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Updated: Jul 18, 2025
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Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection
Published on: March 10, 2021
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Impact of Spatial Neglect on Activity and Participation: A Mixed-Methods Study
Emily S Grattan1,2, Emerson Hart3, Michelle Woodbury3
1University of Pittsburgh, PA, USA.
OTJR : Occupation, Participation and Health
|August 21, 2023
Summary
Post-stroke neglect significantly impacts daily life, yet standard tests may not fully capture these challenges. This study highlights the gap between assessment results and the real-world experiences of stroke survivors and their caregivers.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Occupational Therapy
Background:
- Post-stroke neglect is a common and disabling condition.
- Existing assessments for neglect may not adequately reflect its impact on daily activities and participation.
- Understanding survivor and caregiver perspectives is crucial for improving assessment and support.
Purpose of the Study:
- To explore stroke survivor and caregiver perspectives on how neglect affects activity and participation.
- To compare these lived experiences with items from standardized neglect assessments.
Main Methods:
- Explanatory sequential mixed-methods study.
- Semi-structured interviews with stroke survivors (n=7) and caregivers (n=7).
- Thematic analysis of qualitative data; administration of Catherine Bergego Scale (CBS) and Behavioral Inattention Test (BIT).
Main Results:
- Standardized tests (CBS, BIT) indicated mild-to-moderate or no-to-mild neglect.
- Qualitative data revealed significant safety concerns and difficulties in work, school, and family participation due to neglect.
- Discrepancy noted between objective test scores and subjective experiences of functional impact.
Conclusions:
- Current standardized assessments for post-stroke neglect may underestimate its real-world impact on survivors' activities and participation.
- Qualitative insights are essential for a comprehensive understanding of neglect's functional consequences.
- Further research needed to develop assessments that better capture the functional and participation deficits associated with neglect.
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