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. 2019 Oct;10(5):265-273.
doi: 10.24171/j.phrp.2019.10.5.02.

The Effect of a Complex Intervention Program for Unilateral Neglect in Patients with Acute-Phase Stroke: A Randomized Controlled Trial

Hyun-Se Choi  1 , Deok-Ju Kim  2 , Yeong-Ae Yang  3
Affiliations

The Effect of a Complex Intervention Program for Unilateral Neglect in Patients with Acute-Phase Stroke: A Randomized Controlled Trial

Hyun-Se Choi et al. Osong Public Health Res Perspect. 2019 Oct.

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.

Keywords: electrical stimulation; prism adaptation; stroke.

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Conflict of interest statement

Conflicts of Interest The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Study design, patient randomization and assessment.
Figure 2
Figure 2
Motor-free visual perception test (MVPT) scores determine changes in left response of Group A, Group B, and Group C pre- and post-intervention
Figure 3
Figure 3
Albert’s Test scores determine changes in the number of uncrossed lines of Group A, Group B, and Group C pre- and post-intervention.
Figure 4
Figure 4
Catherine Bergego Scale (CBS) scores determine changes in total score of Group A, Group B, and Group C pre- and post-intervention.
See this image and copyright information in PMC

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