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. 2013:9:477-84.
doi: 10.2147/NDT.S42426. Epub 2013 Apr 8.

Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial

Chin-Ying Dai  1 , Yu-Hui Huang, Li-Wei Chou, Shiao-Chi Wu, Ray-Yau Wang, Li-Chan Lin
Affiliations

Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial

Chin-Ying Dai et al. Neuropsychiatr Dis Treat. 2013.

Abstract

Introduction: The current study aims to investigate the effects of primary caregiver participation in vestibular rehabilitation (VR) on improving the measures of neglect, activities of daily living (ADL), balance, and falls of unilateral neglect (UN) patients.

Methods: This study is a single-blind randomized controlled trial. Both experimental (n = 24) and control groups (n = 24) received conventional rehabilitation. The experimental group undertook VR for a month. During the first and second weeks, a registered nurse trained the experimental group in VR. The primary caregivers in the experimental group supervised and guided their patients in VR during the third and fourth weeks. The outcome measures were neglect, ADL, balance, and falls.

Results: The two groups of UN patients showed a significant improvement in neglect, ADL, and balance over time. Based on the generalized estimating equations model, an interaction was observed between groups and times. Significant interactions were observed between the VR group at days 14 and 28 in the areas of neglect, ADL, and balance. No significant difference was observed between the two groups in the number of falls.

Conclusion: Neglect, ADL, and balance among UN patients with right hemispheric stroke can be improved through the participation of primary caregivers in VR. Trained informal caregivers were recommended to provide VR guidance and supervision to patients who suffer from UN.

Keywords: balance; caregiver; falls; neglect; vestibular rehabilitation.

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Figures

Figure 1
Figure 1
Flowchart of participants. Abbreviations: n, number; VR, vestibular rehabilitation; GI, gastrointestinal.
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References

    1. Heilman KM, Watson RT, Valenstein E. Neglect and related disorders. In: Heilman KM, Valenstein E, editors. Clinical Neuropsychology. 2th ed. New York: Oxford University Press; 1985. pp. P243–293.
    1. Karnath HO, Dieterich M. Spatial neglect – a vestibular disorder? Brain. 2006;129(Pt 2):293–305. - PubMed
    1. Farnè A, Buxbaum LJ, Ferraro M, et al. Patterns of spontaneous recovery of neglect and associated disorders in acute right brain-damaged patients. J Neurol Neurosurg Psychiatry. 2004;75(10):1401–1410. - PMC - PubMed
    1. Jehkonen M, Laihosalo M, Koivisto AM, Dastidar P, Ahonen JP. Fluctuation in spontaneous recovery of left visual neglect: a 1-year follow-up. Eur Neurol. 2007;58(4):210–214. - PubMed
    1. Jehkonen M, Ahonen J, Dastidar P, et al. Visual neglect as a predictor of functional outcome one year after stroke. Acta Neurol Scand. 2000;101(3):195–201. - PubMed

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