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Research Article  |   July 1996
Right-Hemispheric Activation Approaches to Neglect Rehabilitation Poststroke
Author Affiliations
  • Keh-chung Lin, ScD, OTR, is Associate Professor, School of Occupational Therapy, National Taiwan University, 7 Chung-shan S. Road, Taipei, Taiwan. At the time of this study, he was Research Assistant Professor, Department of Occupational Therapy, Boston University, Sargent College of Allied Health Professions, Boston, Massachusetts
Article Information
Neurologic Conditions / Stroke / Research
Research Article   |   July 1996
Right-Hemispheric Activation Approaches to Neglect Rehabilitation Poststroke
American Journal of Occupational Therapy, July/August 1996, Vol. 50, 504-515. doi:10.5014/ajot.50.7.504
American Journal of Occupational Therapy, July/August 1996, Vol. 50, 504-515. doi:10.5014/ajot.50.7.504
Abstract

Unilateral neglect is a common neurological syndrome resulting from right-hemisphere strokes and has important prognostic value for functional outcome. This article identifies three approaches to neglect rehabilitation that are based on right-hemispheric activation mechanisms: (a) the lateralized task approach, (b) the controlled sensory stimulation approach, and (c) the limb activation approach. Their theoretical bases, experimental findings, and practical implications for neglect remediations are discussed. Meta-analytic procedures were used to critically review and statistically combine the results from potentially relevant studies, including 9 group design studies and 22 single-subject studies. An overall mean effect size r of .77 was found for the group design studies. For the studies with individual subjects as units of analysis, an overall mean r of .89 was obtained. This review provided empirical support for intervention in cases of unilateral neglect on the basis of brain activation mechanisms. Some appropriate areas for further research include evaluating treatment efficacy against functional criteria, refining intervention procedures in keeping with the advances in brain activation research, and identifying the optimal conditions for promoting generalized training.