The Influence of Visual Neglect on Stroke Rehabilitation

Kalra, Lalit; Perez, Inigo; Gupta, Shalabh; Wittink, M.

doi:10.1161/01.str.28.7.1386

Cited by 265 publications

(140 citation statements)

References 28 publications

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“…Visual scanning training alone was shown to improve significantly neglect in one level Ib study (Weinberg et al, 1977). Spatiomotor or visuo-spatiomotor cueing improved neglect significantly in one level Ib (Kalra et al, 1997) and two level IIa studies (Lin et al, 1996;Frassinetti et al, 2001). Visual cueing with kinetic stimuli was found to bring significant, albeit transient, improvement in three level IIa studies (Butter et al, 1990;Pizzamiglio et al, 1990;Butter and Kirsch, 1995).…”

Section: Rehabilitation Of Ulnmentioning

confidence: 93%

EFNS Guidelines on cognitive rehabilitation: report of an EFNS Task Force

Cappa

Benke²,

Clarke

et al. 2003

Euro J of Neurology

116

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Section: Rehabilitation Of Ulnmentioning

confidence: 93%

EFNS Guidelines on cognitive rehabilitation: report of an EFNS Task Force

Cappa

Benke²,

Clarke

et al. 2003

Euro J of Neurology

116

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“…Measures of functional ability / disability as a primary outcome measure were used. Twenty‐three trials were identified as meeting the inclusion criteria, eleven of which were new to this update (Cherney, Halper, & Papachronis, 2002; Cottam, 1987; Edmans, Webster, & Lincoln, 2000; Fanthome, Lincoln, Drummond, & Walker, 1995; Ferreira, Leite Lopes, Luiz, Cardoso, & André, 2011; Fong et al., 2007; Kalra, Perez, Gupta, & Wittink, 1997; Kerkhoff et al., 2012; Luukkainen‐Markkula, Tarkka, Pitkanen, Sivenius, & Hamalainen, 2009; Mizuno et al., 2011; Nys, Seurinck, & Dijkerman, 2008; Polanowska, Seniow, Paprot, Leniak, & Czonkowska, 2009; Robertson, 1990; Robertson, McMillan, MacLeod, Edgeworth, & Brock, 2002; Rossi et al., 1990; Rusconi, Meinecke, Sbrissa, & Bernardini, 2002; Schroder, Wist, & Homberg, 2008; Tsang, Sze, & Fong, 2009; Turton, O'Leary, Gabb, Woodward, & Gilchrist, 2010; Weinberg et al., 1977; Welfringer, Leifert‐Fiebach, Babinsky, & Brandt, 2011; Wiart et al., 1997; Zeloni, Farne, & Baccini, 2002). Meta‐analyses showed no significant persistent effect either on standardized assessments or for functional ability.…”

Section: Interventionsmentioning

confidence: 99%

The treatment methods for post‐stroke visual impairment: A systematic review

2017

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AimTo provide a systematic overview of interventions for stroke related visual impairments.MethodA systematic review of the literature was conducted including randomized controlled trials, controlled trials, cohort studies, observational studies, systematic reviews, and retrospective medical note reviews. All languages were included and translation obtained. This review covers adult participants (aged 18 years or over) diagnosed with a visual impairment as a direct cause of a stroke. Studies which included mixed populations were included if over 50% of the participants had a diagnosis of stroke and were discussed separately. We searched scholarly online resources and hand searched articles and registers of published, unpublished, and ongoing trials. Search terms included a variety of MESH terms and alternatives in relation to stroke and visual conditions. Article selection was performed by two authors independently. Data were extracted by one author and verified by a second. The quality of the evidence and risk of bias was assessed using appropriate tools dependant on the type of article.ResultsForty‐nine articles (4142 subjects) were included in the review, including an overview of four Cochrane systematic reviews. Interventions appraised included those for visual field loss, ocular motility deficits, reduced central vision, and visual perceptual deficits.ConclusionFurther high quality randomized controlled trials are required to determine the effectiveness of interventions for treating post‐stroke visual impairments. For interventions which are used in practice but do not yet have an evidence base in the literature, it is imperative that these treatments be addressed and evaluated in future studies.

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“…Other studies on poststroke cognitive impairment have focused on the prognostic value of isolated impairments such as unilateral neglect, 11,12 anosognosia, 13 aphasia, 14 or apraxia. 15 A detailed neuropsychological evaluation covering the whole cognitive spectrum in acute stroke has not been reported, probably because of uncertainty about the feasibility and reliability of such early testing.…”

Section: Abstract-objectivementioning

confidence: 99%

Ischemic optic neuropathy and carotid dissection

Koch¹,

Lorenzo²,

Rabinstein³

et al. 2005

Neurology

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Abstract-Objective:To evaluate the prognostic value of domain-specific cognitive abilities in acute stroke with respect to long-term cognitive and functional outcome in addition to neurologic and demographic predictors. Methods: The authors evaluated 168 patients within the first 3 weeks after first-ever stroke. The prevalence of neuropsychological impairment was calculated vs 75 matched healthy controls. The authors also recorded demographic data, vascular risk factors, lesion characteristics, and clinical factors at admission. Independent predictor variables associated with long-term cognitive impairment (assessed with a follow-up neuropsychological examination) and functional impairment (assessed with the modified Barthel Index and the Frenchay Activities Index) were identified with stepwise multiple logistic regression. Areas under receiver operator characteristic curves were used to compare the predictive value of three models, i.e., a standard medical model, a purely cognitive model, and a model consisting of both medical and cognitive predictors. Results: Thirty-one percent of patients showed long-term cognitive impairment. Basic and instrumental ADL disturbances remained present in 19% and 24% of patients. Domain-specific cognitive functioning predicted cognitive and functional outcome better than any other variable. Moreover, the prediction of instrumental ADL functioning improved when cognitive predictors were added to the standard medical model (p Ͻ 0.05). Impairments in abstract reasoning and executive functioning were independent predictors of long-term cognitive impairment. Inattention and perceptual disorders were more important in predicting long-term functional impairment. Conclusion: Domain-specific cognitive abilities in the early phase of stroke are excellent independent predictors of long-term cognitive and functional outcome. NEUROLOGY 2005;64:821-827 Several factors have been identified as predictors for long-term disability and adverse outcome, such as initial stroke severity and lesion characteristics, functional status at admission with respect to activities of daily life (ADL), vascular risk factors, and demographic factors.1-5 While cognitive disorders are among the most frequent and devastating early consequences of stroke, 6,7 few studies have examined the prognostic importance of these acute disorders. 8,9 Moreover, most of these studies have used global cognitive screening measures in the early phase of stroke, although these measures demonstrate poor sensitivity in detecting cognitive impairment in stroke patients.10 Also, these global measures do not allow evaluation of cognitive performance in specific domains. Other studies on poststroke cognitive impairment have focused on the prognostic value of isolated impairments such as unilateral neglect, 11,12 anosognosia, 13 aphasia, 14 or apraxia. 15 A detailed neuropsychological evaluation covering the whole cognitive spectrum in acute stroke has not been reported, probably because of uncertainty about the feasibility and reliabi...

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The Influence of Visual Neglect on Stroke Rehabilitation

Cited by 265 publications

References 28 publications

EFNS Guidelines on cognitive rehabilitation: report of an EFNS Task Force

EFNS Guidelines on cognitive rehabilitation: report of an EFNS Task Force

The treatment methods for post‐stroke visual impairment: A systematic review

Ischemic optic neuropathy and carotid dissection

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