a Sussex Rehabilitation Centre, Southlands Hospital, Shoreham-by-Sea, Sussex, UK.
Neuropsychol Rehabil. 2003 Jul;13(3):391-408. doi: 10.1080/09602010244000264.
Unilateral neglect has been shown to dissociate into three areas of space: personal, peripersonal, and locomotor. Robertson, Hogg, and McMillan (1998) showed that movement of the contralesional limb (limb activation therapy) reduced neglect in a patient 18 months after brain injury. However, the beneficial effects of treatment were only maintained in peripersonal space. This study replicated and extended the work of Robertson et al. (1998) to evaluate limb activation therapy at a more acute stage of recovery. A single case ABABA design was used with a patient 8 weeks post-stroke. No significant overall treatment effect was observed. However, a significant effect of the first treatment phase was seen in peripersonal and locomotor space. This improvement was maintained in locomotor space, but not in peripersonal space. This study provides tentative support for the efficacy of limb activation therapy at an acute stage of recovery. However, more research is needed to strengthen this conclusion and clarify the generalisability of the observed effects.
个人、近体空间和运动空间。Robertson、Hogg 和 McMillan（1998 年）的研究表明，在脑损伤后 18 个月，对健侧肢体的运动（肢体激活疗法）可以减少忽略。然而，治疗的有益效果仅在近体空间维持。本研究复制并扩展了 Robertson 等人（1998 年）的工作，以评估更急性康复阶段的肢体激活疗法。采用单侧病例 ABABA 设计，对中风后 8 周的患者进行研究。未观察到整体治疗效果有显著差异。然而，在近体空间和运动空间中观察到第一治疗阶段的显著效果。这种改善在运动空间中维持，但在近体空间中没有维持。本研究为肢体激活疗法在急性康复阶段的疗效提供了初步支持。然而，需要更多的研究来加强这一结论，并阐明观察到的效果的普遍性。
