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Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study
OBJECTIVE: To compare the effectiveness of prism adaptation treatment (PAT) between patients with right- and left-sided spatial neglect (SN). DESIGN: Retrospective case-matched design. SETTING: Inpatient rehabilitation hospitals and facilities. PARTICIPANTS: A total of 118 participants were selected...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258371/ https://www.ncbi.nlm.nih.gov/pubmed/37312976 http://dx.doi.org/10.1016/j.arrct.2023.100263 |
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author | Rich, Timothy J. Pylarinos, Marinos Parrott, Devan Chen, Peii |
author_facet | Rich, Timothy J. Pylarinos, Marinos Parrott, Devan Chen, Peii |
author_sort | Rich, Timothy J. |
collection | PubMed |
description | OBJECTIVE: To compare the effectiveness of prism adaptation treatment (PAT) between patients with right- and left-sided spatial neglect (SN). DESIGN: Retrospective case-matched design. SETTING: Inpatient rehabilitation hospitals and facilities. PARTICIPANTS: A total of 118 participants were selected from a clinical dataset of 4256 patients from multiple facilities across the United States. Patients with right-sided SN (median age: 71.0 [63.5-78.5] years; 47.5% female; 84.8% stroke, 10.1% traumatic/nontraumatic brain injury) were matched 1:1 with patients with left-sided SN (median age: 70.0 [63.0-78.0] years; 49.2% female; 86.4% stroke, 11.8% traumatic/nontraumatic brain injury) based on age, neglect severity, overall functional ability at admission, and number of PAT sessions completed during their hospital stay. INTERVENTION: Prism adaptation treatment. MAIN OUTCOME MEASURES: Primary outcomes were pre–post change on the Kessler Foundation Neglect Assessment Process (KF-NAP) and the Functional Independence Measure (FIM). Secondary outcomes were whether the minimal clinically important difference was achieved for pre–post change on the FIM. RESULTS: We found greater KF-NAP gain for patients with right-sided SN than those with left-sided SN (Z = 2.38, P=.018). We found no differences between patients with right-sided and left-sided SN for Total FIM gain (Z=–0.204, P=.838), Motor FIM gain (Z=–0.331, P=.741), or Cognitive FIM gain (Z=–0.191, P=.849). CONCLUSIONS: Our findings suggest PAT is a viable treatment for patients with right-sided SN just as it is for patients with left-sided SN. Therefore, we suggest prioritizing PAT within the inpatient rehabilitation setting as a treatment to improve SN symptoms regardless of brain lesion side. |
format | Online Article Text |
id | pubmed-10258371 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-102583712023-06-13 Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study Rich, Timothy J. Pylarinos, Marinos Parrott, Devan Chen, Peii Arch Rehabil Res Clin Transl Original Research OBJECTIVE: To compare the effectiveness of prism adaptation treatment (PAT) between patients with right- and left-sided spatial neglect (SN). DESIGN: Retrospective case-matched design. SETTING: Inpatient rehabilitation hospitals and facilities. PARTICIPANTS: A total of 118 participants were selected from a clinical dataset of 4256 patients from multiple facilities across the United States. Patients with right-sided SN (median age: 71.0 [63.5-78.5] years; 47.5% female; 84.8% stroke, 10.1% traumatic/nontraumatic brain injury) were matched 1:1 with patients with left-sided SN (median age: 70.0 [63.0-78.0] years; 49.2% female; 86.4% stroke, 11.8% traumatic/nontraumatic brain injury) based on age, neglect severity, overall functional ability at admission, and number of PAT sessions completed during their hospital stay. INTERVENTION: Prism adaptation treatment. MAIN OUTCOME MEASURES: Primary outcomes were pre–post change on the Kessler Foundation Neglect Assessment Process (KF-NAP) and the Functional Independence Measure (FIM). Secondary outcomes were whether the minimal clinically important difference was achieved for pre–post change on the FIM. RESULTS: We found greater KF-NAP gain for patients with right-sided SN than those with left-sided SN (Z = 2.38, P=.018). We found no differences between patients with right-sided and left-sided SN for Total FIM gain (Z=–0.204, P=.838), Motor FIM gain (Z=–0.331, P=.741), or Cognitive FIM gain (Z=–0.191, P=.849). CONCLUSIONS: Our findings suggest PAT is a viable treatment for patients with right-sided SN just as it is for patients with left-sided SN. Therefore, we suggest prioritizing PAT within the inpatient rehabilitation setting as a treatment to improve SN symptoms regardless of brain lesion side. Elsevier 2023-03-21 /pmc/articles/PMC10258371/ /pubmed/37312976 http://dx.doi.org/10.1016/j.arrct.2023.100263 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Rich, Timothy J. Pylarinos, Marinos Parrott, Devan Chen, Peii Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
title | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
title_full | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
title_fullStr | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
title_full_unstemmed | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
title_short | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
title_sort | prism adaptation treatment for right-sided and left-sided spatial neglect: a retrospective case-matched study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258371/ https://www.ncbi.nlm.nih.gov/pubmed/37312976 http://dx.doi.org/10.1016/j.arrct.2023.100263 |
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