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Spatial neglect occupational therapy

Simona Spaccavento, Fara Cellamare, Rosanna Falcone, Anna Loverre, Roberto Nardulli
OBJECTIVE: Because of the loss of autonomy in daily-life activities, spatial neglect after stroke is one of the main causes of disability. According to the spatial domains, neglect can be divided into personal (body), peripersonal (reaching) and extrapersonal (far) space. We evaluated the effect of these subtypes of neglect on functional outcome of rehabilitation in stroke patients. METHODS: A total of 1350 stroke patients were consecutively admitted into our neurorehabilitation unit from 2002 to 2016...
November 2017: Annals of Physical and Rehabilitation Medicine
Peii Chen, Marco Pitteri, Glen Gillen, Harsha Ayyala
PURPOSE: Spatial neglect (SN) impedes rehabilitation success and leaves long-term consequences. We asked experts to provide their opinions in addressing SN by scenario (ideal vs. reality) and by recovery phase (earliest, acute, subacute, and chronic). Experts were individuals who have assessed or treated patients with SN clinically. MATERIALS AND METHODS: This study was conducted using an anonymous survey on the Internet with 189 responders over 3 months. Located in 23 different countries, 127 experts of seven disciplines were included (occupational therapy, physical therapy, nursing, speech and language pathology or therapy, neurology, physical medicine and rehabilitation, and psychology or neuropsychology)...
July 11, 2017: Disability and Rehabilitation
Eleni Papathanasiou, Mathilde Chevignard, Carole Vuillerot, Anne Tiberghien, Ingrid Godard
OBJECTIVE: Paediatric stroke is a relatively rare medical condition, but it often leads to long lasting motor and cognitive impairments. Rehabilitation of motor impairments has been widely studied, with most studies performed in children with cerebral palsy (CP). However, CP covers a variety of medical conditions, including brain lesions due to paediatric stroke occurring early in life, but not stroke occurring later on during childhood. The specificity of rehabilitation after paediatric stroke remains understudied...
September 2016: Annals of Physical and Rehabilitation Medicine
Wei Wang, Xiangtong Ji, Jun Ni, Qian Ye, Sicong Zhang, Wenli Chen, Rong Bian, Cui Yu, Wenting Zhang, Guangyu Shen, Sergio Machado, Tifei Yuan, Chunlei Shan
OBJECTIVE: To compare the effect of visual spatial training on the spatial attention to that on motor control and to correlate the improvement of spatial attention to motor control progress after visual spatial training in subjects with unilateral spatial neglect (USN). METHOD: 9 cases with USN after right cerebral stroke were randomly divided into Conventional treatment group + visual spatial attention and Conventional treatment group. The Conventional treatment group + visual spatial attention received conventional rehabilitation therapy (physical and occupational therapy) and visual spatial attention training (optokinetic stimulation and right half-field eye patching)...
2015: CNS & Neurological Disorders Drug Targets
Anita Petzold, Nicol Korner-Bitensky, Nancy M Salbach, Sara Ahmed, Anita Menon, Tatiana Ogourtsova
OBJECTIVE: The aim of this study was to investigate: (i) the feasibility of delivering a multi-modal knowledge translation intervention specific to the management of acute post-stroke unilateral spatial neglect; and (ii) the impact of the knowledge translation intervention on occupational therapists' knowledge of evidence-based unilateral spatial neglect problem identification, assessment and treatment, and self-efficacy related to evidence-based practice implementation. DESIGN: A 3-period (pre-post) repeated measures design...
February 2012: Journal of Rehabilitation Medicine
Katsuya Kamada, Megumi Shimodozono, Hirofumi Hamada, Kazumi Kawahira
PURPOSE: To evaluate the effects of neck-muscle vibration for 5 min before occupational therapy (OT) on unilateral spatial neglect (USN). METHOD: In this multiple-baseline design study for 6 weeks (A(1)-B-A(2) design: A(1), A(2); conventional OT without neck-muscle vibration, B; neck-muscle vibration before OT together with conventional OT), we examined 11 right brain-damaged patients in the post-acute phase of stroke who showed USN. Sessions A(1) and A(2): conventional OT for 40 min once daily for 5 days a week...
2011: Disability and Rehabilitation
Sharon K Ostwald, Kyler M Godwin, Hee Cheong, Stanley G Cron
PURPOSE: To identify the percentage of persons with stroke resuming therapy within 4 weeks of inpatient rehabilitation discharge, to compare the characteristics of those who did and did not resume therapy, and to determine the predictors of resuming physical (PT), occupational (OT), and speech (ST) therapy. METHOD: Sociodemographic, stroke-related, and therapy data for persons with stroke (N = 131) were abstracted from inpatient rehabilitation charts. FIM, Stroke Impact Scale, Geriatric Depression Scale, and data on therapy received after discharge were also collected...
January 2009: Topics in Stroke Rehabilitation
Anita Menon-Nair, Nicol Korner-Bitensky, Tatiana Ogourtsova
BACKGROUND AND PURPOSE: Unilateral spatial neglect (USN) is a disabling feature of stroke, and its identification and management are critical for optimizing patient outcomes. This study examined USN problem identification, assessment, and treatment among clinicians working in stroke rehabilitation. METHODS: This report was based on a Canada-wide survey of 253 occupational therapists providing inpatient stroke rehabilitation. RESULTS: Eighty percent (n=202) recognized USN as a potential problem, 27% (n=67) reported using standardized USN assessment tools, and 58% (n=147) indicated using USN interventions...
September 2007: Stroke; a Journal of Cerebral Circulation
Anita Menon-Nair, Nicol Korner-Bitensky, Sharon Wood-Dauphinee, Elizabeth Robertson
OBJECTIVE: To estimate the prevalence, timing and frequency of use of standardized and non-standardized assessments to detect unilateral spatial neglect in acute care patients post stroke. DESIGN AND SETTING: Multicentred, retrospective study on medical charts from 10 randomly selected acute care hospitals in Ontario, Canada. SUBJECTS: Three hundred and twenty-four randomly selected medical charts of adult subjects with a primary diagnosis of stroke admitted in 2002 to the participating acute care hospitals...
July 2006: Clinical Rehabilitation
Patrice L Tamar Weiss, Yuval Naveh, Noomi Katz
Virtual reality (VR) entails the use of advanced technologies, including computers and various multimedia peripherals, to produce a simulated (that is, virtual) environment that users perceive as comparable to real world objects and events. In recent years, virtual reality technologies have begun to be used as an assessment and treatment tool in occupational therapy, in part because of the ability to create environments that provide patients with opportunities to engage in meaningful, purposeful tasks that are related to real-life interests and activities...
2003: Occupational Therapy International
E Freeman
Unilateral spatial neglect is one of the most common symptoms of stroke. It has important implications for occupational therapy because of its clinical manifestations, which include problems with activities of daily living, mobility, and reading. This article reviews neurophysiological theories pertaining to unilateral spatial neglect and focuses on two new treatment approaches with potential application to occupational therapy practice. Both approaches--constraint-induced therapy and partial visual occlusion--involve a form of restraint of the less affected side...
July 2001: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
E W Herman
Competent clinical practice relies on scientific theory to explain phenomena and to provide the rationale for rehabilitation strategies. Despite research advances and new insights, no unified theory has yet been offered to explain all aspects of the puzzling neglect syndrome. To find clinical relevance for new discoveries, theoretical models have to be integrated into assessment procedures and treatment strategies. The aim of this article is to briefly review recent theories about spatial hemineglect with emphasis on their potential use for practice, assessment strategies, and rehabilitative approaches...
March 1992: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
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