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Visual-spatial training in patients with sub-acute stroke without neglect: a randomized, single-blind controlled

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    Visual-spatial training improved balance and daily activities for stroke survivors undergoing neurorehabilitation. This add-on therapy enhanced motor skills and functional independence in patients with subacute stroke.

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    Area of Science:

    • Neuroscience
    • Rehabilitation Medicine
    • Clinical Neurology

    Background:

    • Sensorimotor impairments, including balance and gait deficits, are common after stroke.
    • Visual disorders resulting from stroke can significantly impede daily activities.
    • Subacute stroke patients often require comprehensive rehabilitation to regain function.

    Purpose of the Study:

    • To evaluate visual-spatial training as an adjunct to conventional neurorehabilitation for subacute stroke patients.
    • To assess the impact of visual-spatial training on balance and gait.
    • To determine the effect of this training on activities of daily living.

    Main Methods:

    • Thirty subacute stroke inpatients were randomized into a visual-spatial training group or a control group.
    • Both groups received conventional neurorehabilitation; the experimental group also underwent 4 weeks of visual-spatial training.
    • Balance and daily living activities were assessed using the Tinetti Balance and Gait Scale (TBG), Berg Balance Scale, computerized posturography, and Barthel Index (BI).

    Main Results:

    • Significant improvements were observed in the visual-spatial training group compared to the control group for TBG and Barthel Index scores.
    • Both groups showed non-significant improvements in instrumental postural assessments.
    • The TIME x GROUP interaction indicated a significant effect of the visual-spatial training intervention.

    Conclusions:

    • Visual-spatial training, as an add-on to conventional neurorehabilitation, can effectively improve balance in subacute stroke patients.
    • This complementary strategy also shows promise in enhancing activities of daily living post-stroke.
    • Further research may explore optimizing visual-spatial training protocols for stroke recovery.