Gordon W A, Hibbard M R, Egelko S, Diller L, Shaver M S, Lieberman A, Ragnarsson K
Arch Phys Med Rehabil. 1985 Jun;66(6):353-9.
This study provided a comprehensive program to treat visual perceptual disturbances associated with right brain damage (RBD). Three types of previously evaluated perceptual remediation were integrated into a sequentially administered remediation program: basic visual scanning, somatosensory awareness and size estimation training, and complex visual perceptual organization. The purpose of the study was to evaluate the immediate (at rehabilitation discharge) and long-term (four months after discharge) effects of this treatment program on patients with RBD. The effects of treatment on ADL and mood state were also examined. Seventy-seven RBD stroke rehabilitation inpatients were studied--including 48 Experimental (E) and 29 Control (C). At rehabilitation discharge, the E group relative to the C group showed greater gains in all three types of perceptual functioning. Four months after discharge from rehabilitation, the C group continued to show gains in perceptual functioning while the E group had reached a plateau. Longitudinal decreases in levels of self-reported anxiety and hostility, but not depression, were noted only for the E group.
本研究提供了一个全面的项目来治疗与右脑损伤(RBD)相关的视觉感知障碍。将三种先前评估过的感知觉矫正方法整合到一个按顺序实施的矫正项目中:基本视觉扫描、体感意识和大小估计训练,以及复杂视觉感知组织。本研究的目的是评估该治疗项目对右脑损伤患者的即时(康复出院时)和长期(出院后四个月)效果。还考察了治疗对日常生活活动能力(ADL)和情绪状态的影响。对77名右脑损伤的中风康复住院患者进行了研究,其中包括48名实验组(E)和29名对照组(C)。在康复出院时,与C组相比,E组在所有三种感知功能类型上都有更大的改善。康复出院四个月后,C组在感知功能上持续改善,而E组则达到了平稳状态。只有E组的自我报告焦虑和敌意水平出现纵向下降,但抑郁水平未下降。