Interventions for visual field defects in patients with stroke

Pollock, Alex; Hazelton, Christine; Henderson, Clair A; Angilley, Jayne; Dhillon, Baljean; Langhorne, Peter; Livingstone, Katrina; Munro, Frank A; Orr, Heather; Rowe, Fiona; Shahani, Uma

doi:10.1002/14651858.cd008388

Cited by 6 publications

(3 citation statements)

References 25 publications

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“…We believe that future work in this area should prioritise establishing the evidence based for the effectiveness of the range of specific treatment and management strategies for visual impairments following stroke. Currently a series of Cochrane systematic reviews are being carried out to address this need (21)(22)(23). Recent data (3) suggest that as many as 68% of patients with visual problems may have eye movement disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Following initial development of the questionnaire, it was sent out to all members of the Scottish Stroke and Vision Steering Group and to all member of a multidisciplinary group which was formed to advise on a series of ongoing Cochrane systematic reviews relating to visual problems after stroke (21)(22)(23). Membership of these groups included health professionals, researchers, stroke survivors and representatives from Scottish charities relevant to stroke and vision.…”

Section: Development Of Questionnairementioning

confidence: 99%

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Visual Problems After Stroke: A Survey of Current Practice by Occupational Therapists Working in UK Stroke Inpatient Settings

Pollock

Hazelton

Brady

2011

Topics in Stroke Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Section: Development Of Questionnairementioning

confidence: 99%

Visual Problems After Stroke: A Survey of Current Practice by Occupational Therapists Working in UK Stroke Inpatient Settings

Pollock

Hazelton

Brady

2011

Topics in Stroke Rehabilitation

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“…Cerebrovascular accidents give rise to a variety of clinical manifestations, with field defects estimated to affect 20-57% of people who have had a stroke. 81 Other problems include visual agnosia, visual inattention or cortical blindness, ischaemic sixth and third nerve palsies and non-arteritic anterior ischaemic optic neuropathy. These usually have underlying atherosclerotic risk factors including hypertension, hyperlipidaemia, diabetes and smoking.…”

Section: Neuro-ophthalmological Disordersmentioning

confidence: 99%

Eye disease in older people

Purbrick¹,

Ah-Chan

Downes³

2013

Rev. Clin. Gerontol.

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Age-related changes affect all structures of the eye, and while age-related changes may influence the quality of vision, it is important to distinguish age-related physiological changes from pathological changes. This is important particularly when identifying pathological changes that may be treatable. The prevalence of visual loss increases substantially after 60 years of age and poor vision is the second most prevalent physical disability in older people. This review describes the normal ageing changes of the eye and outlines common ophthalmic diseases affecting older people. We refer to recent advances in diagnosis and treatment, and relevant current research.

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Interventions for perceptual disorders following stroke

Hazelton

Thomson

Todhunter‐Brown

et al. 2022

Cochrane Database of Systematic Reviews

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Background Perception is the ability to understand information from our senses. It allows us to experience and meaningfully interact with our environment. A stroke may impair perception in up to 70% of stroke survivors, leading to distress, increased dependence on others, and poorer quality of life. Interventions to address perceptual disorders may include assessment and screening, rehabilitation, non‐invasive brain stimulation, pharmacological and surgical approaches. Objectives To assess the effectiveness of interventions aimed at perceptual disorders after stroke compared to no intervention or control (placebo, standard care, attention control), on measures of performance in activities of daily living. Search methods We searched the trials registers of the Cochrane Stroke Group, CENTRAL, MEDLINE, Embase, and three other databases to August 2021. We also searched trials and research registers, reference lists of studies, handsearched journals, and contacted authors. Selection criteria We included randomised controlled trials (RCTs) of adult stroke survivors with perceptual disorders. We defined perception as the specific mental functions of recognising and interpreting sensory stimuli and included hearing, taste, touch, smell, somatosensation, and vision. Our definition of perception excluded visual field deficits, neglect/inattention, and pain. Data collection and analysis One review author assessed titles, with two review authors independently screening abstracts and full‐text articles for eligibility. One review author extracted, appraised, and entered data, which were checked by a second author. We assessed risk of bias (ROB) using the ROB‐1 tool, and quality of evidence using GRADE. A stakeholder group, comprising stroke survivors, carers, and healthcare professionals, was involved in this review update. Main results We identified 18 eligible RCTs involving 541 participants. The trials addressed touch (three trials, 70 participants), somatosensory (seven trials, 196 participants) and visual perception disorders (seven trials, 225 participants), with one (50 participants) exploring mixed touch‐somatosensory disorders. None addressed stroke‐related hearing, taste, or smell perception disorders. All but one examined the effectiveness of rehabilitation interventions; the exception evaluated non‐invasive brain stimulation. For our main comparison of active intervention versus no treatment or control, one trial reported our primary outcome of performance in activities of daily living (ADL): Somatosensory disorders : one trial (24 participants) compared an intervention with a control intervention and reported an ADL measure. Touch perception disorder: no trials measuring ADL compared an intervention with no treatment or with a control intervention. Visu...

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Interventions for visual field defects in patients with stroke

Cited by 6 publications

References 25 publications

Visual Problems After Stroke: A Survey of Current Practice by Occupational Therapists Working in UK Stroke Inpatient Settings

Visual Problems After Stroke: A Survey of Current Practice by Occupational Therapists Working in UK Stroke Inpatient Settings

Eye disease in older people

Interventions for perceptual disorders following stroke

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