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Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect

Year: 2016
Type: article
Study design: Clinical Trial
Abstract: OBJECTIVE: We examined the feasibility, tolerability, and preliminary efficacy of repetitive task-specific practice for people with unilateral spatial neglect (USN). METHOD: People with USN ≥6 mo poststroke participated in a single-group, repeated-measures study. Attendance, total repetitions, and satisfaction indicated feasibility and pain indicated tolerability. Paired t tests and effect sizes were used to estimate changes in upper-extremity use (Motor Activity Log), function (Action Research Arm Test), and attention (Catherine Bergego Scale). RESULTS: Twenty participants attended 99.4% of sessions and completed a high number of repetitions. Participants reported high satisfaction and low pain, and they demonstrated small, significant improvements in upper-extremity use (before Bonferroni corrections; t = -2.1, p = .04, d = .30), function (t = -3.0, p < .01, d = .20), and attention (t = -3.4, p < .01, d = -.44). CONCLUSION: Repetitive task-specific practice is feasible and tolerable for people with USN. Improvements in upper-extremity use, function, and attention may be attainable.
DOI: 10.5014/ajot.2016.019471
Authors: Emily S. Grattan, Catherine E. Lang, Rebecca Birkenmeier, Margo Holm, Elaine Rubinstein, Jessie Van Swearingen, Elizabeth R. Skidmore
Institutions: Medical University of South Carolina, Washington University in St. Louis, Maryville University, University of Pittsburgh, National Institute for Occupational Safety and Health, Chatham University
Language: English
Open Access status: bronze
Funders: University of Pittsburgh, National Institutes of Health, National Institute on Aging, National Center for Research Resources, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development
Awards: G1037376802, University of Pittsburgh Clinical and Translational Science Institute, G517149770, University of Pittsburgh Clinical and Translational Science Institute, G611383016, Washington University Institute of Clinical and Translational Sciences, Translation of in-clinic Gains to Gains in Daily Life After Stroke, G8232721138, G9000052321, G9000115080, G9000150061, G9000219286, Pittsburgh Older Americans Independence Center, Translation of In-Clinic Gains to Gains in Daily Life
OpenAlex ID: W2409580478
FWCI: 0.636
Cites: 32
Cited by: 6
Related to: 10