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Instituto Nacional de Neurología y Neurocirugía

2018, Number 2

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Arch Neurocien 2018; 23 (2)

Physiotherapeutic treatment of unilateral neglect secondary to a cerebrovascular accident

Cid-Guede E, González-González Y, Da Cuña-Carrera I

Language: Spanish
References: 27
Page: 42-59
PDF size: 448.30 Kb.


ABSTRACT

Introduction: unilateral neglect is a syndrome caused by an attention deficit in which the patient ignores or does not pay attention to the region of the space contralateral to the brain injury. It is one of the most common alterations after a stroke and is related to greater difficulties in functional recovery, leading to a greater degree of dependence on ADL, requiring specific rehabilitation strategies. The present literature review is carried out with the objective of delving into the different physiotherapy treatments used to reduce the symptoms of (hemispatial neglect) heminegligence in patients with stroke.
Material and methods: a search was carried out during the month of March 2017 in the Medline, Scopus, Web of Science and PEDro databases and in the PubMed search engine; using the descriptors “Perceptual Disorders”, “Stroke” and “Physical Therapy Modalities” and the terms “Neglect” and “Pysiotherapy”. A total of 13 valid results were obtained after applying the inclusion and exclusion criteria.
Results: the articles analyzed perform different interventions; such as the use of upper-limb stimulation devices, mirror therapy, GVS, vestibular rehabilitation exercises, SPT, VST and virtual rehabilitation techniques.
Conclusion: several of the techniques analyzed show positive results if applied under certain conditions. Studies with a larger sample size, better diagnostic strategies and more knowledge about this syndrome are necessary for the development of more effective techniques.


REFERENCES

  1. Marrón EM, Alisente JLB, Izaguirre NG, Rodríguez BG.Estimulación cognitiva y rehabilitación neuropsicológica. Editorial UOC; 2011; 309.

  2. Ripoll DR, Marrón EM, Cardoso AZ. Nuevas aproximaciones terapéuticas en el tratamiento de la heminegligencia: la estimulación magnética transcraneal. Rev Neurol ;2012,55(5):297–305.

  3. Corbetta M. Hemispatial neglect: clinic, pathogenesis, and treatment. Semin Neurol; 2014, 34(5):514–23.

  4. Peña-Casanova J. Neurología de la conducta y neuropsicología. Ed. Médica Panamericana; 2007, 436.

  5. Lafargouette F. Réflexion autour de l’élaboration d’une batterie d’outils écologiques concernant les tâches administratives et budgétaires, à destination de patients héminégligents - document [Internet]. Sciences cognitives; 2013.

  6. Choi YS, Lee KW, Lee JH, Kim SB, Park GT, Lee SJ. The Effect of an Upper Limb Rehabilitation Robot on Hemispatial Neglect in Stroke Patients. Ann Rehabil Med 2016 ;40(4):611–9.

  7. Nakamura J, Kita Y, Ikuno K, Kojima K, Okada Y, Shomoto K. Influence of the stimulus parameters of galvanic vestibular stimulation on unilateral spatial neglect. Neuroreport 2015, 27;26(8):462–6.

  8. Tyson S, Wilkinson J, Thomas N, Selles R, McCabe C, Tyrrell P, et al. Phase II Pragmatic Randomized Controlled Trial of Patient-LedTherapies (Mirror therapy and lower-limb exercises) during inpatient stroke rehabilitation. Neurorehabil Neural Repair 2015, 29(9):818–26.

  9. Kerkhoff G, Bucher L, Brasse M, Leonhart E, Holzgraefe M, Völzke V, et al. Smooth Pursuit “Bedside” Training Reduces Disability and Unawareness During the activities of daily living in neglect: a randomized controlled trial. Neurorehabil Neural Repair 2014 28(6):554–63.

  10. Pandian JD, Arora R, Kaur P, Sharma D, Vishwambaran DK, Arima H. Mirror therapy in unilateral neglect after stroke (MUST trial): a randomized controlled trial. Neurology 2014; 9;83(11):1012–7.

