Effect of Combined Therapy on Neglect Syndrome in Stroke Patients
Cerebrovascular Accidents
About this trial
This is an interventional treatment trial for Cerebrovascular Accidents focused on measuring stroke rehabilitation, perceptual deficits, kinematic analysis
Eligibility Criteria
Inclusion Criteria:
- a clinical cerebrovascular of right cerebral accident patients
- the age over 18-year-old
- demonstration of Brunnstrom stage III of the affected upper extremity
- patients with perceptual deficits
- no severe cognitive disorder, could understand and follow orders
- no severe equilibrium problems which will influence the intervention
Exclusion Criteria:
- recurrent of the stroke or epilepsy during the intervention
- patients with the neurological or psychical history, for example, alcoholism, drug poisoning or bipolar disorder
- injected the Botox into the affected upper extremity during the past 6 months
- participate in the other interventional study in the same time
- refuse subscribed the informed consent
Sites / Locations
- Chang Gung Memorial Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
CIT with eye-patching
constraint-induced therapy
conventional therapy
The CIT addressed forced use of the affected UE and restricted the unaffected UE during training. Shaping skills were delivered while participants were forced to use their affected UE in the mass practice of functional tasks, such as drinking water and opening a jar. Participants wore a mitt on their unaffected hand and wrist for 6 hours/day during the 3-week training and reported their compliance in a daily log. Participants were also asked to wear glasses with a patch on the right lens to block the visual stimuli from the right side and force them to receive the stimuli from the left-side visual field.
The intervention in this group resembled the intervention of the CIT+EP group, except participants did not wear the EP glasses.
traditional occupational therapy matched in intensity and duration with the other groups. The training program included stretching and weight bearing of the affected UE, improving the range of motion of the affected UE, muscle strengthening, and the practice of tasks used for functional training might involve the unaffected UE to assist in the affected UE; for example, stabilizing a bottle while opening its lid or moving pegs into holes on a board.