Strength in numbers: Combining neck vibration and prism adaptation produces additive therapeutic effects in unilateral neglect

Saevarsson, Styrmir; Kristjánsson, Árni; Halsband, Ulrike

doi:10.1080/09602011003737087

Cited by 45 publications

(47 citation statements)

References 63 publications

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“…Fifteen additional RCTs investigating neglect were found that were not included in those reviews (prism adaptation, 2; virtual reality, 2; limb activation, 2; neck vibration with prism adaptation, 1; visual scanning with limb activation, 1; mental practice, 1; repetitive transcranial magnetic stimulation, 4; and optokinetic stimulation, 2). [471][472][473][474][475][476][477][478][479][480][481][482][483] There is evidence for the efficacy of several top-down and bottom-up approaches in improving both immediate performance and long-term performance on standard neglect tests such as cancellation tests and line bisection tests. * These include half-field eye patching, visual scanning training, prism adaptation, limb activation, optokinetic stimulation, mental imagery (but see the work by Welfringer and colleagues 482 ), and brain stimulation with repetitive transcranial magnetic stimulation, theta burst transcranial magnetic stimulation, or tDCS.…”

Section: Hemispatial Neglect or Hemi-inattentionmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Hemispatial Neglect or Hemi-inattentionmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

840

View full text Add to dashboard Cite

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“…The association of complementary methods has been considered for SN rehabilitation in non-randomized studies drawing attention to longterm effects, thereby suggesting a synergy between different strategies [51,83,84]. Cumulative effects have also been achieved by associating PA with vibratory stimulation of the muscles at the back of the neck [85]. Future investigations should help clarify which associations are the most effective and how to select them according to the symptomatic and anatomic profiles of each patient.…”

Section: Discussionmentioning

confidence: 98%

Long-term sensorimotor and therapeutical effects of a mild regime of prism adaptation in spatial neglect. A double-blind RCT essay

Rode

Lacour

Jacquin-Courtois

et al. 2015

Annals of Physical and Rehabilitation Medicine

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Spatial neglect (SN) is commonly associated with poor functional outcome. Adaptation to a rightward optical deviation of vision has been shown to benefit to SN rehabilitation. The neurophysiological foundations and the optimal modalities of prism adaptation (PA) therapy however remain to be validated. This study is aimed at exploring the long-term sensory-motor, cognitive and functional effects produced by weekly PA sessions over a period of four weeks. A double-blind, monocentric randomized and controlled trial (RCT) was carried out. Twenty patients with left SN secondary to stroke were included, 10 in the "prism" group and 10 in the "control" group. The sensory-motor effects of PA were evaluated by measurement of manual and visual straight-ahead, and also by precision of pointing without visual feedback before and after each PA session. The functional independence measure (FIM) was evaluated before and at 1, 3 and 6 months after PA, while SN severity was assessed using the Behavioural Inattention Test (BIT) before and 6 months after PA. Before the intervention, only manual straight-ahead pointing constituted a reproducible sensory-motor measurement. During prism exposure, a questionnaire showed that not a single patient were aware of the direct effects of optical deviation on pointing movement performance. The sensory-motor after-effects produced by the PA produced a more rapid reduction of the rightward manual straight-ahead, which was secondarily followed by visual straight-ahead. These sensory-motor effects helped to clarify the action mechanisms of PA on SN. At the conclusion of the 6-month follow-up, the two groups showed similar improvement, indicating that a weekly PA session over 4 weeks was not sufficient to produce long-term functional benefit. This improvement was correlated with the evolution of visual straight-ahead, which can be proposed as a marker for patients outcome.

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“…A therapeutic approach which attacks both these aspects could be much more effective (e.g. Saevarsson, Kristjánsson, & Halsband, in press). …”

Section: Introductionmentioning

confidence: 99%

Designing Rehabilitation Programs for Neglect: Could 2 Be More Than 1+1?

Saevarsson

Halsband

Kristjánsson

2011

Applied Neuropsychology

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Unilateral neglect is a multimodal neuropsychological disorder which has puzzled scientists for a long time. Many interventions have been developed, but only a handful have proved to be effective. This review examines whether applying different therapeutic techniques in combination will increase therapeutic benefits. Studies were reviewed where therapies are applied sequentially or in combination with other techniques. The results indicate that combining different interventions leads to increased general improvement compared with other non-combined designs, even when the number of treatment sessions is not constant. Practical and theoretical aspects of different treatments are discussed. The combined approach to treatment may have direct relevance to other disorders than neglect. This report introduces a new classification scheme for different interventions with the aim of facilitating more focused therapy. Finally, suggestions are made as to what the focus of future studies of neglect therapy should be and how therapeutic benefits might be maximized.

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Strength in numbers: Combining neck vibration and prism adaptation produces additive therapeutic effects in unilateral neglect

Cited by 45 publications

References 63 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Long-term sensorimotor and therapeutical effects of a mild regime of prism adaptation in spatial neglect. A double-blind RCT essay

Designing Rehabilitation Programs for Neglect: Could 2 Be More Than 1+1?

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