Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect

Rossit, S. et al. (2019) Efficacy of home-based visuomotor feedback training in stroke patients with chronic hemispatial neglect. Neuropsychological Rehabilitation, 29(2), pp. 251-272. (doi: 10.1080/09602011.2016.1273119) (PMID:28116988)

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Hemispatial neglect is a severe cognitive condition frequently observed after a stroke, associated with unawareness of one side of space, disability and poor long-term outcome. Visuomotor feedback training (VFT) is a neglect rehabilitation technique that involves a simple, inexpensive and feasible training of grasping-to-lift rods at the centre. We compared the immediate and long-term effects of VFT vs. a control training when delivered in a home-based setting. Twenty participants were randomly allocated to an intervention (who received VFT) or a control group (n = 10 each). Training was delivered for two sessions by an experimenter and then patients self-administered it for 10 sessions over two weeks. Outcome measures included the Behavioural Inattention Test (BIT), line bisection, Balloons Test, Landmark task, room description task, subjective straight-ahead pointing task and the Stroke Impact Scale. The measures were obtained before, immediately after the training sessions and after four-months post-training. Significantly greater short and long-term improvements were obtained after VFT when compared to control training in line bisection, BIT and spatial bias in cancellation. VFT also produced improvements on activities of daily living. We conclude that VFT is a feasible, effective, home-based rehabilitation method for neglect patients that warrants further investigation with well-designed randomised controlled trials on a large sample of patients.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Learmonth, Dr Gemma and Harvey, Professor Monika and Ward, Dr Laura and Rossit, Miss Stephanie and Roberts, Dr Margaret and Reeves, Dr Ian and Muir, Professor Keith and Benwell, Mr Christopher and Szymanek, Dr Larissa
Authors: Rossit, S., Benwell, C. S.Y., Szymanek, L., Learmonth, G., McKernan-Ward, L., Corrigan, E., Muir, K., Reeves, I., Birschel, P., Duncan, G., Roberts, M., Livingstone, K., Jackson, H., Castle, P., and Harvey, M.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Psychology & Neuroscience
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Science and Engineering > School of Psychology
Journal Name:Neuropsychological Rehabilitation
Publisher:Taylor and Francis (Routledge)
ISSN (Online):1464-0694
Published Online:24 January 2017
Copyright Holders:Copyright © 2017 The Authors
First Published:First published in Neuropsychological Rehabilitation 29(2):251-272
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
577263Glasgow - ESRC Standard Research Transition Standard Quota DTGMary Beth KneafseyEconomic & Social Research Council (ESRC)ES/I902414/1RSI - RESEARCH STRATEGY & INNOVATION