Prism Adaptation in Rehabilitation? No Additional Effects of Prism Adaptation on Neglect Recovery in the Subacute Phase Poststroke: A Randomized Controlled Trial

In case your doctor failed at getting you 100% recovered you might need this intervention that doesn't even give efficacy ratings or any idea what objective diagnosis might signal use of this. Your doctor is shooting in the dark trying to get you recovered. I bet your doctor knows nothing specific about how to get you recovered.
http://journals.sagepub.com/doi/abs/10.1177/1545968317744277

Show all authors

Antonia F. Ten Brink, MSc¹²

Antonia F. Ten Brink

1University Medical Center Utrecht, Netherlands2De Hoogstraat Rehabilitation, Utrecht, Netherlands
See all articles by this author

Search Google Scholar for this author

, Johanna M. A. Visser-Meily, PhD¹²

Johanna M. A. Visser-Meily

1University Medical Center Utrecht, Netherlands2De Hoogstraat Rehabilitation, Utrecht, Netherlands
See all articles by this author

Search Google Scholar for this author

, Martijn J. Schut, MSc³

Martijn J. Schut

3Utrecht University, Netherlands
See all articles by this author

Search Google Scholar for this author

,

Mirjam Kouwenhoven, MD²

Mirjam Kouwenhoven

2De Hoogstraat Rehabilitation, Utrecht, Netherlands
See all articles by this author

Search Google Scholar for this author

, Anja L. H. Eijsackers, MSc²

Anja L. H. Eijsackers

2De Hoogstraat Rehabilitation, Utrecht, Netherlands
See all articles by this author

Search Google Scholar for this author

, Tanja C. W. Nijboer, PhD¹³

Tanja C. W. Nijboer

1University Medical Center Utrecht, Netherlands3Utrecht University, Netherlands
See all articles by this author

Search Google Scholar for this author

...

First Published December 1, 2017 Research Article

https://doi.org/10.1177/1545968317744277

Download PDF	Article information

Article Information

Article first published online: December 1, 2017

https://doi.org/10.1177/1545968317744277

Antonia F. Ten Brink, MSc^{1, 2}, Johanna M. A. Visser-Meily, PhD^{1, 2}, Martijn J. Schut, MSc³, Mirjam Kouwenhoven, MD², Anja L. H. Eijsackers, MSc², Tanja C. W. Nijboer, PhD^{1, 3}

¹University Medical Center Utrecht, Netherlands

²De Hoogstraat Rehabilitation, Utrecht, Netherlands

³Utrecht University, Netherlands

Corresponding Author: Tanja C. W. Nijboer, PhD, Department of Experimental Psychology, Utrecht University, Heidelberglaan 1, 3584 CS, Utrecht, Netherlands. Email: t.c.w.nijboer@uu.nl

• Abstract
• Full Text
• References
• Supplementary Materials
• PDF

Abstract

Background. Patients with neglect ignore or respond slower to contralesional stimuli. Neglect negatively influences independence in activities of daily living (ADL). Prism adaptation (PA) is one of the most frequently studied treatments, yet there is little evidence regarding positive effects on neglect behavior in ADL.
Objective. To assess whether PA in the subacute phase ameliorates neglect in situations of varying complexity.
Methods. A total of 70 neglect patients admitted for inpatient stroke rehabilitation received either PA or sham adaptation (SA) for 2 weeks, with full access to standard treatment. There were 7 time-dependent measurements (baseline and 1-4, 6, and 14 weeks after start of treatment). The primary outcome was change of neglect as observed during basic ADL with the Catherine Bergego Scale (CBS). Secondary outcomes were changes in performance on a dynamic multitask (ie, the Mobility Assessment Course [MAC]) and a static paper-and-pencil task (ie, a shape cancellation task [SC]). Results. In all, 34 patients received PA and 35 SA. There were significant time-dependent improvements in performance as measured with the CBS, MAC, and SC (all F > 15.57; P < .001). There was no significant difference in magnitude of improvement between groups on the CBS, MAC, and SC (all F < 2.54; P > .113].
Conclusions. No beneficial effects of PA over SA in the subacute phase poststroke were observed, which was comparable for situations of varying complexity. Heterogeneity of the syndrome, time post–stroke onset, and the content of treatment as usual are discussed. Basic knowledge on subtypes and recovery patterns would aid the development of tailored treatment.