Treatment of spatial neglect in clinical practice: A nationwide survey.
brain injuries
perceptual disorders
stroke
surveys and questionnaires
treatment
Journal
Acta neurologica Scandinavica
ISSN: 1600-0404
Titre abrégé: Acta Neurol Scand
Pays: Denmark
ID NLM: 0370336
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
11
06
2019
revised:
25
09
2019
accepted:
03
10
2019
pubmed:
12
10
2019
medline:
10
3
2020
entrez:
12
10
2019
Statut:
ppublish
Résumé
Clinical research has documented a range of evidence-based treatment approaches for spatial neglect (SN), but there is a lack of research on the implementation of treatment into clinical practice. The purpose of this study is to describe the current clinical practice of SN treatment across healthcare sectors including involved professions, methods, timing and sources of evidence. This is the second part of a nationwide, anonymous, open Internet survey that was conducted among healthcare professionals in Denmark on assessment and treatment of SN. A total of 525 healthcare professionals participated in the survey of which 411 (78.3%) reported that SN treatment was provided at their workplace. Occupational and physiotherapist were most often involved in the treatment, most commonly characterized by training of activities of daily living (ADL), sensoric stimulation and cueing. Less frequently reported were evidence-based methods such as prism adaptation and visual scanning. The overall intensity of the SN treatment varied considerably across sectors and might consequently be inadequate. A minority of the participants consulted clinical research evidence in their choice of SN treatment approaches. There is a profound lack of dissemination and translation of clinical research into current clinical practice, which unarguably leads to an underuse of evidence-based treatment approaches in SN rehabilitation. The results call for international multidisciplinary clinical guidelines for the treatment of SN at different stages of rehabilitation and the tailoring of treatment approaches to the individual patient.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
81-89Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Glasziou P, Straus S, Brownlee S, et al. Evidence for underuse of effective medical services around the world. Lancet. 2017;390(10090):169-177.
Lynch EA, Chesworth BM, Connell LA. Implementation-the missing link in the research translation pipeline: is it any wonder no one ever implements evidence-based practice? Neurorehabil Neural Repair. 2018;32(9):751-761.
Sundhedsstyrelsen. Brain Injury Rehabilitation - A Health Technology Assessment: Summary. Vol Version: 1.0. Copenhagen, Denmark: National Board of Health; 2011.
Kerkhoff G. Spatial hemineglect in humans. Prog Neurogibol. 2001;63(1):1-27.
Rode G, Pagliari C, Huchon L, Rossetti Y, Pisella L. Semiology of neglect: an update. Ann Phys Rehabil Med. 2017;60(3):177-185.
Azouvi P, Jacquin-Courtois S, Luaute J. Rehabilitation of unilateral neglect: evidence-based medicine. Ann Phys Rehabil Med. 2017;60(3):191-197.
Luaute J, Halligan P, Rode G, Rossetti Y, Boisson D. Visuo-spatial neglect: a systematic review of current interventions and their effectiveness. Neurosci Biobehav Rev. 2006;30(7):961-982.
Kerkhoff G, Schenk T. Rehabilitation of neglect: an update. Neuropsychologia. 2012;50(6):1072-1079.
Menon-Nair A, Korner-Bitensky N, Ogourtsova T. Occupational therapists' identification, assessment, and treatment of unilateral spatial neglect during stroke rehabilitation in Canada. Stroke. 2007;38(9):2556-2562.
Chen P, Pitteri M, Gillen G, Ayyala H. Ask the experts how to treat individuals with spatial neglect: a survey study. Disabil Rehabil. 2018;40(22):2677-2691.
Evald L, Wilms I, Nordfang M. Assessment of spatial neglect in current clinical practice: a nationwide survey. Acta Neurol Scand. 2019; In preparation.
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)-a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-381.
Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34.
Eysenbach G. Correction: improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2012;14(1):e8.
Bowen A, Hazelton C, Pollock A, Lincoln NB. Cognitive rehabilitation for spatial neglect following stroke. Cochrane Database Syst Rev. 2013;(7):CD003586.
Klinke ME, Hafsteinsdottir TB, Hjaltason H, Jonsdottir H. Ward-based interventions for patients with hemispatial neglect in stroke rehabilitation: a systematic literature review. Int J Nurs Stud. 2015;52(8):1375-1403.
Vahlberg B, Hellström K. Treatment and assessment of neglect after stroke - from a physiotherapy perspective: a systematic review. Adv Physiother. 2008;10(4):178-187.
Royal College of Physicians. National Clinical Guidelines for Stroke. London, UK:Royal College of Physicians; 2016.
Winstein CJ, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016;47(6):e98-e169.
Blacquiere D, Lindsay MP, Foley N, et al. Canadian stroke best practice recommendations: telestroke best practice guidelines update 2017. Int J Stroke. 2017;12(8):886-895.
Cappa SF, Benke T, Clarke S, Rossi B, Stemmer B, van Heugten CM. EFNS guidelines on cognitive rehabilitation: report of an EFNS task force. Eur J Neurol. 2005;12:665-680.
Cicerone KD, Langenbahn DM, Braden C, et al. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil. 2011;92(4):519-530.
Bischofberger W, Affolter F. Guided interaction therapy: principles of intervention. In: Stockman IJ, ed. Movement and Action in Learning and Development: Clinical Implications for Pervasive Developmental Disorders. San Diego, CA: Elsevier/Academic Press; 2004:381.
World Health Organisation. International Classification of Functioning, Disability and Health (ICF). World Health Organisation: Geneva; 2001.
Fortis P, Ronchi R, Velardo V, et al. A home-based prism adaptation training for neglect patients. Cortex. 2018. Epub ahead of print.
Sundhedsstyrelsen. Forløbsprogram for rehabilitering af voksne med erhvervet hjerneskade. København, Denmark: Sundhedsstyrelsen; 2011.
Goedert KM, Zhang JY, Barrett AM. Prism adaptation and spatial neglect: the need for dose-finding studies. Front Hum Neurosci. 2015;9:243.
Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res. 2008;51(1):S225-S239.
Vuilleumier P. Hemispatial neglect. In: Godefroy O, Bogousslavsky J, eds. The Behavioral and Cognitive Neurology of Stroke. New York, NY: Cambridge University Press; 2007:148-197.
Saevarsson S, Halsband U, Kristjansson A. Designing rehabilitation programs for neglect: could 2 be more than 1+1? Appl Neuropsychol. 2011;18(2):95-106.