Acute neglect rehabilitation using repetitive prism adaptation: a randomized placebo-controlled trial.
Acute neglect rehabilitation using repetitive prism adaptation: a randomized placebo-controlled trial.
复制标题
使用重复棱镜适应的急性忽视康复：一项随机安慰剂对照试验。
DOI：
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复制
发表时间：
2008
影响因子：
2.8
通讯作者：
H. C. Dijkerman
中科院分区：
文献类型：
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作者：
G. Nys;E. D. Haan;A. Kunneman;P. D. Kort;H. C. Dijkerman
目的
目前，棱镜适应可能是最有前途的半侧忽视的康复程序。然而，缺乏随机对照试验，也没有关于棱镜适应治疗急性忽视的有效性的数据。
方法
我们采用随机对照设计对16名忽视患者进行随访，其中6名患者在卒中单元住院期间接受连续4天的安慰剂治疗（CG），10名患者在卒中单元住院期间接受连续4天的10度倾斜棱镜（EG）实验治疗。我们检查了EG中的患者是否比CG改善得更快，通过在每次治疗之前和之后立即执行三项忽视任务（Schenkenberg Line Bisection，Letter Cancellation，Gainotti Scene）。其次，我们检查了EG中的患者在治疗后一个月是否表现出更好的长期结果（行为注意力不集中测试）。
结果
EG组的患者在空间任务（线平分，取消）上比CG组提高得更快，但在视觉构建上没有提高。在治疗后一个月，EG患者与CG的忽视结果无差异。
结论
四个连续的棱镜会议产生了有益的影响，急性忽视的患者。然而，棱镜效应要么是短期的，要么是重复指向和/或重复忽视测试的安慰剂治疗比我们预期的更有帮助。我们的研究结果强调了安慰剂条件和康复研究随访的重要性。
PURPOSE
At present, prism adaptation is probably the most promising rehabilitation procedure for hemi-neglect. However, randomised controlled trials are lacking and no data are available on the effectiveness of prism adaptation in the treatment of acute neglect.
METHODS
We followed sixteen neglect patients using a randomised controlled design in which six patients received four-day-in-a-row placebo treatment (CG) and ten patients received four-day-in-a row experimental treatment with 10 degrees rightward deviating prisms (EG) during their stay on the stroke unit. We examined whether patients in the EG improved faster than the CG by administering three neglect tasks (Schenkenberg Line Bisection, Letter Cancellation, Gainotti Scene Copying) immediately before and after each treatment. Second, we examined whether patients in the EG demonstrated a better long-term outcome at one month post-treatment (Behavioural Inattention Test).
RESULTS
Patients in the EG improved faster on spatial tasks (line bisection, cancellation) than the CG but not on visuo-construction. Patients in the EG showed no differences with the CG in neglect outcome at one month post-treatment.
CONCLUSIONS
Four consecutive prism sessions produced beneficial effects in patients with acute neglect. However, prism effects were either short-term, or placebo treatment with repeated pointing and/or repeated neglect testing was more helpful than we anticipated. Our results emphasize the importance of a placebo condition and a follow-up in rehabilitation studies.
视觉触觉注意力转移
DOI：
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发表时间：
2007
期刊：
影响因子：
--
作者：
Kita S;Higashi T & Hata C
通讯作者：
Higashi T & Hata C