Aparicio-López Celeste, García-Molina Alberto, García-Fernández Juan, López-Blázquez Raquel, Enseñat-Cantallops Antonia, Sánchez-Carrión Rocío, Muriel Vega, Tormos José M, Roig-Rovira Teresa
Universitat Autònoma de Barcelona.
Psicothema. 2016 May;28(2):143-9. doi: 10.7334/psicothema2015.93.
Visuo-spatial neglect predicts longer hospitalization, poorer recovery of motor skills and greater functional limitation. The aim of the present study was to analyze whether the combined administration of computerized cognitive rehabilitation with right hemifield eye-patching in patients with left spatial neglect following a right hemisphere stroke is more effective than computerized cognitive rehabilitation applied in isolation.
Randomized clinical trial conducted in 28 patients. These were grouped into two experimental groups: single treatment group (ST) (n= 15) and combined treatment group (CT) (n= 13). All received an average of 15 one-hour sessions of computerized cognitive rehabilitation using the Guttmann, NeuroPersonalTrainer® telerehabilitation platform. Those patients in the TC group performed the sessions wearing a visual device with which the right hemifield of each eye was occluded.
Following treatment, both the ST and the TC group showed improvements in neuropsychological examination protocol although there were no differences pre- and post-treatment on the functional scale in either group. Likewise, no statistically significant differences were observed in intergroup comparison.
The results from this study indicate that combination treatment is not more effective than rehabilitation applied in isolation.
视觉空间忽视预示着住院时间更长、运动技能恢复较差以及功能受限更严重。本研究的目的是分析在右半球卒中后出现左侧空间忽视的患者中，计算机化认知康复与右半视野眼罩联合治疗是否比单独应用计算机化认知康复更有效。
对28例患者进行随机临床试验。这些患者被分为两个实验组：单一治疗组（ST）（n = 15）和联合治疗组（CT）（n = 13）。所有患者平均接受15次，每次1小时的使用古特曼神经个人训练师远程康复平台的计算机化认知康复治疗。CT组的患者在治疗过程中佩戴一种视觉装置，该装置可遮挡每只眼睛的右半视野。
治疗后，ST组和CT组在神经心理学检查方案方面均有改善，尽管两组在功能量表上治疗前后均无差异。同样，组间比较未观察到统计学上的显著差异。
本研究结果表明，联合治疗并不比单独康复更有效。