  11. Ruet A, Jokic C, Denise P, Leroy F, Azouvi P. Does galvanic vestibular stimulation reduce spatial neglect? A negative study. Ann Phys Rehabil Med 2014; 57(9–10):570–7.

  12. Van W, Eksteen CA, Rheeder P. The effect of visual scanning exercises integrated into physiotherapy in patients with unilateral spatial neglect poststroke: A matched-pair randomized control trial. Neurorehabil Neural Repair 2014;28(9):856–73.

  13. Dai CY, Huang Y-H, Chou L-W, Wu S-C, Wang R-Y, Lin L-C. Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: A randomized controlled trial. Neuropsychiatr Dis Treat 2013;9:477–84.

  14. Fong KN, Yang NYH, Chan MKL, Chan DYL, Lau AFC, Chan DYW, et al. Combined effects of sensory cueing and limb activation on unilateral neglect in subacute left hemiplegic stroke patients: a randomized controlled pilot study. Clin Rehabil 2013; 27(7):628–37.

  15. Kerkhoff G, Reinhart S, Ziegler W, Artinger F, Marquardt C, Keller I. Smooth pursuit eye movement training promotes recovery from auditory and visual neglect: a randomized controlled study. Neurorehabil Neural Repair 2013; 27(9):789–98.

  16. Sunwoo H, Kim Y-H, Chang WH, Noh S, Kim E-J, Ko M-H. Effects of dual transcranial direct current stimulation on post-stroke unilateral visuospatial neglect. Neurosci Lett 2013;25;554:94–8.

  17. Cazzoli D, Müri RM, Schumacher R, Von A, Chaves S, Gutbrod K, et al. Theta burst stimulation reduces disability during the activities of daily living in spatial neglect. Brain 2012; 135(11):3426–39.

  18. Thieme H, Bayn M, Wurg M, Zange C, Pohl M, Behrens J. Mirror therapy for patients with severe arm paresis after stroke-a randomized controlled trial. Clin Rehabil 2013; 27(4):314–24.

  19. Carracedo-Martínez E, Tobías A, Saez M, Taracido M, Figueiras A. [Case-crossover design: Basic essentials and applications]. Gac Sanit 2009; 23(2):161–5.

  20. Pértegas-Díaz S, Pita-Fernández S. Cálculo del poder estadístico de un estudio [Internet]. Fisterra.com Atención Primaria en la Red. 2003. Available from: https://fisterra.com/gestor/upload/guias/poder_estadistico2.pdf

  21. Creavin ST, Wisniewski S, Noel-Storr AH, Trevelyan CM, Hampton T, Rayment D, et al. Mini-mental state examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations. In: the cochrane collaboration, editor. Cochrane database of systematic reviews [Internet]. Chichester, UK: John Wiley and Sons, Ltd 2016 [cited 2017 ]. Available from: http://doi.wiley.com/10.1002/14651858. CD011145.pub2

  22. Pita-Fernández S. Tipos de estudios clínico epidemiológicos. https://www.fisterra.com/mbe/investiga/6tipos_ estudios/6tipos_estudios.asp

  23. Sainani KL. Making sense of intention-to-treat. PM R. 2010; 2(3):209–13.

  24. Azouvi P, Samuel C, Louis-Dreyfus A, Bernati T, Bartolomeo P, Beis J-M, et al. Sensitivity of clinical and behavioural tests of spatial neglect after right hemisphere stroke.J Neurol Neurosurg Psychiatry 2002; 73(2):160–6.

  25. Hyun Gyu C, Myoung Kwon K. The effects of repetitive transcranial magnetic stimulation on unilateral neglect of acute stroke patients: A randomised controlled trial. Hong Kong Physiotherapy Journal 2015; 33 (2):53-8.

  26. Azouvi P, Jacquin-Courtois S, Luauté J. Rehabilitation of unilateral neglect: evidence-based medicine. Ann Phys Rehabil Med 2017; 60(3):191-7.

  27. Pierce SR, Buxbaum LJ. Treatments of unilateral neglect: a review. Arch Phys Med Rehabil 2002; 83(2):256-68.




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