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Brain gym exercises in hemispatial neglect post-stroke
Anand P, Mohanty U, Mani S
NeuroQuantology 2022;20(7):2486-2494
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; 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*

BACKGROUND: Hemispatial neglect or unilateral neglect is a failure to report, respond, or orient to stimuli that are presented contralateral to a brain lesion, provided that this failure is not due to elementary sensory or motor disorders. There is a complete lack of awareness of one half of space, at which point, patients behave as if that half of the world does not exist. The estimated prevalence of hemispatial neglect after unilateral stroke is 30%. In this study, the treatment using brain gym exercises and conventional treatment for hemispatial neglect post-stroke shall be analysed. METHODS: This is a single blinded parallel randomised clinical trial consisting of 1 experimental and 1 control group. 80 participants who met the inclusion criteria were distributed randomly in 2 groups using systematic random sampling. Effect of brain gym exercises for one experimental group and conventional treatment for control group were calculated after 1 month of treatment sessions. Statistical analysis of outcome measures was done before and after treatment using parametric and non-parametric testing as per distribution of data. RESULTS: 40 patients were randomised to BGT group (n = 40) and 40 to CG (n = 40) after excluding the dropouts. There was improvement in scores of outcome measures: Catherine bergogo scale, Kessler foundation neglect assessment process, star cancellation test, single letter cancellation test, double letter cancellation test, albert's test, and bell's test for groups BGT (95% CI p < 0.0001) before and after treatment, however, comparing group CG and BGT, there was no significant improvement in scores. CONCLUSIONS: Within the groups: there was significant improvement in hemispatial neglect outcome measures in Group-A and B after treatment suggesting that brain gym exercises alone have significant effect on hemispatial neglect post stroke. Between groups: the results were non-significant suggesting brain gym exercises and conventional treatment have similar effects on hemspatial neglect.

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