TY - JOUR
T1 - Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect
AU - Rossit, Stephanie
AU - Benwell, Christopher
AU - Szymanek, Larissa
AU - Learmonth, Gemma
AU - McKernan-Ward, Laura
AU - Corrigan, Elaine
AU - Muir, Keith
AU - Reeves, Ian
AU - Duncan, George
AU - Birschel, Philip
AU - Roberts, Margaret
AU - Livingstone, Katarina
AU - Jackson, Hazel
AU - Castle, Pauline
AU - Harvey, Monika
PY - 2017/1/27
Y1 - 2017/1/27
N2 - 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 long-term 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, home-based rehabilitation method for neglect patients that warrants further investigation with well-designed randomised controlled trials on a large sample of patients.
AB - 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 long-term 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, home-based rehabilitation method for neglect patients that warrants further investigation with well-designed randomised controlled trials on a large sample of patients.
U2 - 10.1080/09602011.2016.1273119
DO - 10.1080/09602011.2016.1273119
M3 - Article
SN - 0960-2011
VL - 29
SP - 251
EP - 272
JO - Neuropsychological Rehabilitation
JF - Neuropsychological Rehabilitation
IS - 2
ER -