Sharp Natalie, Hepworth Lauren R
Leighton Hospital, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK.
Institute of Population Health, University of Liverpool, Liverpool, UK.
Br Ir Orthopt J. 2023 Aug 9;19(1):71-77. doi: 10.22599/bioj.311. eCollection 2023.
Visual inattention is common following right hemisphere stroke, with up to 80% of patients being affected. Visual inattention following stroke is linked to poorer outcomes. There is no clear evidence for how visual inattention should be treated in the hospital inpatient setting.
To explore the practical implications and possible benefits of using a visual scanning wall in a stroke rehabilitation unit as an assessment and treatment tool for visual inattention.
This proof-of-concept study recruited stroke survivors with visual inattention. Participants used the scanning wall for scanning training five days a week for two weeks. Assessments using the scanning wall and modified Albert's test were conducted at baseline and at day 14. Both participants and staff delivering the training were asked to complete an acceptability questionnaire.
All participants demonstrated an improvement in the number of pictures identified from baseline to day 14. There was a mean improvement of 9.20 (95% CI 4.77 to 13.63) in the 14 days. This is a statistically significant improvement in the scanning wall score between baseline line and day 14 ( = 0.01). All participants and staff reported the scanning wall as acceptable to use.
This proof-of-concept study has demonstrated the scanning wall could be used to assess for visual inattention in extra personal space. Also, it could be beneficial and is acceptable for the treatment of visual inattention within a hospital inpatient setting for acute stroke survivors.
右侧半球卒中后视觉注意力不集中很常见，高达80%的患者会受到影响。卒中后的视觉注意力不集中与较差的预后相关。在医院住院环境中，对于如何治疗视觉注意力不集中尚无明确证据。
探讨在卒中康复单元使用视觉扫描墙作为视觉注意力不集中的评估和治疗工具的实际意义及可能的益处。
这项概念验证研究招募了有视觉注意力不集中的卒中幸存者。参与者每周使用扫描墙进行五天的扫描训练，为期两周。在基线和第14天使用扫描墙和改良的阿尔伯特测试进行评估。要求参与者和提供训练的工作人员完成一份可接受性问卷。
所有参与者从基线到第14天识别的图片数量均有改善。在这14天内平均改善了9.20（95%可信区间4.77至13.63）。这是基线和第14天扫描墙评分的统计学显著改善（P = 0.01）。所有参与者和工作人员都报告说扫描墙使用起来是可接受的。
这项概念验证研究表明，扫描墙可用于评估个人空间以外的视觉注意力不集中。此外，对于急性卒中幸存者在医院住院环境中治疗视觉注意力不集中可能是有益的且可接受的。
