Deans' stroke musings: Prism adaptation for spatial neglect after stroke: Translational practice gaps

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, February 12, 2013

Prism adaptation for spatial neglect after stroke: Translational practice gaps

I'm sure your doctor contributed to one of these 48 studies, so ask about it.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J65041&phrase=no&rec=120210
Nature Reviews. Neurology , Volume 8(10) , Pgs. 567-577.

NARIC Accession Number: J65041. What's this?
ISSN: 1759-4758.
Author(s): Barrett, A. M.; Goedert, Kelly M.; Basso, Julia.
Project Number: H133G120203.
Publication Year: 2012.
Number of Pages: 11.
Abstract: Article reviews 48 studies examining the effects of prism adaptation training on post-stroke spatial neglect. Spatial neglect, a failure to report, respond to, or orientate to contralesional stimuli, accompanied by functional disability, affects about half of all survivors of acute stroke. Stroke survivors with spatial neglect can demonstrate different symptoms: some have primarily ‘where’ spatial perceptual unawareness, whereas others have primarily ‘aiming’ spatial motor-exploratory dysfunction. Due to its effects on spatial motor 'aiming', prism adaptation training may act to reduce neglect-related disability. Prism adaptation therapy requires the stroke survivor to wear wedge prism lenses that laterally displace viewed objects rightward during intensive motor training. over a period of days to weeks. The reviewed research failed, first, to suggest methods to identify the 50 to 75 percent of patients who respond to treatment; second, to measure short-term and long-term outcomes in both mechanism-specific and functionally valid ways; third, to confirm treatment utility during the critical first 8 weeks poststroke; and last, to base treatment protocols on systematic dose-response data. Thus, considerable investment in prism adaptation research has not yet touched the fundamentals needed for clinical implementation. The authors recommend improved standards and better spatial motor models for further research, so as to clarify when, how and for whom prism adaptation should be applied.