Home > Riviste > European Journal of Physical and Rehabilitation Medicine > Fascicoli precedenti > European Journal of Physical and Rehabilitation Medicine 2012 June;48(2) > European Journal of Physical and Rehabilitation Medicine 2012 June;48(2):189-96



Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca





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


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.

inizio pagina