this analysis. The lack of effect was consistent after the removal of influential outliers, when studies with high risk-of-bias were excluded, and when an alternative measure of effect size was considered. These results do not support the routine use of prism adaptation as therapy for spatial neglect.

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