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(Stroke. 2002;33:2728.)
© 2002 American Heart Association, Inc.

Cochrane Corner

Spatial Neglect: Is Rehabilitation Effective?

Audrey Bowen, PhD; Nadina B. Lincoln, PhD Michael E. Dewey, PhD

From Human Communication and Deafness Group, University of Manchester (A.B.), the School of Psychology, University of Nottingham (N.B.L.), and Trent Institute for Health Services Research, University Hospital Nottingham (M.E.D.), UK.

Correspondence to Dr Audrey Bowen, Human Communication and Deafness, Faculty of Education, University of Manchester, Oxford Road, Manchester M13 9PL, UK. E-mail audrey.bowen@man.ac.uk

Section Editor: Graeme J. Hankey MD, FRACP

An extract of the first 250 words of the full text is provided, because this article has no abstract.

Background
Unilateral spatial neglect can reduce a person’s ability to look, listen, or make movements toward one half of their environment. Many rehabilitation approaches have been used to reduce the disabling effects of this cognitive deficit following stroke. These approaches have included training in visual scanning and providing tactile cues to draw attention to the affected side.

Objectives
This Cochrane systematic review aimed to determine the effects of cognitive rehabilitation for neglect following stroke as measured on impairment and activity (disability) level assessments, and destination on discharge from hospital. We also aimed to determine whether any effects persisted at follow-up assessment.

Search Strategy
We searched the Cochrane Stroke Group’s Trials Register (February 2001), MEDLINE (1966-December 2000), EMBASE (1980-February 2001), CINAHL (1983-January 2001), PsycLIT, and ClinPSYC (1974-February 2001); hand-searched relevant journals; screened reference lists from relevant articles; and tracked citations using SCISEARCH.

Selection Criteria
We selected controlled trials of cognitive rehabilitation for neglect in which at least 75% of the sample were stroke patients or separate stroke data were available. Two reviewers independently selected trials, extracted data, and assessed trial quality.

We included 15 studies (8 in the United States, 7 in Europe) with 400 participants. A large number of different outcome measures was reported. Most studies measured outcome at the impairment level and immediately after therapy. Only 6 studies included an activity level measure. Persisting effects (on any outcome) were investigated in only 4 studies (111 participants). In terms of the quality of existing studies, only 3 were classified as category A (adequate) for randomization and . . . [Full Text of this Article]

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