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The effect of voluntary trunk rotation and half-field eye-patching for patients with unilateral neglect in stroke: a randomized controlled trial

Objective : To investigate the effectiveness of voluntary trunk rotation and half-field eye-patching to treat patients with unilateral neglect in stroke. Design : Pre—post, day 60 follow-up, single-blinded randomized controlled trial. Setting : Single-centre inpatient rehabilitation hospital. Subjec...

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Published in:Clinical rehabilitation 2007-08, Vol.21 (8), p.729-741
Main Authors: Fong, Kenneth NK, Chan, Marko KL, Ng, Peggie PK, Tsang, May HM, Chow, Kathy KY, Lau, Cherry WL, Chan, Frances SM, Wong, Iris PY, Chan, Dora YL, Chan, Chetwyn CH
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cited_by cdi_FETCH-LOGICAL-c362t-14682d6c26db7e2ca8b2a6a35ef70009715aefb5d1034fd39fab3e1635c67fb23
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container_issue 8
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container_title Clinical rehabilitation
container_volume 21
creator Fong, Kenneth NK
Chan, Marko KL
Ng, Peggie PK
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Chan, Frances SM
Wong, Iris PY
Chan, Dora YL
Chan, Chetwyn CH
description Objective : To investigate the effectiveness of voluntary trunk rotation and half-field eye-patching to treat patients with unilateral neglect in stroke. Design : Pre—post, day 60 follow-up, single-blinded randomized controlled trial. Setting : Single-centre inpatient rehabilitation hospital. Subjects : Sixty subacute patients with right hemisphere stroke having unilateral neglect within eight weeks post stroke consented to participate between November 2003 and July 2005. They were randomly assigned to three comparison groups. Interventions : Nineteen patients received daily experimental training in voluntary trunk rotation (TR) for 1 hour five times a week for 30 days. Twenty patients received the same kind of treatment together with half-field eye-patching (TR + EP). Fifteen patients in the control group received conventional training with the same contact time. Main outcome measures : Patients were assessed on days 0, 30 and 60 using the Behavioural Inattention Test, the Clock Drawing Test, and the Functional Independence Measure. Results : No significant differences between voluntary trunk rotation (TR), voluntary trunk rotation and half-field eye-patching (TR + EP) and controls were found in functional performance and neglect measures at day 30 (P = 0.042—0.994) and follow-up (P = 0.052—0.911) at P = 0.005 using Bonferroni correction. Conclusions : The results of this study do not support the use of voluntary trunk rotation alone or with half-field eye-patching to improve functional performance or reduce unilateral neglect in subacute patients with stroke.
doi_str_mv 10.1177/0269215507076391
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Design : Pre—post, day 60 follow-up, single-blinded randomized controlled trial. Setting : Single-centre inpatient rehabilitation hospital. Subjects : Sixty subacute patients with right hemisphere stroke having unilateral neglect within eight weeks post stroke consented to participate between November 2003 and July 2005. They were randomly assigned to three comparison groups. Interventions : Nineteen patients received daily experimental training in voluntary trunk rotation (TR) for 1 hour five times a week for 30 days. Twenty patients received the same kind of treatment together with half-field eye-patching (TR + EP). Fifteen patients in the control group received conventional training with the same contact time. Main outcome measures : Patients were assessed on days 0, 30 and 60 using the Behavioural Inattention Test, the Clock Drawing Test, and the Functional Independence Measure. Results : No significant differences between voluntary trunk rotation (TR), voluntary trunk rotation and half-field eye-patching (TR + EP) and controls were found in functional performance and neglect measures at day 30 (P = 0.042—0.994) and follow-up (P = 0.052—0.911) at P = 0.005 using Bonferroni correction. Conclusions : The results of this study do not support the use of voluntary trunk rotation alone or with half-field eye-patching to improve functional performance or reduce unilateral neglect in subacute patients with stroke.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215507076391</identifier><identifier>PMID: 17846073</identifier><language>eng</language><publisher>London, England: Sage Publications</publisher><subject>Aged ; Clinical trials ; Exercise Therapy ; Eye Movements ; Female ; Humans ; Hypotheses ; Male ; Perceptual Disorders - rehabilitation ; Rehabilitation ; Rotation ; Sensory Deprivation ; Single-Blind Method ; Stroke ; Stroke Rehabilitation</subject><ispartof>Clinical rehabilitation, 2007-08, Vol.21 (8), p.729-741</ispartof><rights>SAGE Publications © Aug 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-14682d6c26db7e2ca8b2a6a35ef70009715aefb5d1034fd39fab3e1635c67fb23</citedby><cites>FETCH-LOGICAL-c362t-14682d6c26db7e2ca8b2a6a35ef70009715aefb5d1034fd39fab3e1635c67fb23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/200672799?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,33611,33612,34530,34531,43733,44115,79364</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17846073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fong, Kenneth NK</creatorcontrib><creatorcontrib>Chan, Marko KL</creatorcontrib><creatorcontrib>Ng, Peggie PK</creatorcontrib><creatorcontrib>Tsang, May HM</creatorcontrib><creatorcontrib>Chow, Kathy KY</creatorcontrib><creatorcontrib>Lau, Cherry WL</creatorcontrib><creatorcontrib>Chan, Frances SM</creatorcontrib><creatorcontrib>Wong, Iris PY</creatorcontrib><creatorcontrib>Chan, Dora YL</creatorcontrib><creatorcontrib>Chan, Chetwyn CH</creatorcontrib><title>The effect of voluntary trunk rotation and half-field eye-patching for patients with unilateral neglect in stroke: a randomized controlled trial</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective : To investigate the effectiveness of voluntary trunk rotation and half-field eye-patching to treat patients with unilateral neglect in stroke. 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Results : No significant differences between voluntary trunk rotation (TR), voluntary trunk rotation and half-field eye-patching (TR + EP) and controls were found in functional performance and neglect measures at day 30 (P = 0.042—0.994) and follow-up (P = 0.052—0.911) at P = 0.005 using Bonferroni correction. Conclusions : The results of this study do not support the use of voluntary trunk rotation alone or with half-field eye-patching to improve functional performance or reduce unilateral neglect in subacute patients with stroke.</abstract><cop>London, England</cop><pub>Sage Publications</pub><pmid>17846073</pmid><doi>10.1177/0269215507076391</doi><tpages>13</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Sociology Collection; Sage Journals Online
subjects Aged
Clinical trials
Exercise Therapy
Eye Movements
Female
Humans
Hypotheses
Male
Perceptual Disorders - rehabilitation
Rehabilitation
Rotation
Sensory Deprivation
Single-Blind Method
Stroke
Stroke Rehabilitation
title The effect of voluntary trunk rotation and half-field eye-patching for patients with unilateral neglect in stroke: a randomized controlled trial
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