Müller I, Sabel B, Kasten E
Institut für Medizinische Psychologie, Medizinsche Fakultät der Otto-von-Guericke-Universität, Magdeburg.
Nervenarzt. 2006 Jun;77(6):694-8, 700-1. doi: 10.1007/s00115-006-2054-6.
Most rehabilitation studies on visual field deficits after stroke or trauma are conducted after completion of the spontaneous recovery phase. However, the question arises whether more extensive visual field improvements can be reached when the training starts very soon after the lesion.
In this study, the results of 26 patients who began visual restoration therapy within the first 12 months after the lesion were compared with an age-related group whose lesions were more than 1 year old.
The early-onset group showed an improvement of 8% in computer campimetry and 10-15% in conventional automated perimetry. The late-onset group had 13.5% improvement in campimetry and 20% in perimetry.
In contrast to our assumptions, there was no significant difference between the groups. Furthermore, the late-onset group showed considerably greater improvement than the early-onset group. It is proposed that pronounced attention deficits soon after brain damage may complicate the training.
大多数关于中风或创伤后视野缺损的康复研究是在自发恢复阶段结束后进行的。然而，问题在于损伤后很快开始训练是否能实现更广泛的视野改善。
在本研究中，将26例在损伤后12个月内开始视觉恢复治疗的患者结果与损伤超过1年的年龄匹配组进行比较。
早期发病组在电脑视野检查中改善了8%，在传统自动视野检查中改善了10 - 15%。晚期发病组在视野检查中改善了13.5%，在视野计检查中改善了20%。
与我们的假设相反，两组之间没有显著差异。此外，晚期发病组的改善明显大于早期发病组。有人提出脑损伤后不久出现的明显注意力缺陷可能会使训练复杂化。
