Visual-spatial training in patients with sub-acute stroke without neglect

A randomized, single-blind controlled trial

Marco Tramontano, Daniela Dell’Uomo, Alex Martino Cinnera, Camilla Luciani, Concetta Di Lorenzo, Marzia Marcotulli, Fabio Vona, Antonio Mercuro, Stefania Abbruzzese

Research output: Contribution to journalArticle

Abstract

Many people who have suffered a stroke will experience sensorimotor impairments that disrupt their performance of motor skills, including balance and gait. Furthermore, stroke-induced brain damage can result in visual disorders that may significantly impact performance of normal daily activities. The primary aim of this study was to investigate the effects, on balance, of visual-spatial training as an add-on intervention to conventional neurorehabilitation in patients with subacute stroke without neglect; secondarily, it aimed to assess the effects of this training on activities of daily living. Thirty inpatients (17 M, age: 57.3±12.9 years) with a diagnosis of subacute stroke (< 180 days) were enrolled in this study and randomized into two groups: The visual-spatial training group and a control group. All patients were evaluated, using the Tinetti Balance and Gait Scale (TBG), the Berg Balance Scale, computerized posturography, and the Barthel Index (BI), both before (T0) and after (T1) four weeks of training sessions. In addition to conventional neurorehabilitation, each group performed a total of twelve 20-minute rehabilitation sessions (3 times/week for 4 weeks). Significant TIME x GROUP interactions were recorded in the experimental group with respect to the control group for the TBG score [F (1,18) =15.59; p = 0.0004] and BI score [F (1,28) =6.35; p = 0.01]. Both groups recorded non-significant improvements on the instrumental postural assessment. These data suggest that visualspatial training as an add-on intervention to conventional neurorehabilitation could be an effective complementary strategy to improve balance and activities of daily living.

Original languageEnglish
Pages (from-to)7-13
Number of pages7
JournalFunctional Neurology
Volume34
Issue number1
Publication statusPublished - Jan 1 2019

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Stroke
Gait
Activities of Daily Living
Control Groups
Motor Skills
Vision Disorders
Inpatients
Teaching
Rehabilitation
Brain
Neurological Rehabilitation

Keywords

  • Postural balance
  • Stroke rehabilitation
  • Vision disorders

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

Cite this

Visual-spatial training in patients with sub-acute stroke without neglect : A randomized, single-blind controlled trial. / Tramontano, Marco; Dell’Uomo, Daniela; Cinnera, Alex Martino; Luciani, Camilla; Di Lorenzo, Concetta; Marcotulli, Marzia; Vona, Fabio; Mercuro, Antonio; Abbruzzese, Stefania.

In: Functional Neurology, Vol. 34, No. 1, 01.01.2019, p. 7-13.

Research output: Contribution to journalArticle

Tramontano, M, Dell’Uomo, D, Cinnera, AM, Luciani, C, Di Lorenzo, C, Marcotulli, M, Vona, F, Mercuro, A & Abbruzzese, S 2019, 'Visual-spatial training in patients with sub-acute stroke without neglect: A randomized, single-blind controlled trial', Functional Neurology, vol. 34, no. 1, pp. 7-13.
Tramontano, Marco ; Dell’Uomo, Daniela ; Cinnera, Alex Martino ; Luciani, Camilla ; Di Lorenzo, Concetta ; Marcotulli, Marzia ; Vona, Fabio ; Mercuro, Antonio ; Abbruzzese, Stefania. / Visual-spatial training in patients with sub-acute stroke without neglect : A randomized, single-blind controlled trial. In: Functional Neurology. 2019 ; Vol. 34, No. 1. pp. 7-13.
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