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A Complex Intervention Integrating Prism Adaptation and Neck Vibration for Unilateral Neglect in Patients of Chronic Stroke: A Randomised Controlled Trial

Author

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  • Hyun-Se Choi

    (Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seongnam 13620, Korea)

  • Bo-Min Lee

    (Department of Rehabilitation Science, Inje University Graduate School, Gimhae 50834, Korea)

Abstract

Unilateral neglect in patients of chronic stroke reduces the quality of life and interferes with activities of daily living (ADL). This study aimed to investigate the effects of a complex rehabilitative programme that integrates prism adaptation (PA) and neck vibration (NV) for unilateral neglect in patients of chronic stroke. Thirty-six patients were randomised among the PA + NV group (Group A, n = 12), the NV-only group (Group B, n = 12), and the PA-only group (Group C, n = 12). The intervention was performed for 50 min/day, with five sessions per week, for 4 weeks. Albert’s test and the Catherine Bergego Scale were used to measure the effects of each intervention on unilateral neglect, whereas the modified Barthel Index was used to assess the effect on ADL. All three groups exhibited a reduction in unilateral neglect and an improvement in activities of daily living after the intervention ( p < 0.05). Notably, Group A (PA + NV) exhibited a significantly greater level of reduction in unilateral neglect than the other groups ( p < 0.05); however, the improvement in ADL did not significantly vary across the three groups ( p > 0.05). This novel complex intervention comprising PA + NV is recommended for the rehabilitation, in the clinical setting, of patients of chronic stroke with unilateral neglect.

Suggested Citation

  • Hyun-Se Choi & Bo-Min Lee, 2022. "A Complex Intervention Integrating Prism Adaptation and Neck Vibration for Unilateral Neglect in Patients of Chronic Stroke: A Randomised Controlled Trial," IJERPH, MDPI, vol. 19(20), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13479-:d:946047
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    References listed on IDEAS

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    1. Hans-Otto Karnath & Susanne Ferber & Marc Himmelbach, 2001. "Spatial awareness is a function of the temporal not the posterior parietal lobe," Nature, Nature, vol. 411(6840), pages 950-953, June.
    2. Yves Rossetti & Gilles Rode & Laure Pisella & Alessandro Farné & Ling Li & Dominique Boisson & Marie-Thérèse Perenin, 1998. "Prism adaptation to a rightward optical deviation rehabilitates left hemispatial neglect," Nature, Nature, vol. 395(6698), pages 166-169, September.
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