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Transcript of Unilateral Neglect
Melissa Herbst, &
Ashley Forehand Main Points Perceptual problem
Failure to integrate perceptions
1 side of body
1 side of body space
Most effective evaluation
During ADL's or IADL's Unilateral Neglect Intervention 3 Intervention 4 Classical Music
Graph 1 Unilateral Neglect: what is it?
-4 forms of Intervention
-Constraint Induced Therapy
-Assessment of Knowledge Visual Scanning Client practices scanning an area
to find certain objects Most Common= Reading : Symbol at end of line that indicates end of that sentence line and to go to the next line down : Must scan all the way over to the left to read the next line Other Visual Scanning:
Pen and Paper tasks
Tracking series of lights across a panel ** Results: People generally show improvements in performance with visual scanning** To Replicate: Have client read from a book with symbols at the end of each line to indicate when to scan back and move to the next line.
Word bank games can be used to scan and fill in the blank
Therapist= Instruct and guide
This can be done on a computer as well as paper Conclusion... Virtual Reality Virtual Reality Constraint Induced Therapy
(CIT) Constraint Induced
Therapy Intervention 2 References Computer Based Experience
3D Virtual User Responsive Environment Allows User to attend and interact with stimuli on the affected side
-Stimuli are presented from both sides
Therapist can control stimuli
Pt. can receive immediate feedback Wu, C.Y., Wang, T.N., Chen, Y.T., Lin, K.C., Chen, Y.A., Li, H.T., &
Tsai, P.L. (2013). Effects of Constraint-Induced Therapy
Combined with Eye Patching on Functional Outcomes and
Movement Kinematics in Poststroke Neglect. The American Journal of Occupational THerapy, 67, 2, 236-245. Smitha, J., Hebertb, D., & Reid, D. (2007). Exploring
Effects of Virtual Reality on Unilateral Neglect Caused by Stroke: Four Case Studies. Technology and Disability, 19, 29-40. Quiz 1. What 2 composer's songs were used for the first intervention?
2. What is one benefit of using Virtual Reality with unilateral neglect patients?
3.According to the results presented, does using an eye patch increase the effectiveness of constraint therapy?
4. What is the most common Intervention for Visual Scanning? Graph Graph Dog with Unilateral Neglect Intervention 1
Listening to Classical Music Graph Bailey J. Maggie, Riddoch M. Jane, Crome Peter.
(2002) “Treatment of Visual Neglect in Elderly Patients With Stroke: A Single-Subject Series Using Either a Scanning and Cueing Strategy or a Left-Limb Activation Strategy. Journal of the American Physical Therapy Association. Vol. 93 Issue 5 SCT= Star Cancellation Test
LBT= Line Bisection Test
PST= Picture Scanning Test References Tsai, P., Chen, M., Huang , Y., Lin, K., Chen, K., & Hsu, Y. (2013).
Listening to classical music ameliorates unilateral neglect after stroke. American Journal of Occupational Therapy, 67(3), 328-335. Retrieved from http://ajot.aotapress.net/content/67/3/328.full.pdf html?sid=deb4bda0-db2f-48c8-8380-63f159864e87 Early, M. B. (2006). Physical dysfunction practice
skills for the occupational therapy assistant. (2nd ed.). St.Louis, MO: Mosby Elsevier. Classical Music
Silence (Control) 1. Mozart's Sontana
2 Pianos in D major 2. Vivaldi's Concerto No. 1 in E Major
"Spring" from The Four Seasons Hypothesis: "Classical music modulates arousal to an optimal level and then alleviates the symptoms of UN." Tests: SCT, LBT, PST Improvement in LBT and PST Neuroimaging and Neurophysiological Evidence: listening to music activates both hemispheres and several brain areas -Defined Unilateral Neglect
-Found 4 Interventions:
Listening to Classical Music
Constraint Induced Therapy
Visual Scanning THANK-YOU!! Can help with being
effective in a patient with Unilateral Neglect Stroke is a diagnosis we will most likely see, and these treatment interventions can help our clients improve in their daily functions Participants reported that enjoyed
Virtual Reality and said that they had
increased their awareness. Participant had a (R) CVA and showed
an upward trend over time CIT combines restraint of the unaffected uppper limb for a period of time with repetition of task-specific intensive training on the affected limb.
Forces Client to use affected limb
EP technique (Eye Patching) induces patient to shift eye movements and attention toward the neglected side Is CIT+ EP > CIT? Constraint Therapy Graph Lower score is better