Osong Public Health Res Perspect.  2019 Oct;10(5):265-273. 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

Affiliations
  • 1Department of Occupational Therapy, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 2Department of Occupational Therapy, College of Health & Medical Sciences, Cheongju University, Cheongju, Korea.
  • 3Department of Occupational Therapy, College of Biomedical Sciences and Engineering, Inje University, Gimhae, Korea. yya6853@hanmail.net

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.

Keyword

electrical stimulation; stroke; prism adaptation

MeSH Terms

Electric Stimulation
Humans
Methods
Occupational Therapy
Stroke*
Visual Perception
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