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Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit

OBJECTIVE: Spatial Neglect is prevalent among stroke survivors, yet few treatments have evidence supporting efficacy. This study examines the feasibility of Prism Adaptation Treatment (PAT) within an inpatient rehabilitation facility and the degree by which PAT improves symptoms of spatial neglect a...

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Autores principales: Gillen, Robert W., Harmon, Erin Y., Weil, Brittany, Fusco-Gessick, Benjamin, Novak, Paul P., Barrett, A. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010528/
https://www.ncbi.nlm.nih.gov/pubmed/35432163
http://dx.doi.org/10.3389/fneur.2022.803312
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author Gillen, Robert W.
Harmon, Erin Y.
Weil, Brittany
Fusco-Gessick, Benjamin
Novak, Paul P.
Barrett, A. M.
author_facet Gillen, Robert W.
Harmon, Erin Y.
Weil, Brittany
Fusco-Gessick, Benjamin
Novak, Paul P.
Barrett, A. M.
author_sort Gillen, Robert W.
collection PubMed
description OBJECTIVE: Spatial Neglect is prevalent among stroke survivors, yet few treatments have evidence supporting efficacy. This study examines the feasibility of Prism Adaptation Treatment (PAT) within an inpatient rehabilitation facility and the degree by which PAT improves symptoms of spatial neglect and functional independence among sub-acute survivors of right hemispheric stroke. DESIGN: In this retrospective cohort study, 37 right hemispheric stroke patients were identified as having received at least 4 PAT sessions during their inpatient stay. Spatial neglect and functional independence levels of patients in the PAT cohort were compared to a matched active control group comprised of rehabilitation patients receiving alternative therapies to address neglect admitted during the same time period. RESULTS: Most patients received the full recommended 10 sessions of PAT (average sessions completed = 8.6). A higher percentage of severe neglect patients receiving PAT (69%) displayed clinically significant gains on FIM (≥22 points) compared to those receiving alternative treatments (6%). Patients with mild or moderate neglect in the PAT cohort did not exhibit greater benefit than controls. CONCLUSION: Provision of PAT for treatment of spatial neglect in right hemispheric stroke patients was feasible during the inpatient rehabilitation admission. Patients with severe neglect showed the most benefit from PAT. CLINICAL TRIAL REGISTRATION: This study was registered as a retrospective observational study on Itab Clinical Trials.gov. NCT04977219.
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spelling pubmed-90105282022-04-16 Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit Gillen, Robert W. Harmon, Erin Y. Weil, Brittany Fusco-Gessick, Benjamin Novak, Paul P. Barrett, A. M. Front Neurol Neurology OBJECTIVE: Spatial Neglect is prevalent among stroke survivors, yet few treatments have evidence supporting efficacy. This study examines the feasibility of Prism Adaptation Treatment (PAT) within an inpatient rehabilitation facility and the degree by which PAT improves symptoms of spatial neglect and functional independence among sub-acute survivors of right hemispheric stroke. DESIGN: In this retrospective cohort study, 37 right hemispheric stroke patients were identified as having received at least 4 PAT sessions during their inpatient stay. Spatial neglect and functional independence levels of patients in the PAT cohort were compared to a matched active control group comprised of rehabilitation patients receiving alternative therapies to address neglect admitted during the same time period. RESULTS: Most patients received the full recommended 10 sessions of PAT (average sessions completed = 8.6). A higher percentage of severe neglect patients receiving PAT (69%) displayed clinically significant gains on FIM (≥22 points) compared to those receiving alternative treatments (6%). Patients with mild or moderate neglect in the PAT cohort did not exhibit greater benefit than controls. CONCLUSION: Provision of PAT for treatment of spatial neglect in right hemispheric stroke patients was feasible during the inpatient rehabilitation admission. Patients with severe neglect showed the most benefit from PAT. CLINICAL TRIAL REGISTRATION: This study was registered as a retrospective observational study on Itab Clinical Trials.gov. NCT04977219. Frontiers Media S.A. 2022-04-01 /pmc/articles/PMC9010528/ /pubmed/35432163 http://dx.doi.org/10.3389/fneur.2022.803312 Text en Copyright © 2022 Gillen, Harmon, Weil, Fusco-Gessick, Novak and Barrett. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Gillen, Robert W.
Harmon, Erin Y.
Weil, Brittany
Fusco-Gessick, Benjamin
Novak, Paul P.
Barrett, A. M.
Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit
title Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit
title_full Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit
title_fullStr Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit
title_full_unstemmed Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit
title_short Prism Adaptation Treatment of Spatial Neglect: Feasibility During Inpatient Rehabilitation and Identification of Patients Most Likely to Benefit
title_sort prism adaptation treatment of spatial neglect: feasibility during inpatient rehabilitation and identification of patients most likely to benefit
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010528/
https://www.ncbi.nlm.nih.gov/pubmed/35432163
http://dx.doi.org/10.3389/fneur.2022.803312
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