Effect of Computer-based Cognitive Rehabilitation on Unilateral Spatial Neglect in Stroke Patients.

, Lee, Sang Il; , Chun, Min Ho

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(1):15-19.

Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhchun@amc.seoul.kr

뇌졸중 환자에서 발생한 편측 공간 무시에 대한 컴퓨터 인지 재활 프로그램의 효과

이상일, 전민호

울산대학교 의과대학 서울아산병원 재활의학교실

Abstract

Objective
To investigate the effect of computer-based cognitive rehabilitation on unilateral spatial neglect in stroke patients.
Method
Twenty four stroke patients (7 men, 17 women) who had unilateral spatial neglect were recruited. Patients were randomly assigned to either case or control group. Case group received both classical neglect stimulation therapy (attention and compensation training) and computer-based cognitive rehabilitation, but control group received only classical neglect stimulation therapy. The effect of therapy was assessed with star cancellation test, line bisection test, MVPT (motor-free visual perception test), and MBI (modified Barthel index).
Results
Four weeks after the therapy, both group showed significant improvement in star cancellation test, line bisection test, MVPT, and MBI. But there was no statistically significant difference between control and case group with each evaluation tool after 4 weeks treatment (p＞0.05).
Conclusion
Computer-based cognitive rehabilitation has no additional benefit to the treatment of hemi-spatial neglect in stroke patients. (J Korean Acad Rehab Med 2008; 32: 15-19)

Key Words: Unilateral spatial neglect, Computer assisted cognitive rehabilitation, Stroke