Journal
TOPICS IN STROKE REHABILITATION
Volume 18, Issue 2, Pages 155-161Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1310/tsr1802-155
Keywords
attention; cerebrovascular accident; hemispatial neglect; perceptual disorders; rehabilitation
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Objective: We compared visual scanning and mental practice and explored the effects of these techniques on specific hemispatial neglect tests and activities of daily living in chronic hemispatial neglect patients. Methods: Ten right-handed patients with hemispatial neglect caused by right hemisphere ischemic strokes were randomly allocated to 1 of 2 study groups: visual scanning (n = 5), mental practice (n = 5). Five additional patients were included in a control group. Three evaluations for hemispatial neglect and the FIM were carried out in the intervention groups: pretreatment, at the end of the intervention period, and 3 months after that intervention period. Control patients were evaluated twice within a 2-month interval. Results: There was a significant difference among the 3 groups in Behavioral Inattention Test (BIT) score changes (P=.047) and in FIM self-care item score changes (P=.035), the visual scanning protocol being responsible for these differences both in BIT (P=.008) and in FIM self-care item scores (P=.016). The positive functional effects of visual scanning were partially retained at the end of the follow-up period. Conclusions: Visual scanning should probably be considered preferable to mental practice protocols in the treatment of hemispatial neglect patients.
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