Visual Scanning Training, Limb Activation Treatment, and Prism Adaptation for Rehabilitating Left Neglect: Who is the Winner?

Priftis, Konstantinos; Passarini, Laura; Pilosio, Cristina; Meneghello, Francesca; Pitteri, Marco

doi:10.3389/fnhum.2013.00360

Cited by 41 publications

(39 citation statements)

References 61 publications

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“…The quality assessment yielded an inter‐rater reliability of 96.3%, with an agreement of 100% after discussion with TN. The studies of Serino, Barbiani, Rinaldesi, and Ladavas () and Priftis, Passarini, Pilosio, Meneghello, and Pitteri () were ranked as high (Table ). The studies of Mancuso et al .…”

Section: Resultsmentioning

confidence: 99%

Does prism adaptation affect visual search in spatial neglect patients: A systematic review

Wit

Brink

Visser‐Meily

et al. 2016

Journal of Neuropsychology

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Prism adaptation (PA) is a widely used intervention for (visuo-)spatial neglect. PA-induced improvements can be assessed by visual search tasks. It remains unclear which outcome measures are the most sensitive for the effects of PA in neglect. In this review, we aimed to evaluate PA effects on visual search measures. A systematic literature search was completed regarding PA intervention studies focusing on patients with neglect using visual search tasks. Information about study content and effectiveness was extracted. Out of 403 identified studies, 30 met the inclusion criteria. The quality of the studies was evaluated: Rankings were moderate-to-high for 7, and low for 23 studies. As feature search was only performed by five studies, low-to-moderate ranking, we were limited in drawing firm conclusions about the PA effect on feature search. All moderate-to-high-ranking studies investigated cancellation by measuring only omissions or hits. These studies found an overall improvement after PA. Measuring perseverations and total task duration provides more specific information about visual search. The two (low ranking) studies that measured this found an improvement after PA on perseverations and duration (while accuracy improved for one study and remained the same for the other). This review suggests there is an overall effect of PA on visual search, although complex visual search tasks and specific visual search measures are lacking. Suggestions for search measures that give insight in subcomponents of visual search are provided for future studies, such as perseverations, search path intersections, search consistency and using a speed-accuracy trade-off.

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Section: Resultsmentioning

confidence: 99%

Does prism adaptation affect visual search in spatial neglect patients: A systematic review

Wit

Brink

Visser‐Meily

et al. 2016

Journal of Neuropsychology

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“…Therefore, neglect rehabilitation remains a challenging problem and currently no rehabilitation approach has been recommended for clinical implementation (Bowen et al, 2013). Nevertheless, significant immediate effects in favour of cognitive rehabilitation vs. control treatments on standardised neglect tests justify the need for further well-designed clinical trials (Bowen et al, 2013; see also Cappa et al, 2005;Champod, Frank, Taylor, & Eskes, 2016;Cicerone et al, 2005;Priftis, Passarini, Pilosio, Meneghello, & Pitteri, 2013).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect

Rossit

Benwell

Szymanek

et al. 2017

Neuropsychological Rehabilitation

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Hemispatial neglect is a severe cognitive condition frequently observed after a stroke, associated with unawareness of one side of space, disability and poor long-term outcome. Visuomotor feedback training (VFT) is a neglect rehabilitation technique that involves a simple, inexpensive and feasible training of grasping-to-lift rods at the centre. We compared the immediate and long-term effects of VFT vs. a control training when delivered in a home-based setting. Twenty participants were randomly allocated to an intervention (who received VFT) or a control group (n = 10 each). Training was delivered for two sessions by an experimenter and then patients self-administered it for 10 sessions over two weeks. Outcome measures included the Behavioural Inattention Test (BIT), line bisection, Balloons Test, Landmark task, room description task, subjective straight-ahead pointing task and the Stroke Impact Scale. The measures were obtained before, immediately after the training sessions and after four-months post-training. Significantly greater short and longterm improvements were obtained after VFT when compared to control training in line bisection, BIT and spatial bias in cancellation. VFT also produced improvements on activities of daily living. We conclude that VFT is a feasible, effective, homebased rehabilitation method for neglect patients that warrants further investigation with well-designed randomised controlled trials on a large sample of patients.

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“…In addition, optokinetic stimulation, neck muscle vibration, trunk rotation, repetitive transcranial magnetic stimulation, eye patching, and music therapy are also used in treatment for hemispatial neglect [19]. …”

Section: Introductionmentioning

confidence: 99%

The Effect of an Upper Limb Rehabilitation Robot on Hemispatial Neglect in Stroke Patients

Choi

Lee

et al. 2016

Ann Rehabil Med

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ObjectiveTo investigate the effectiveness of an upper limb rehabilitation robot therapy on hemispatial neglect in stroke patients.MethodsPatients were randomly divided into an upper limb rehabilitation robot treatment group (robot group) and a control group. The patients in the robot group received left upper limb training using an upper limb rehabilitation robot. The patients sat on the right side of the robot, so that the monitor of the robot was located on the patients' left side. In this position, patients could focus continuously on the left side. The control group received conventional neglect treatment, such as visual scanning training and range of motion exercises, administered by occupational therapists. Both groups received their respective therapies for 30 minutes a day, 5 days a week for 3 weeks. Several tests were used to evaluate treatment effects before and after the 3-week treatment.ResultsIn total, 38 patients (20 in the robot group and 18 in the control group) completed the study. After completion of the treatment sessions, both groups showed significant improvements in the Motor-Free Visual Perception Test 3rd edition (MVPT-3), the line bisection test, the star cancellation test, the Albert's test, the Catherine Bergego scale, the Mini-Mental State Examination and the Korean version of Modified Barthel Index. The changes in all measurements showed no significant differences between the two groups.ConclusionThis present study showed that the upper limb robot treatment had benefits for hemispatial neglect in stroke patients that were similar to conventional neglect treatment. The upper limb robot treatment could be a therapeutic option in the treatment of hemispatial neglect after stroke.

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Visual Scanning Training, Limb Activation Treatment, and Prism Adaptation for Rehabilitating Left Neglect: Who is the Winner?

Cited by 41 publications

References 61 publications

Does prism adaptation affect visual search in spatial neglect patients: A systematic review

Does prism adaptation affect visual search in spatial neglect patients: A systematic review

Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect

The Effect of an Upper Limb Rehabilitation Robot on Hemispatial Neglect in Stroke Patients

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