Can spontaneous neurological recovery of visuospatial neglect be maximised in patients with a right hemispheric stroke?

C. Aparicio-López, A. García-Molina, J. García-Fernández, R. Sánchez-Carrión, J. M. Tormos, A. Enseñat-Cantallops

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    1 Citation (Scopus)

    Abstract

    © 2017 Elsevier España, S.L.U. y SERMEF Introduction Approximately 25-30% of patients with stroke show signs of visuospatial neglect. The objectives of the present study were two-fold: 1) to assess how the time between stroke and the start of treatment impacts (or can impact) patient improvement, and 2) to analyse patient response to two treatments (single treatment: computerised cognitive stimulation vs. combination treatment: computerised cognitive stimulation with right hemifield eye-patching). Material and method A randomised clinical trial was conducted in 31 patients. These were grouped into two experimental groups: a single treatment group (n = 18) and a combined treatment group (n = 13). Each treatment group was divided according to the period that elapsed between the stroke and the start of treatment (≤ 12 weeks vs. > 12 weeks). All received an average of 15 one-hour sessions of computerised cognitive rehabilitation using the Guttmann, NeuroPersonalTrainer® telerehabilitation platform. Patients in the combined treatment group performed the sessions wearing a visual device that occluded the right hemifield of each eye. Results The results obtained after application of these treatments indicated changes at the intragroup level in the four groups analysed. However, no between-group differences were found. Conclusions Neither the time between the stroke and the beginning of treatment nor the type of treatment received are conclusive variables influencing improvement in these patients.
    Original languageEnglish
    Pages (from-to)212-219
    JournalRehabilitacion
    Volume51
    Issue number4
    DOIs
    Publication statusPublished - 1 Oct 2017

    Keywords

    • Cognitive rehabilitation
    • Spontaneous neurological recovery
    • Stroke
    • Visuospatial neglect

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