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Limb activation effects in hemispatial neglect.

Gail A Eskes1, Beverly Butler, Alison McDonald

  • 1Department of Physiotherapy, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, NS, Canada. gail.eskes@dal.ca

Archives of Physical Medicine and Rehabilitation
|March 15, 2003
PubMed
Summary

Active and passive limb movements, including functional electric stimulation (FES), show promise in improving visual scanning for hemispatial neglect patients. These techniques enhance left-sided target detection, aiding stroke rehabilitation.

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Area of Science:

  • Neurorehabilitation
  • Clinical Neuroscience
  • Stroke Recovery

Background:

  • Hemispatial neglect is a common and debilitating consequence of stroke, significantly impacting patients' functional independence.
  • Current rehabilitation strategies for hemispatial neglect often focus on visual scanning training, but efficacy can be limited.

Purpose of the Study:

  • To evaluate the effectiveness of active and passive limb movements as interventions to enhance visual scanning abilities in individuals with hemispatial neglect.

Main Methods:

  • A before-after trial design was employed, analyzing behavioral data from a case series of nine stroke survivors with left-sided neglect.
  • Interventions included active left limb movement (button push) or passive left limb movement, with functional electric stimulation (FES) applied during visual scanning tasks.

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Main Results:

  • Both active and passive limb movements led to significant improvements in left-sided target detection during visual scanning tasks.
  • Improvements were observed in 2 out of 3 patients receiving active movement and 6 out of 8 patients receiving passive movement with FES.

Conclusions:

  • Active and FES-stimulated passive limb movements represent viable therapeutic approaches for addressing hemispatial neglect.
  • These movement-based interventions show potential for improving visual attention and aiding recovery in stroke patients with neglect.