Limb activation effects in hemispatial neglect
Limb activation effects in hemispatial neglect
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DOI：
10.1053/apmr.2003.50012
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发表时间：
2003-03-01
影响因子：
4.3
通讯作者：
Phillips, SJ
中科院分区：
文献类型：
--
作者：
Eskes, GA;Butler, B;Phillips, SJ
目的：评估被动和主动肢体运动对改善半侧空间忽略患者视觉扫描的有效性。设计：前后试验：病例系列的行为分析。设置：三级保健医院的卒中康复中心。参与者：9名右半球卒中患者（中风后平均时间，19.5个月）和左侧忽视，由Sunnybrook床边神经功能成套测验评估。（按钮推; n=3）或被动左肢体运动（n=8）与功能性电刺激（FES）管理在视觉扫描testing.Main结果Measures：性能的视觉扫描测试，包括命名的字母和numbers.Results：无论是主动和被动的运动显着提高目标检测左侧，但不是在右侧，在视觉扫描task。3例主动运动患者中有2例出现阳性结果，8例被动运动患者中有6例出现阳性结果。结论：主动运动和FES刺激的被动运动都是治疗半侧空间忽略的潜在技术。
Objective: To assess the efficacy of passive and active limb movement to improve visual scanning in patients with hemispatial neglect.Design: Before-after trial: behavioral analyses of a case series.Setting: Stroke rehabilitation unit in a tertiary care hospital.Participants: Nine individuals with right-hemisphere stroke (mean time poststroke, 19.5mo) and left-sided neglect, as assessed by the Sunnybrook Bedside Neglect Battery.Intervention: Active left limb movement (button push; n=3) or passive left limb movement (n=8) with functional electric stimulation (FES) administered during visual scanning testing.Main Outcome Measures: Performance on visual scanning tests involving naming of letters and numbers.Results: Both active and passive movement significantly improved target detection on the left side, but not on the right side, on the visual scanning task. Positive results were seen in 2 of 3 active movement patients and 6 of 8 passive movement patients.Conclusions: Both active and FES-stimulated passive movements are potential techniques for the treatment of hemispatial neglect.