The effects of prism adaptation on daily life activities in patients with visuospatial neglect: a systematic review
The effects of prism adaptation on daily life activities in patients with visuospatial neglect: a systematic review
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DOI：
10.1080/09602011.2016.1182032
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发表时间：
2018-01-01
影响因子：
2.7
通讯作者：
Eskes, Gail A.
中科院分区：
文献类型：
--
作者：
Champod, Anne Sophie;Frank, Rachel C.;Eskes, Gail A.
研究棱镜适应（PA）对视觉空间忽视症状的影响，主要使用神经心理学测试作为结果的措施。一个尚待回答的重要问题是PA效应是否转化为患者日常生活活动的改善。在本综述中，我们系统地研究了PA治疗对忽视患者日常生活活动影响的证据。两位作者使用经验证的量表独立评估了25项干预研究和1项随访研究的方法学质量。通过阅读/书写、日常生活活动（ADL）直接测试、ADL问卷和导航测试评价PA效应。研究质量被评价为优（n=1）、良（n=12）、一般（n=10）或差（n=3）。在26篇文献中，共有32项测量结果显示了显著的PA效应（1项测量来自优秀质量的研究，17项来自良好质量的研究，10项来自一般质量的研究，4项来自质量差的研究），而在15项测量中发现了非显著性影响。（2项来自优秀质量研究，3项来自良好质量研究，8项来自一般质量研究，2项来自较差质量研究）。有一些证据表明，PA可以改善日常功能，特别是通过阅读/写作和ADL直接测试测量。应进一步研究几个变量对PA效应的影响，包括样本异质性和损伤后的时间。
Studies that have investigated prism adaptation (PA) effects on symptoms of visuospatial neglect have primarily used neuropsychological tests as outcome measures. An important question that remains to be answered is whether PA effects translate into improvements in patients' daily life activities. In the present review, we examined systematically the evidence for the effect of PA treatment on daily life activities in patients with neglect. Two authors independently assessed the methodological quality of 25 intervention and 1 follow-up studies using validated scales. PA effects were evaluated for reading/writing, activities of daily living (ADL) direct tests, ADL questionnaires, and navigation tests. Studies were evaluated as being of excellent (n=1), good (n=12), fair (n=10), or poor (n=3) quality. Among the 26 articles, a total of 32 measurements showed significant PA effects (one measurement from a study of excellent quality, 17 from studies of good quality, 10 from studies of fair quality, four from studies of poor quality), whereas non-significant effects were found in 15 measurements (two from a study of excellent quality, three from studies of good quality, eight from studies of fair quality, two from studies of poor quality). There is some evidence suggesting that PA can improve daily functioning, particularly as measured by reading/writing and ADL direct tests. The impact of several variables on PA effects should be investigated further including sample heterogeneity and time since injury.