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

• Choi HS
• Kim DJ
• Yang YA

• KMID: 2462522
• DOI: http://doi.org/10.24171/j.phrp.2019.10.5.02

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