The Effect of a Complex Intervention Program for Unilateral Neglect in Patients with Acute-Phase Stroke: A Randomized Controlled Trial
10.24171/j.phrp.2019.10.5.02
- Author:
Hyun Se CHOI
1
;
Deok Ju KIM
;
Yeong Ae YANG
Author Information
1. Department of Occupational Therapy, Seoul National University Bundang Hospital, Seongnam, Korea.
- Publication Type:Randomized Controlled Trial
- Keywords:
electrical stimulation;
stroke;
prism adaptation
- MeSH:
Electric Stimulation;
Humans;
Methods;
Occupational Therapy;
Stroke;
Visual Perception
- From:
Osong Public Health and Research Perspectives
2019;10(5):265-273
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: The purpose of this study was to examine the combined effects of Prism Adaptation (PA) plus functional electrical stimulation (FES) on stroke patients with unilateral neglect, and suggest a new intervention method for acute-phase stroke patients. METHODS: There were 30 patients included in this study from April to October 2016 that had unilateral neglect whilst hospitalized following a stroke (diagnosed by a professional). The participants, who were patients receiving occupational therapy, understood the purpose of the study and agreed to participate. The patients were randomly divided into 3 groups: PA plus FES group (Group A), PA group (Group B), and FES group (Group C). Treatments lasted for 50 minutes per day, 5 times per week, for 3 weeks in total. Reevaluation was conducted after 3 weeks of intervention. RESULTS: All 3 groups showed unilateral neglect reduction after the intervention, but PA plus FES (complex intervention method) was more effective than PA or FES alone [effect size: Motor-free Visual Perception Test (0.80), Albert test (0.98), CBS (0.92)]. CONCLUSION: The results of this study support further studies to examine complex intervention for the treatment of unilateral neglect.
