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[忽视症(一种注意力障碍)的治疗]

[Treatment of neglect, an attention disorder].

作者信息

Ten Brink A F, Nijboer T C W, Visser-Meily J M A

机构信息

Universitair Medisch Centrum Utrecht en De Hoogstraat revalidatie, Hersencentrum Rudolf Magnus en Kenniscentrum Revalidatiegeneeskunde Utrecht, Utrecht.

出版信息

Ned Tijdschr Geneeskd. 2016;160:D393.

PMID:27966401
Abstract
  • Neglect occurs in 30-50% of patients in the subacute phase post-stroke. Patients with neglect ignore one side of their body or one part of the space around them. - Treatment of neglect is important, as patients with neglect recover more slowly and are less independent compared to patients without neglect.- Visual scanning training is currently recommended in the guidelines as a treatment. The focus of this intensive treatment is on compensation, not on recovery. Scientific evidence for its effectiveness is scarce. - Other treatments, such as prism adaptation, limb activation training and brain stimulation are being investigated. However, the available evidence for their effectiveness is insufficient as yet. - In addition to neuropsychological tests, outcome measures at the level of functioning in daily life should be included in studies regarding the treatment of neglect.- New research is increasingly focusing on combining different treatments, which should ultimately be adapted for each patient individually.
摘要
  • 中风亚急性期30%-50%的患者会出现偏侧忽视。偏侧忽视患者会忽略自身身体的一侧或周围空间的一部分。

  • 偏侧忽视的治疗很重要,因为与无偏侧忽视的患者相比,有偏侧忽视的患者恢复较慢且独立性较差。

  • 目前指南推荐视觉扫描训练作为一种治疗方法。这种强化治疗的重点在于代偿,而非恢复。其有效性的科学证据很少。

  • 正在研究其他治疗方法,如棱镜适应、肢体激活训练和脑刺激。然而,目前关于它们有效性的证据还不足。

  • 除神经心理学测试外,关于偏侧忽视治疗的研究还应纳入日常生活功能水平的结果测量。

  • 新的研究越来越注重将不同治疗方法结合起来,最终应根据每个患者的个体情况进行调整。

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[Treatment of neglect, an attention disorder].[忽视症(一种注意力障碍)的治疗]
Ned Tijdschr Geneeskd. 2016;160:D393.
2
[Neglect rehabilitation after stroke].[中风后的忽视康复]
Duodecim. 2013;129(5):506-13.
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Combination of pursuit eye movement training with prism adaptation and arm movements in neglect therapy: a pilot study.忽视症治疗中追踪眼动训练与棱镜适应及手臂运动相结合的初步研究。
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Clinical application of prismatic lenses in the rehabilitation of neglect patients. A randomized controlled trial.棱镜眼镜在忽视症患者康复中的临床应用。一项随机对照试验。
Eur J Phys Rehabil Med. 2012 Jun;48(2):197-208.
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Prism adaptation improves visual search in hemispatial neglect.棱镜适应可改善半侧空间忽视中的视觉搜索。
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6
Prism Adaptation in Rehabilitation? No Additional Effects of Prism Adaptation on Neglect Recovery in the Subacute Phase Poststroke: A Randomized Controlled Trial.棱镜适应在康复中的作用?棱镜适应在亚急性期脑卒中后对忽视恢复无额外作用:一项随机对照试验。
Neurorehabil Neural Repair. 2017 Dec;31(12):1017-1028. doi: 10.1177/1545968317744277. Epub 2017 Dec 1.
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Prism adaptation improves egocentric but not allocentric unilateral neglect: a case study.棱镜适应改善自我中心但不改善非自我中心单侧忽略:个案研究。
Eur J Phys Rehabil Med. 2018 Feb;54(1):85-89. doi: 10.23736/S1973-9087.17.04603-2. Epub 2017 Jul 24.
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Rehabilitation of visuospatial neglect by prism adaptation: effects of a mild treatment regime. A randomised controlled trial.棱镜适应疗法对视觉空间忽视的康复作用:轻度治疗方案的效果。一项随机对照试验。
Neuropsychol Rehabil. 2018 Sep;28(6):899-918. doi: 10.1080/09602011.2016.1208617. Epub 2016 Jul 18.
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Neglect and prism adaptation: a new therapeutic tool for spatial cognition disorders.忽视与棱镜适应:一种治疗空间认知障碍的新工具。
Restor Neurol Neurosci. 2006;24(4-6):347-56.
10
Adapting the concepts of brain and cognitive reserve to post-stroke cognitive deficits: Implications for understanding neglect.将大脑和认知储备的概念应用于脑卒中后认知障碍:对忽视的理解意义。
Cortex. 2017 Dec;97:327-338. doi: 10.1016/j.cortex.2016.12.006. Epub 2016 Dec 16.

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Transcranial alternating brain stimulation at alpha frequency reduces hemispatial neglect symptoms in stroke patients.以阿尔法频率进行的经颅交变脑刺激可减轻中风患者的半侧空间忽视症状。
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