Article

OBJECTIVE: We investigated the effects of a computer-generated interactive visual
feedback training program on the recovery from pusher syndrome in stroke
patients. DESIGN: Assessor-blinded, pilot randomized controlled study.
PARTICIPANTS: A total of 12 stroke patients with pusher syndrome were randomly
assigned to either the experimental group (N = 7, computer-generated interactive
visual feedback training) or control group (N = 5, mirror visual feedback training). MAIN OUTCOME MEASURES: The scale for contraversive pushing for
severity of pusher syndrome, the Berg Balance Scale for balance performance, and
the Fugl-Meyer assessment scale for motor control were the outcome measures.
Patients were assessed pre- and posttraining. RESULTS: A comparison of pre- and
posttraining assessment results revealed that both training programs led to the
following significant changes: decreased severity of pusher syndrome scores
(decreases of 4.0 +/-1.1 and 1.4 +/-1.0 in the experimental and control groups,
respectively); improved balance scores (increases of 14.7 +/-4.3 and 7.2 +/-1.6
in the experimental and control groups, respectively); and higher scores for
lower extremity motor control (increases of 8.4 +/-2.2 and 5.6 +/-3.3 in the
experimental and control groups, respectively). Furthermore, the
computer-generated interactive visual feedback training program produced
significantly better outcomes in the improvement of pusher syndrome (p < 0.01)
and balance (p < 0.05) compared with the mirror visual feedback training program.
CONCLUSIONS: Although both training programs were beneficial, the
computer-generated interactive visual feedback training program more effectively
aided recovery from pusher syndrome compared with mirror visual feedback
training.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS