Research Article  |   March 2013
Effects of Constraint-Induced Therapy Combined With Eye Patching on Functional Outcomes and Movement Kinematics in Poststroke Neglect
Author Affiliations
  • Ching-Yi Wu, ScD, OTR, is Professor and Chair, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, and Professor, Healthy Aging Research Center, Taoyuan, Taiwan.
  • Tien-Ni Wang, PhD, OT, is Assistant Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Yu-Ting Chen, MS, OT, is Research Assistant, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
  • Keh-Chung Lin, ScD, OTR, is Professor and Chair, School of Occupational Therapy, College of Medicine, National Taiwan University, and Director, Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, 17, F4, Xu Zhou Road, Taipei, Taiwan; kehchunglin@ntu.edu.tw
  • Yi-An Chen, MS, OT, is Doctoral Student, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles. At the time of the study, she was Research Assistant, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
  • Hsiang-Ting Li, MS, OT, is Occupational Therapist, Department of Physical Medicine and Rehabilitation, Municipal Wan Fang Hospital, Taipei, Taiwan. At the time of the study, she was Master’s Student, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
  • Pei-Luen Tsai, PhD, OTR, is Instructor, Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Article Information
Hand and Upper Extremity / Neurologic Conditions / Stroke / Vision / Rehabilitation, Disability, and Participation
Research Article   |   March 2013
Effects of Constraint-Induced Therapy Combined With Eye Patching on Functional Outcomes and Movement Kinematics in Poststroke Neglect
American Journal of Occupational Therapy, March/April 2013, Vol. 67, 236-245. doi:10.5014/ajot.2013.006486
American Journal of Occupational Therapy, March/April 2013, Vol. 67, 236-245. doi:10.5014/ajot.2013.006486
Abstract

OBJECTIVE. We investigated the effect of constraint-induced therapy (CIT) plus eye patching (EP), CIT alone, and conventional treatment on functional performance, eye movement, and trunk–arm kinematics in stroke patients with neglect syndrome.

METHOD. Twenty-four participants were recruited and randomly allocated to three intervention groups. All participants received intervention 2 hr/day, 5 days/wk, for 3 wk. Outcome measures included the Catherine Bergego Scale, eye movement, and trunk–arm kinematic analysis.

RESULTS. The CIT + EP and CIT groups demonstrated larger improvements in functional performance than the control group. The CIT group showed better performance with left fixation points than the CIT+EP group and shorter reaction time than the control group. The CIT + EP group improved more in preplanned control and leftward trunk shift than the other two groups.

CONCLUSION. CIT + EP and CIT were more effective interventions than conventional treatment of patients with neglect syndrome in daily functional performance.