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Effect of Smooth Pursuit Eye Movement Combined With Neck Muscle Vibration to Unilateral Neglect and Performance of Activities of Daily Living on Chronic Stroke Patient: A Single Subject Research Design

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2019, 27(1), pp.71-83
  • DOI : 10.14519/kjot.2019.27.1.06
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics
  • Received : October 27, 2018
  • Accepted : February 18, 2019
  • Published : March 30, 2019

Shin, Jae-Yong 1 Kim, Jung-Ran 2 Han, Areum 2 Ji-Hyuk Park 2

1연세대학교 대학원 작업치료학과
2연세대학교

Accredited

ABSTRACT

Objective: The purpose of this study is to identify the effects of SPEM combined with NMV on the unilateral neglectand performance of activities of daily living for chronic stroke patients. Methods: This study was performed on three patients 6 months after a stroke. It used the ABAC design among asingle subject research method. The study consisted of a 1 week baseline (A1), 2 week intervention (B), 1 weekbaseline (A2), and 2 week intervention (C). In intervention (B), a SPEM single arbitration was performed. Inintervention (C), a combination of NMV and SPEM was conducted. A line bisection test and bells test wereconducted every session, and K-CBS and K-A-ONE were applied during the last session of each interventionperiod. Results: The results of this study showed that the unilateral neglect was improved in both the paper-pencil test andthe behavioral test. In particular, it was shown that a combination approach was more effective. As the unilateralneglect improved, the performance of the ADL also improved. Neurobehavioral impairment affecting theperformance of daily living of the unilateral neglected patients was affected by not only the unilateral neglect butalso the spatial relationship and paralysis. Conclusions: This study confirmed that the SPEM combined with NMV can alleviate unilateral neglect and improvethe performance of activities of daily living for chronic stroke patients.

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