Visual Daily Functioning of Chronic Stroke Patients Assessed by Goal Attainment Scaling After Visual Restorative Training: An Explorative Study

Bergsma, Douwe; Baars-Elsinga, Annette; Sibbel, Jacqueline; Lubbers, Paula; Visser‐Meily, Anne

doi:10.1310/tsr2105-400

Cited by 13 publications

(16 citation statements)

References 30 publications

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“…Only the compensation method resulted in improvements in reading performance ( p = .016) and visual conjunction search ( p = .001), being considered the treatment of choice for the neglect (Mödden et al, 2012). Bergsma and colleagues (2014) also showed the efficacy of visual restoration in visual field enlargement ( p < .005).…”

Section: Resultsmentioning

confidence: 84%

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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: 84%

“…Concerning restoration, Mödden and collaborators (2012) showed different colored targets at different positions from the visual field limit without ocular movement. Bergsma and colleagues (2014) used a computerized program for visual restoration.…”

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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“…So far, we have focused on the perimetric changes, but the ultimate goal of rehabilitation is an improvement of daily life measures. Previous work in chronic patients reported significant improvement following training using questionnaires ( 30 , 31 ) reading speed ( 9 , 10 ) and eye saccades during a driving test ( 28 ). Here, we monitored two parameters: reading speed increase and success in achieving improvement on visually affected tasks of daily living (GAS).…”

Section: Discussionmentioning

confidence: 97%

“…Only one previous study reported GAS improvements after visual training in chronic hemianopia patients ( 31 ), but GAS improvement and field improvement appeared unrelated, possibly because goals had not been set realistically (e.g., peripheral recovery goals in hemianopia patients with a small macula sparing).…”

Section: Discussionmentioning

confidence: 99%

Segregation of Spontaneous and Training Induced Recovery from Visual Field Defects in Subacute Stroke Patients

Bergsma¹,

Elshout²,

Berg³

2017

Front. Neurol.

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Whether rehabilitation after stroke profits from an early start is difficult to establish as the contributions of spontaneous recovery and treatment are difficult to tease apart. Here, we use a novel training design to dissociate these components for visual rehabilitation of subacute stroke patients with visual field defects such as hemianopia. Visual discrimination training was started within 6 weeks after stroke in 17 patients. Spontaneous and training-induced recoveries were distinguished by training one-half of the defect for 8 weeks, while monitoring spontaneous recovery in the other (control) half of the defect. Next, trained and control regions were swapped, and training continued for another 8 weeks. The same paradigm was also applied to seven chronic patients for whom spontaneous recovery can be excluded and changes in the control half of the defect point to a spillover effect of training. In both groups, field stability was assessed during a no-intervention period. Defect reduction was significantly greater in the trained part of the defect than in the simultaneously untrained part of the defect irrespective of training onset (p = 0.001). In subacute patients, training contributed about twice as much to their defect reduction as the spontaneous recovery. Goal Attainment Scores were significantly and positively correlated with the total defect reduction (p = 0.01), percentage increase reading speed was significantly and positively correlated with the defect reduction induced by training (epoch 1: p = 0.0044; epoch 2: p = 0.023). Visual training adds significantly to the spontaneous recovery of visual field defects, both during training in the early and the chronic stroke phase. However, field recovery as a result of training in this subacute phase was as large as in the chronic phase. This suggests that patients benefited primarily of early onset training by gaining access to a larger visual field sooner.

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“…In this sample, only 8% of patients reported this symptom. These disorders can be treated through training to restore visual function, not only to increase visual field capabilities but also to subjectively improve regular visual functions 40 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of vestibular and oculomotor functions in individuals with dizziness after stroke

Pimentel

Filha

2019

Arq. Neuro-Psiquiatr.

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Changes in postural balance and visual complaints are frequent consequences of stroke. We aimed to investigate the symptoms and the vestibular and oculomotor functions of patients with dizziness post ischemic and hemorrhagic stroke and compare the results among them. Methods: Fifty patients with dizziness after stroke were evaluated through a clinical anamnesis and computerized vector electronystagmography: calibration of ocular movements, spontaneous nystagmus, semi-spontaneous nystagmus, pendular tracking, optokinetic nystagmus, rotary chair testing, and the caloric test. Results: All patients complained of dizziness, especially imbalance. Ischemic stroke in the carotid territory was the prevalent type. Visual complaints were reported by 56% of the sample and were related to abnormalities in oculomotor and caloric tests. Conclusion: The occurrence of visual symptoms was related to some abnormalities in the vector electronystagmography tests, being more frequent in cases of stroke in the vertebrobasilar system, and with oscillopsia and reduced visual acuity as symptoms.

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Visual Daily Functioning of Chronic Stroke Patients Assessed by Goal Attainment Scaling After Visual Restorative Training: An Explorative Study

Abstract: Visual restorative function training does not only lead to visual field enlargement, as assessed with dynamic Goldmann perimetry, but it may also lead to a subjective improvement of daily visual functioning as evaluated by means of GAS.

Cited by 13 publications

References 30 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

Segregation of Spontaneous and Training Induced Recovery from Visual Field Defects in Subacute Stroke Patients

Evaluation of vestibular and oculomotor functions in individuals with dizziness after stroke

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