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Adaptation to poststroke visual field loss: A systematic review.

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  • 1Department of Health Services Research, University of Liverpool, Liverpool, UK.

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This systematic review found that while many strategies exist to help patients adapt to visual field loss after stroke, key factors influencing this adaptation remain unclear. Further research is needed to improve patient support and rehabilitation.

Keywords:
adaptationhemianopiainterventionrehabilitationstrokevisual field

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Rehabilitation Medicine

Background:

  • Visual field loss is a common consequence of stroke, significantly impacting daily functioning and independence.
  • Adaptation to visual field loss is crucial for patient recovery and quality of life.
  • Understanding the factors influencing adaptation is essential for effective rehabilitation strategies.

Purpose of the Study:

  • To systematically review and overview factors influencing adaptation to visual field loss following stroke.
  • To identify existing knowledge gaps regarding adaptation to post-stroke visual field loss.

Main Methods:

  • A comprehensive systematic review of literature from 1861 to 2016 was conducted.
  • Included studies encompassed various designs: systematic reviews, RCTs, controlled trials, cohort studies, observational studies, and case-controlled studies.
  • Studies focused on adult subjects with hemifield visual field loss resulting from stroke.

Main Results:

  • Forty-seven articles involving 2,900 participants were included.
  • Seventeen studies identified potential factors influencing adaptation to visual field loss.
  • Thirty studies detailed interventions that may impact the adaptation process, but no studies specifically summarized influencing factors.

Conclusions:

  • Evidence supports the use of various strategies to aid adaptation to post-stroke visual field loss.
  • Significant knowledge gaps persist regarding the specific factors that influence adaptation.
  • Further research is necessary to develop and refine methods that enhance adaptation and support clinicians in patient rehabilitation.