Cargando…

Right Unilateral Spatial Neglect Improves with Intrinsic Motivation

Background. In the acute phase of stroke, it is well known that the incidence and severity of unilateral spatial neglect (USN) are more significant in the right hemisphere injuries. Still, the detection of USN in left hemisphere injuries has been increasing in recent years. This trend is because beh...

Descripción completa

Detalles Bibliográficos
Autores principales: Saito, Hirotaka, Kobayashi, Haruka, Yatsu, Junichi, Obayashi, Shigeru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633176/
https://www.ncbi.nlm.nih.gov/pubmed/36340934
http://dx.doi.org/10.1155/2022/4828549
_version_ 1784824203063590912
author Saito, Hirotaka
Kobayashi, Haruka
Yatsu, Junichi
Obayashi, Shigeru
author_facet Saito, Hirotaka
Kobayashi, Haruka
Yatsu, Junichi
Obayashi, Shigeru
author_sort Saito, Hirotaka
collection PubMed
description Background. In the acute phase of stroke, it is well known that the incidence and severity of unilateral spatial neglect (USN) are more significant in the right hemisphere injuries. Still, the detection of USN in left hemisphere injuries has been increasing in recent years. This trend is because behavioral assessments have prevented the exclusion of patients who are difficult to assess for USN or apathy using conventional paper-and-pencil tests (e.g., aphasia). Right USN and post-stroke apathy share many common lesions. Therefore, clinical symptoms may overlap, but little validation considers this. Case Study. A man (62 years old) determined to have the right USN and apathy was treated for six weeks in 3 terms. In the first term (weeks 1 to 2), the patient was treated for the right USN by conventional therapy. In the second term (3–4 weeks), treatment for right USN and apathy by goal-directed therapy based on affinity behavior was implemented. In the third term (5–6 weeks), goal-directed therapy based on affinity behavior was discontinued, and treatment was returned to conventional therapy only. In the second term (goal-directed therapy based on affinity behavior), the improvement in patients' apathy (clinical assessment for spontaneity) was more significant than the effect size in the third term (conventional therapy). There were no significant differences in USN (catherine bergego scale) and intrinsic motivation (pittsburgh rehabilitation participation scale). However, the effect size in the second term tended to be larger than in the third term (conventional therapy). Clinical Rehabilitation Impact. This report aims to demonstrate the limitations of current treatment for cases determined to have both right USN and apathy. Second, to assess the extent to which this new intervention can complement the limitations of current treatment.
format Online
Article
Text
id pubmed-9633176
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-96331762022-11-04 Right Unilateral Spatial Neglect Improves with Intrinsic Motivation Saito, Hirotaka Kobayashi, Haruka Yatsu, Junichi Obayashi, Shigeru Case Rep Neurol Med Case Report Background. In the acute phase of stroke, it is well known that the incidence and severity of unilateral spatial neglect (USN) are more significant in the right hemisphere injuries. Still, the detection of USN in left hemisphere injuries has been increasing in recent years. This trend is because behavioral assessments have prevented the exclusion of patients who are difficult to assess for USN or apathy using conventional paper-and-pencil tests (e.g., aphasia). Right USN and post-stroke apathy share many common lesions. Therefore, clinical symptoms may overlap, but little validation considers this. Case Study. A man (62 years old) determined to have the right USN and apathy was treated for six weeks in 3 terms. In the first term (weeks 1 to 2), the patient was treated for the right USN by conventional therapy. In the second term (3–4 weeks), treatment for right USN and apathy by goal-directed therapy based on affinity behavior was implemented. In the third term (5–6 weeks), goal-directed therapy based on affinity behavior was discontinued, and treatment was returned to conventional therapy only. In the second term (goal-directed therapy based on affinity behavior), the improvement in patients' apathy (clinical assessment for spontaneity) was more significant than the effect size in the third term (conventional therapy). There were no significant differences in USN (catherine bergego scale) and intrinsic motivation (pittsburgh rehabilitation participation scale). However, the effect size in the second term tended to be larger than in the third term (conventional therapy). Clinical Rehabilitation Impact. This report aims to demonstrate the limitations of current treatment for cases determined to have both right USN and apathy. Second, to assess the extent to which this new intervention can complement the limitations of current treatment. Hindawi 2022-10-27 /pmc/articles/PMC9633176/ /pubmed/36340934 http://dx.doi.org/10.1155/2022/4828549 Text en Copyright © 2022 Hirotaka Saito et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Saito, Hirotaka
Kobayashi, Haruka
Yatsu, Junichi
Obayashi, Shigeru
Right Unilateral Spatial Neglect Improves with Intrinsic Motivation
title Right Unilateral Spatial Neglect Improves with Intrinsic Motivation
title_full Right Unilateral Spatial Neglect Improves with Intrinsic Motivation
title_fullStr Right Unilateral Spatial Neglect Improves with Intrinsic Motivation
title_full_unstemmed Right Unilateral Spatial Neglect Improves with Intrinsic Motivation
title_short Right Unilateral Spatial Neglect Improves with Intrinsic Motivation
title_sort right unilateral spatial neglect improves with intrinsic motivation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633176/
https://www.ncbi.nlm.nih.gov/pubmed/36340934
http://dx.doi.org/10.1155/2022/4828549
work_keys_str_mv AT saitohirotaka rightunilateralspatialneglectimproveswithintrinsicmotivation
AT kobayashiharuka rightunilateralspatialneglectimproveswithintrinsicmotivation
AT yatsujunichi rightunilateralspatialneglectimproveswithintrinsicmotivation
AT obayashishigeru rightunilateralspatialneglectimproveswithintrinsicmotivation