The effectiveness of compensatory strategies in the rehabilitation of patients with visuospatial neglect during the post-acute period of stroke rehabilitation
Bibliographic record
Abstract
Despite significant advances in the rehabilitation of patients with acute stroke, there is no convincing evidence on the effectiveness of individual interventions to improve function in the presence of visuospatial neglect (VSN). The aim of this study was to evaluate the impact of compensatory strategies on fine motor skills, gross motor functions of the upper limb, cognitive functions and disability in patients with acute stroke and visuospatial neglect during the post-acute rehabilitation period. In the study 86 patients were included, the mean age was 61.9±13.5 years. All patients were assessed for cognitive function, motor and sensory impairments, activity limitations, visual impairments, and visuospatial perception at the beginning and the end of rehabilitation. Patients were divided into two groups: the main group (n=18) with signs of VSN and the control group (n=68) without signs of VSN. All patients received 3 hours of rehabilitation interventions per day for 14 days. The occupational therapy program consists of compensatory techniques for patients in the main group. The use of the rehabilitation program improved the cognitive level of patients with acute stroke by an average of 3.2±3.0 points according to the Montreal Cognitive Test (p<0.05). At the same time it wasn’t established statistically significant difference between the groups at the end of the rehabilitation program (p>0.05). During the course of therapy an improvement in the gross motor functions of the upper limb on the opposite side to the area of damage to the cerebral hemisphere was determined according to the results of the “Box and Blocks” test (p<0.05). However, in the presence of VSN the dynamics was 4.2 times worse than in patients in the control group (p<0.05). When studying fine motor skills of the upper limb, the average time to complete the “9 pegs” test in the group with VSN was 14.5 seconds longer at the beginning of the study and 21.3 seconds longer at the end of the study (p<0.05). The effect of the standard therapy program led to significantly lower dynamics in the level of the Barthel Index in the group with VSN, which resulted in a lower level of the Barthel Index in this group at the end of the study (p<0.05). Thus, the use of approaches focused mainly on compensatory strategies is insufficient to restore fine motor and gross motor functions of the upper limb, which is an important base for a negative impact on the ability of patients to perform basic activities of daily living. Therefore, there is an urgent need to continue research to find therapeutic interventions aimed at restoring the functions of the affected limbs, starting from the earliest stages of rehabilitation.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".