Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study
Objective: To compare the effectiveness of prism adaptation treatment (PAT) between patients with right- and left-sided spatial neglect (SN). Design: Retrospective case-matched design. Setting: Inpatient rehabilitation hospitals and facilities. Participants: A total of 118 participants were selected...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109523000101 |
| _version_ | 1797812803426320384 |
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| author | Timothy J. Rich, PhD, OTR/L Marinos Pylarinos Devan Parrott, PhD Peii Chen, PhD |
| author_facet | Timothy J. Rich, PhD, OTR/L Marinos Pylarinos Devan Parrott, PhD Peii Chen, PhD |
| author_sort | Timothy J. Rich, PhD, OTR/L |
| collection | DOAJ |
| description | Objective: To compare the effectiveness of prism adaptation treatment (PAT) between patients with right- and left-sided spatial neglect (SN). Design: Retrospective case-matched design. Setting: Inpatient rehabilitation hospitals and facilities. Participants: A total of 118 participants were selected from a clinical dataset of 4256 patients from multiple facilities across the United States. Patients with right-sided SN (median age: 71.0 [63.5-78.5] years; 47.5% female; 84.8% stroke, 10.1% traumatic/nontraumatic brain injury) were matched 1:1 with patients with left-sided SN (median age: 70.0 [63.0-78.0] years; 49.2% female; 86.4% stroke, 11.8% traumatic/nontraumatic brain injury) based on age, neglect severity, overall functional ability at admission, and number of PAT sessions completed during their hospital stay. Intervention: Prism adaptation treatment. Main Outcome Measures: Primary outcomes were pre–post change on the Kessler Foundation Neglect Assessment Process (KF-NAP) and the Functional Independence Measure (FIM). Secondary outcomes were whether the minimal clinically important difference was achieved for pre–post change on the FIM. Results: We found greater KF-NAP gain for patients with right-sided SN than those with left-sided SN (Z = 2.38, P=.018). We found no differences between patients with right-sided and left-sided SN for Total FIM gain (Z=–0.204, P=.838), Motor FIM gain (Z=–0.331, P=.741), or Cognitive FIM gain (Z=–0.191, P=.849). Conclusions: Our findings suggest PAT is a viable treatment for patients with right-sided SN just as it is for patients with left-sided SN. Therefore, we suggest prioritizing PAT within the inpatient rehabilitation setting as a treatment to improve SN symptoms regardless of brain lesion side. |
| first_indexed | 2024-03-13T07:42:51Z |
| format | Article |
| id | doaj.art-77862a7e6e254f30a195046567890836 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-03-13T07:42:51Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-77862a7e6e254f30a1950465678908362023-06-03T04:22:39ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952023-06-0152100263Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched StudyTimothy J. Rich, PhD, OTR/L0Marinos Pylarinos1Devan Parrott, PhD2Peii Chen, PhD3Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ; Rutgers New Jersey Medical School, Newark, NJ; Corresponding author Timothy Rich, 1199 Pleasant Valley Way, West Orange, NJ 07052.Rutgers New Jersey Medical School, Newark, NJDepartment of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN; Research, Training, and Outcome Center for Brain Injury, Rehabilitation Hospital of Indiana, Indianapolis, INCenter for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ; Rutgers New Jersey Medical School, Newark, NJObjective: To compare the effectiveness of prism adaptation treatment (PAT) between patients with right- and left-sided spatial neglect (SN). Design: Retrospective case-matched design. Setting: Inpatient rehabilitation hospitals and facilities. Participants: A total of 118 participants were selected from a clinical dataset of 4256 patients from multiple facilities across the United States. Patients with right-sided SN (median age: 71.0 [63.5-78.5] years; 47.5% female; 84.8% stroke, 10.1% traumatic/nontraumatic brain injury) were matched 1:1 with patients with left-sided SN (median age: 70.0 [63.0-78.0] years; 49.2% female; 86.4% stroke, 11.8% traumatic/nontraumatic brain injury) based on age, neglect severity, overall functional ability at admission, and number of PAT sessions completed during their hospital stay. Intervention: Prism adaptation treatment. Main Outcome Measures: Primary outcomes were pre–post change on the Kessler Foundation Neglect Assessment Process (KF-NAP) and the Functional Independence Measure (FIM). Secondary outcomes were whether the minimal clinically important difference was achieved for pre–post change on the FIM. Results: We found greater KF-NAP gain for patients with right-sided SN than those with left-sided SN (Z = 2.38, P=.018). We found no differences between patients with right-sided and left-sided SN for Total FIM gain (Z=–0.204, P=.838), Motor FIM gain (Z=–0.331, P=.741), or Cognitive FIM gain (Z=–0.191, P=.849). Conclusions: Our findings suggest PAT is a viable treatment for patients with right-sided SN just as it is for patients with left-sided SN. Therefore, we suggest prioritizing PAT within the inpatient rehabilitation setting as a treatment to improve SN symptoms regardless of brain lesion side.http://www.sciencedirect.com/science/article/pii/S2590109523000101Occupational therapyPerceptual disordersRehabilitationStrokeTherapeutics |
| spellingShingle | Timothy J. Rich, PhD, OTR/L Marinos Pylarinos Devan Parrott, PhD Peii Chen, PhD Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study Archives of Rehabilitation Research and Clinical Translation Occupational therapy Perceptual disorders Rehabilitation Stroke Therapeutics |
| title | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
| title_full | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
| title_fullStr | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
| title_full_unstemmed | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
| title_short | Prism Adaptation Treatment for Right-Sided and Left-Sided Spatial Neglect: A Retrospective Case-Matched Study |
| title_sort | prism adaptation treatment for right sided and left sided spatial neglect a retrospective case matched study |
| topic | Occupational therapy Perceptual disorders Rehabilitation Stroke Therapeutics |
| url | http://www.sciencedirect.com/science/article/pii/S2590109523000101 |
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