Visual Spatial Attention Training Improve Spatial Attention and Motor Control for Unilateral Neglect Patients

被引:10
|
作者
Wang, Wei [1 ,2 ]
Ji, Xiangtong [1 ]
Ni, Jun [2 ]
Ye, Qian [1 ]
Zhang, Sicong [1 ]
Chen, Wenli [1 ]
Bian, Rong [1 ]
Yu, Cui [1 ]
Zhang, Wenting [1 ]
Shen, Guangyu [2 ]
Machado, Sergio [3 ,4 ]
Yuan, Tifei [5 ]
Shan, Chunlei [1 ,6 ]
机构
[1] Nanjing Med Univ, Affiliated Hosp 1, Rehabil Med Ctr, Nanjing 210029, Jiangsu, Peoples R China
[2] Nantong Univ, Affiliated Hosp, Nantong, Peoples R China
[3] Univ Fed Rio de Janeiro, Inst Psychiat, Lab Pan & Respirat, Rio De Janeiro, Brazil
[4] Univ Salgado de Oliveira, Phys Act & Neurosci, Phys Act Sci Postgrad Program, Niteroi, RJ, Brazil
[5] Nanjing Normal Univ, Sch Psychol, Nanjing, Jiangsu, Peoples R China
[6] Shanghai Univ Tradit Chinese Med, Shanghai, Peoples R China
关键词
Hemineglect; spatial attention; unilateral spatial neglect; visual spatial training; COORDINATION; RECOVERY; STROKE; SCALE; SPACE;
D O I
10.2174/1871527315666151111122926
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Objective: To compare the effect of visual spatial training on the spatial attention to that on motor control and to correlate the improvement of spatial attention to motor control progress after visual spatial training in subjects with unilateral spatial neglect (USN). Method: 9 cases with USN after right cerebral stroke were randomly divided into Conventional treatment group + visual spatial attention and Conventional treatment group. The Conventional treatment group + visual spatial attention received conventional rehabilitation therapy (physical and occupational therapy) and visual spatial attention training (optokinetic stimulation and right half-field eye patching). The Conventional treatment group was only treated with conventional rehabilitation training (physical and occupational therapy). All patients were assessed by behavioral inattention test (BIT), Fugl-Meyer Assessment of motor function (FMA), equilibrium coordination test (ECT) and non-equilibrium coordination test (NCT) before and after 4 weeks treatment. Result: Total scores in both groups (without visual spatial attention/with visual spatial attention) improved significantly (BIT: P=0.021/P=0.000, d=1.667/d=2.116, power=0.69/power=0.98, 95% CI[-0.8839,45.88]/95% CI=[16.96,92.64]; FMA: P=0.002/P=0.000, d=2.521/d=2.700, power=0.93/power=0.98, 95% CI[5.707,30.79]/95% CI=[16.06,53.94]; ECT: P=0.002/P=0.000, d=2.031/d=1.354, power=0.90/power=0.17, 95% CI[3.380,42.61]/95% CI=[-1.478,39.08]; NCT: P=0.013/P=0.000, d=1.124/d=1.822, power=0.41/power=0.56, 95% CI[-7.980,37.48]/95% CI=[4.798,43.60],) after treatment. Among the 2 groups, the group with visual spatial attention significantly improved in BIT (P=0.003, d=3.103, power=1, 95% CI[15.68,48.92]), FMA of upper extremity (P=0.006, d=2.771, power=1, 95% CI[5.061,20.14]) and NCT (P=0.010, d=2.214, power=0.81-0.90, 95% CI[3.018,15.88]). Correlative analysis shows that the change of BIT scores is positively correlated to the change of FMA total score (r=0.77, P<0.01), FMA of upper extremity (r=0.81, P<0.01), NCT (r=0.78, P<0.01). Conclusion: Four weeks visual spatial training could improve spatial attention as well as motor control functions in hemineglect patients. The improvement of motor function is positively correlated to the progresses of visual spatial functions after visual spatial attention training.
引用
收藏
页码:1277 / 1282
页数:6
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