Examining the Feasibility, Tolerability, and Preliminary Efficacy of Repetitive Task-Specific Practice for People With Unilateral Spatial Neglect

Emily S. Grattan, Catherine E. Lang, Rebecca Birkenmeier, Margo Holm, Elaine Rubinstein, Jessie Van Swearingen, Elizabeth R. Skidmore

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

OBJECTIVE. We examined the feasibility, tolerability, and preliminary efficacy of repetitive task-specific practice for people with unilateral spatial neglect (USN). METHOD. People with USN 36 mo poststroke participated in a single-group, repeated-measures study. Attendance, total repetitions, and satisfaction indicated feasibility and pain indicated tolerability. Paired t tests and effect sizes were used to estimate changes in upper-extremity use (Motor Activity Log), function (Action Research Arm Test), and attention (Catherine Bergego Scale). RESULTS. Twenty participants attended 99.4% of sessions and completed a high number of repetitions. Participants reported high satisfaction and low pain, and they demonstrated small, significant improvements in upper-extremity use (before Bonferroni corrections; t 5 –2.1, p 5 .04, d 5 .30), function (t 5 –3.0, p < .01, d 5 .20), and attention (t 5 –3.4, p < .01, d 5 –.44). CONCLUSION. Repetitive task-specific practice is feasible and tolerable for people with USN. Improvements in upper-extremity use, function, and attention may be attainable.

Original languageEnglish
Article number7004290020p1
JournalAmerican Journal of Occupational Therapy
Volume70
Issue number4
DOIs
StatePublished - Jul 2016

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