Published on Aug 22, 2015
A.M. Barrett describes how to distinguish whether a patient has spatial neglect, or just a hemianopia. A video on Movement, Action, Space and Vision (MASAV)
Purpose To explore the usefulness of conventional tests for assessing spatial neglect and contrast these tests with daily challenges encountered by patients after discharge from rehabilitation to home. Methods A mixed method prospective study of 15 patients with neglect after a right hemisphere stroke, <1 month after discharge to home. Data were obtained from: (1) Catherine Bergego Scale (CBS), (2) star cancellation and figure copying and (3) observations and interviews. Qualitative data were analysed with content analysis and quantitative data with non-parametric statistics. The data were presented in a ‘mixing matrix’ and integrated by ‘following threads’. Finally, a synthesis was written into a vignette. Results The CBS significantly underestimated fluctuations and did not capture important items of neglect. The star cancellation and figure copying did not identify neglect in mildly affected participants. Left starting point in the star cancellation and a characteristic process of drawing in figure copying were observed in all participants.Conclusion Traditional numerical interpretations of paper-pencil tests inadequately confirmed mild neglect. Starting points of the star cancellation and observation of drawing should be incorporated into screening procedures. Assessment strategies need improvement to identify patients with subtle forms of neglect.
What is Eye-Search?
Eye-Search is a free online therapy for patients with visual search problems caused by brain injury. The two main syndromes that cause this are hemianopia (loss of vision to one side) and spatial neglect (loss of attention to items on one side).
It is a clinically proven, behavioural therapy designed to improve patients’ speed and accuracy when finding objects. We also hope that it may improve patients’ ability to navigate safely, with fewer collisions with objects or other people e.g. when walking outside.
The therapy can be accessed by any web browser and thus you can do the therapy from anywhere and at anytime at your own pace. As well as the therapy, there are also four simple tests which allow you to check your progress during the course of the therapy.