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Therapeutic Intervention for Visuo-Spatial Neglect after Stroke: A Meta-Analysis of Randomized Controlled Trials
Jae-Sung Kwon
Osong Public Health Res Perspect. 2018;9(2):59-65.   Published online April 30, 2018
  • 6,337 View
  • 76 Download
  • 5 Crossref
AbstractAbstract PDF

The aims of this meta-analysis were to examine intervention methods of qualitatively, well-designed studies from the past 10 years for treating visuo-spatial neglect (VSN) in patients who had suffered a stroke, and to evaluate the combined effects of intervention.


Studies published between 2008 and 2017 on the theme of VSN were collected from PubMed, CINAHL, and MEDLINE, representative academic databases and search engines. The PEDro scale was used for evaluating the quality of methodology. The sample size, mean, and standard deviation of identified studies were used for meta-analysis.


Eight studies were selected for analysis. The PEDro scores of the selected studies were ≥ 7, with 237 subjects analyzed. The results of intervention were classified into “mental function” and “activity and participation” based on the International Classification of Functioning, Disability and Health. The analyzed effect sizes for combined outcomes, mental function and, activity and participation, were 0.728 (medium effect size), 0.850 (large effect size), and 0.536 (medium effect size), respectively.


Intervention methods for treating VSN had a short-term effect on cognitive function (visual perception). In particular, non-invasive brain stimulation therapy showed a large effect size for VSN treatment.


Citations to this article as recorded by  
  • Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury
    Verity Longley, Christine Hazelton, Calvin Heal, Alex Pollock, Kate Woodward-Nutt, Claire Mitchell, Gorana Pobric, Andy Vail, Audrey Bowen
    Cochrane Database of Systematic Reviews.2021;[Epub]     CrossRef
  • Neural Mechanisms of Spatial Attention Deficits in Trauma
    Stefanie R. Russman Block, Daniel H. Weissman, Chandra Sripada, Mike Angstadt, Elizabeth R. Duval, Anthony P. King, Israel Liberzon
    Biological Psychiatry: Cognitive Neuroscience and .2020; 5(10): 991.     CrossRef
  • Updated Approach to Stroke Rehabilitation
    Leroy R. Lindsay, Diane A. Thompson, Michael W. O’Dell
    Medical Clinics of North America.2020; 104(2): 199.     CrossRef
  • Implementing a Rehabilitation Protocol for Spatial Neglect Assessment and Treatment in an Acute Care Hospital
    Kimberly Hreha, Peii Chen, Jennifer LaRosa, Christopher Santos, Cindy Gocon, A.M. Barrett
    Journal of Acute Care Physical Therapy.2020; 11(2): 59.     CrossRef
  • Alertness Training Improves Spatial Bias and Functional Ability in Spatial Neglect
    Thomas Van Vleet, Paolo Bonato, Eric Fabara, Sawsan Dabit, Sarah‐Jane Kim, Christopher Chiu, Antonio Luigi Bisogno, Michael Merzenich, Maurizio Corbetta, Joseph DeGutis
    Annals of Neurology.2020; 88(4): 747.     CrossRef
The Use of Task-based Cognitive Tests for Defining Vocational Aptness of Individuals with Disabilities
Jae-Sung Kwon, Duck-Won Oh
Osong Public Health Res Perspect. 2015;6(3):164-169.   Published online June 30, 2015
  • 3,249 View
  • 18 Download
  • 3 Crossref
AbstractAbstract PDF
The purpose of this study was to demonstrate the use of task-based cognitive tests to detect potential problems in the assessment of work training for vocational rehabilitation.
Eleven participants with a normal range of cognitive functioning scores were recruited for this study. Participants were all trainees who participated in a vocational training program. The Rey Complex Figure Test and the Allen Cognitive Level Screen were randomly administered to all participants. Responses to the tests were qualitatively analyzed with matrix and scatter charts.
Observational outcomes derived from the tests indicated that response errors, distortions, and behavioral problems occurred in most participants. These factors may impede occupational performance despite normal cognitive function. These findings suggest that the use of task-based tests may be beneficial for detecting potential problems associated with the work performance of people with disabilities.
Specific analysis using the task-based tests may be necessary to complete the decision-making process for vocational aptness. Furthermore, testing should be led by professionals with a higher specialization in this field.


Citations to this article as recorded by  
  • Investigation of the Validity and Reliability of the Turkish Adaptation of Allen Cognitive Level Screen-5 (ACLS-5) with Individuals with Schizophrenia
    Leyla Kaya Ozturk, Gonca Bumin, Ebru Ozturk, Gokcen Akyurek
    Occupational Therapy in Mental Health.2023; 39(4): 419.     CrossRef
  • Clinical validation of the Allen's Cognitive Level Screen in acquired brain injury
    Elisabet Huertas-Hoyas, Gloria Rojo-Mota, Yolanda Carretero-Serrano, Rosa Mª Martínez-Piédrola, Marta Pérez-de-Heredia-Torres, Lucia Rocío Camacho-Montaño, Eduardo J. Pedrero-Pérez
    Brain Injury.2022; 36(6): 775.     CrossRef
  • The role of executive functions and psychiatric symptom severity in the Allen Cognitive Levels
    Sarah Schubmehl, Samuel H. Barkin, Doug Cort
    Psychiatry Research.2018; 259: 169.     CrossRef

PHRP : Osong Public Health and Research Perspectives