A One-Year Follow-Up Study on Community Dwelling Multiple Stroke Survivors with Spatial Neglect.

Journal Article (Journal Article)

This study assessed nine participants, who sustained multiple strokes and had spatial neglect, one year after participation in a prior trial on whether Prism Adaptation Treatment (PAT) was a feasible and effective treatment for spatial neglect remediation compared to standard care. The objectives were to: (1) describe the sample, (2) measure the degree of spatial neglect symptoms if present, and (3) determine group differences in motor and spatial performance. Three (60%) participants from the PAT group and two (50%) from the comparison group still displayed spatial neglect. A series of two-way mixed ANOVAs exploring group (PAT vs. comparison of standard care) and time effects (pretest vs. posttest vs. follow-up) found a main effect of time for all participants on the Kessler Foundation Neglect Assessment (F(1,2) = 30.28, p<.001), Functional Independence Measure (F(1,2) = 16.998, p<.001), and star cancelation (F(1,2) = 11.077, p<.001). An interaction effect of time*prism was observed when assessing the line bisection test (F(1,2) = 6.986, p = .008), suggesting that the PAT group performed significantly better on this test. Additional research should be completed with a larger sample in order to better understand the PAT long term effects as well as develop clinical recommendations for occupational therapy practitioners.

Full Text

Duke Authors

Cited Authors

  • Hreha, K; Rich, T; Wong, J

Published Date

  • January 2020

Published In

Volume / Issue

  • 34 / 1

Start / End Page

  • 48 - 61

PubMed ID

  • 32153228

Electronic International Standard Serial Number (EISSN)

  • 1541-3098

Digital Object Identifier (DOI)

  • 10.1080/07380577.2020.1737894


  • eng

Conference Location

  • England