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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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European Journal of Physical and Rehabilitation Medicine 2012 June;48(2):189-96

lingua: Inglese

Stimulating visual exploration of the neglected space in the early stage of stroke by hemifield eye-patching: a randomized controlled trial in patients with right brain damage

Ianes P. 1, 2, Varalta V. 1, 2, Gandolfi M. 1, 2, Picelli A. 1, 2 5, Corno M. 3, Di Matteo A. 2, Fiaschi A. 2, 4, Smania N. 1, 2

1 Neuromotor and Cognitive Rehabilitation, Research Centre (CRRNC), Verona, Italy;
2 Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy;
3 Unit of Function Rehabilitation, Local Health Unit 21 Legnago, Verona, Italy;
4 San Camillo Hospital, Venezia-Lido, Venice, Italy;
5 PhD course in Experimental Physical Medicine and Rehabilitation applied to Human Locomotor System, University of Rome “La Sapienza“, Rome, Italy


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BACKGROUND: It has been well established that the presence of neglect is a predictor of poor functional outcome after stroke. Most rehabilitation studies on neglect have been performed with at least two months post-stroke. However, a recent series of stroke management indications highlight the importance of early rehabilitation treatment and evidence regarding neglect rehabilitation in the early phase after stroke is needed.
AIM: To evaluate the effectiveness of right half-field patches in treating neglect in patients during the early phase of stroke.
DESIGN: Randomized controlled trial.
SETTING: Acute care setting in an urban general hospital.
POPULATION: Eighteen patients with left unilateral neglect recruited among 56 patients consecutively admitted with right hemispheric stroke.
METHODS: The patients were evaluated at pre-treatment, post-treatment, and at a 7-day follow-up. The experimental group received right half-field patch treatment (n=10) for approximately 8 hours a day for 15 consecutive days. The control group received visual scanning training (n=8) for 40 minutes every weekday in a 15 day period.
RESULTS: Both groups significantly improved their performance in all outcome measures. No difference in the amount of improvement between the two groups was found.
CONCLUSION: Right half-field eye patching could be a promising technique for treating visual spatial neglect during the early stages of stroke.
Clinical Rehabilitation Impact. The eye-patching technique may represent an easily applicable and inexpensive method for neglect rehabilitation in the early stage after stroke.

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nicola.smania@univr.it