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Effects of constraint-induced therapy combined with eye patching on functional outcomes and movement kinematics in poststroke neglect [with consumer summary]
Wu C-Y, Wang T-N, Chen Y-T, Lin K-C, Chen Y-A, Li H-T, Tsai P-L
The American Journal of Occupational Therapy 2013 Mar-Apr;67(2):236-245
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: We investigated the effect of constraint-induced therapy (CIT) plus eye patching (EP), CIT alone, and conventional treatment on functional performance, eye movement, and trunk-arm kinematics in stroke patients with neglect syndrome. METHOD: Twenty-four participants were recruited and randomly allocated to three intervention groups. All participants received intervention 2 hr/day, 5 days/wk, for 3 wk. Outcome measures included the Catherine Bergego Scale, eye movement, and trunk-arm kinematic analysis. RESULTS: The CIT+EP and CIT groups demonstrated larger improvements in functional performance than the control group. The CIT group showed better performance with left fixation points than the CIT+EP group and shorter reaction time than the control group. The CIT+EP group improved more in preplanned control and leftward trunk shift than the other two groups. CONCLUSION: CIT+EP and CIT were more effective interventions than conventional treatment of patients with neglect syndrome in daily functional performance.
Copyright by the Amerrican Occupational Therapy Association Inc. Reprinted with permission.

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