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Virtual Prism Adaptation Therapy: Protocol for Validation in Healthy Adults
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Prism Adaptation Treatment May Reduce In-Hospital Falls Among Individuals With Spatial Neglect After Stroke.

Peii Chen1,2, Natalia Noce3,4, Emily DeBel1,4

  • 1Kessler Foundation, West Orange, NJ, USA.

Neurorehabilitation and Neural Repair
|March 25, 2025
PubMed
Summary
This summary is machine-generated.

Spatial neglect (SN) increases fall risk in stroke survivors, particularly in hospital rooms. More prism adaptation treatment (PAT) sessions for SN may reduce fall incidence, suggesting PAT as a key intervention.

Keywords:
balancefall preventionfunctional outcomeinpatient rehabilitationprism adaptationsafetystroke rehabilitationunilateral spatial neglect

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Spatial neglect (SN) is a significant risk factor for in-hospital falls among stroke survivors.
  • Previous research indicated that increased prism adaptation treatment (PAT) sessions in inpatient rehabilitation facilities (IRFs) correlate with reduced SN and improved function.

Purpose of the Study:

  • To investigate the specific circumstances of falls related to SN in stroke survivors.
  • To determine if increasing the number of PAT sessions can decrease fall incidence in this population.

Main Methods:

  • Retrospective analysis of 3020 stroke survivor records from IRFs, identifying 1489 (49%) with SN using the Catherine Bergego Scale (CBS).
  • Examined fall-related documentation and clinical data to assess fall circumstances and treatment.
  • Statistical analysis, including incident rate ratios (IRR), controlled for covariates like age, sex, functional level, and length of stay.

Main Results:

  • Of 276 patients who fell, 173 (67%) had SN. SN significantly increased fall incidence (IRR=1.44, P=.005).
  • SN was associated with a higher incidence of falls specifically within hospital rooms (IRR=1.55, P=.024).
  • Among fallers with SN who received PAT, increased sessions were linked to fewer subsequent falls (IRR=0.82, P=.022).

Conclusions:

  • Spatial neglect is a critical factor contributing to falls in stroke survivors, especially in hospital rooms.
  • Prism adaptation treatment (PAT) shows promise in reducing fall incidence, suggesting its consideration for SN management.
  • Further research is warranted to develop targeted fall prevention strategies for stroke survivors with SN, particularly within hospital environments.