Visual neglect: should we attend to it?

Aim: To review the literature on unilateral visuospatial inattention/neglect following stroke, concentrating on the areas of the brain involved, methods of assessment and therapeutic options. Methods: A literature-based survey was conducted using relevant articles and practical experience to elicit...

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Main Author: Tracey L. Shipman
Format: Article
Language:English
Published: White Rose University Press 2009-08-01
Series:British and Irish Orthoptic Journal
Subjects:
Online Access:https://www.bioj-online.com/articles/4
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author Tracey L. Shipman
author_facet Tracey L. Shipman
author_sort Tracey L. Shipman
collection DOAJ
description Aim: To review the literature on unilateral visuospatial inattention/neglect following stroke, concentrating on the areas of the brain involved, methods of assessment and therapeutic options. Methods: A literature-based survey was conducted using relevant articles and practical experience to elicit current theories of inattention and to discover whether any evidence-based treatment strategies exist. As there are numerous testing approaches for inattention, evidence was also sought for the most appropriate and accurate assessment tool(s). Results: The star cancellation, line bisection and random shape cancellation tests appeared to be the most sensitive for detecting neglect; however, a range of tests is necessary in order to detect severity.Therapeutic options may include scanning techniques and visuo-motor cueing into the affected side, prism adaptation and limb activation to increase awareness of the affected side and reduce inhibition by the healthy hemisphere. Motor and functional recovery of stroke patients with neglect seems to be improved by targeted treatment. Conclusion: Neglect is an important predictor of poor functional recovery and therefore treatment remains a high priority. However, more research is needed to better define which treatment options are the most effective.
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spelling doaj.art-5ace6a2f96b3430ea66fb35b0cd07cde2022-12-21T19:35:14ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902009-08-016222710.22599/bioj.43Visual neglect: should we attend to it?Tracey L. Shipman0Orthoptic Department, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, SheffieldAim: To review the literature on unilateral visuospatial inattention/neglect following stroke, concentrating on the areas of the brain involved, methods of assessment and therapeutic options. Methods: A literature-based survey was conducted using relevant articles and practical experience to elicit current theories of inattention and to discover whether any evidence-based treatment strategies exist. As there are numerous testing approaches for inattention, evidence was also sought for the most appropriate and accurate assessment tool(s). Results: The star cancellation, line bisection and random shape cancellation tests appeared to be the most sensitive for detecting neglect; however, a range of tests is necessary in order to detect severity.Therapeutic options may include scanning techniques and visuo-motor cueing into the affected side, prism adaptation and limb activation to increase awareness of the affected side and reduce inhibition by the healthy hemisphere. Motor and functional recovery of stroke patients with neglect seems to be improved by targeted treatment. Conclusion: Neglect is an important predictor of poor functional recovery and therefore treatment remains a high priority. However, more research is needed to better define which treatment options are the most effective.https://www.bioj-online.com/articles/4NeglectScanning trainingVisual inattentionVisuo-motor cueing
spellingShingle Tracey L. Shipman
Visual neglect: should we attend to it?
British and Irish Orthoptic Journal
Neglect
Scanning training
Visual inattention
Visuo-motor cueing
title Visual neglect: should we attend to it?
title_full Visual neglect: should we attend to it?
title_fullStr Visual neglect: should we attend to it?
title_full_unstemmed Visual neglect: should we attend to it?
title_short Visual neglect: should we attend to it?
title_sort visual neglect should we attend to it
topic Neglect
Scanning training
Visual inattention
Visuo-motor cueing
url https://www.bioj-online.com/articles/4
work_keys_str_mv AT traceylshipman visualneglectshouldweattendtoit