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The effect of visuo-spatial training in patients with right hemisphere stroke |
Hajek VE, Kates MH, Donnelly R, McGree S |
Canadian Journal of Rehabilitation 1993;6(3):175-186 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; 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* |
The study evaluated the effectiveness of a visuo-spatial training program in remediating the functional and motor skill deficits in patients with right hemisphere stroke. It encompassed 20 rehabilitation hospital patients. Half of these patients received four weeks of visuo-spatial training with Bracy's computerized software package in addition to routine rehabilitation therapies provided by the hospital. The other half of the patients received only routine hospital rehabilitation therapies. A variety of patients' cognitive and motor skills were assessed at the beginning and at the end of the study to determine if the additional training improved patients' scores on tests assessing visuo-perceptual skills and motor abilities. Contrary to expectations, we found no significant improvement in patients' performance scores which could be directly attributed to the additional training. Also, in spite of the reported advantages of computerized training over traditional pencil-and-paper therapy, several patients refused or hesitated to participate in the study because training was given by computer.
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