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The effect of a complex intervention program for unilateral neglect in patients with acute-phase stroke: a randomized controlled trial
Choi H-S, Kim D-J, Yang Y-A
Osong Public Health and Research Perspectives 2019 Oct;10(5):265-273
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; 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*

OBJECTIVES: The purpose of this study was to examine the combined effects of prism adaptation (PA) plus functional electrical stimulation (FES) on stroke patients with unilateral neglect, and suggest a new intervention method for acute-phase stroke patients. METHODS: There were 30 patients included in this study from April to October 2016 that had unilateral neglect whilst hospitalized following a stroke (diagnosed by a professional). The participants, who were patients receiving occupational therapy, understood the purpose of the study and agreed to participate. The patients were randomly divided into 3 groups: PA+FES group (group A), PA group (group B), and FES group (group C). Treatments lasted for 50 minutes per day, 5 times per week, for 3 weeks in total. Reevaluation was conducted after 3 weeks of intervention. RESULTS: All 3 groups showed unilateral neglect reduction after the intervention, but PA+FES (complex intervention method) was more effective than PA or FES alone (effect size: Motor-free Visual Perception Test (0.80), Albert test (0.98), CBS (0.92)). CONCLUSION: The results of this study support further studies to examine complex intervention for the treatment of unilateral neglect.

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