PMID- 34589681
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220427
IS  - 2590-1095 (Electronic)
IS  - 2590-1095 (Linking)
VI  - 3
IP  - 3
DP  - 2021 Sep
TI  - Prism Adaptation Treatment Improves Inpatient Rehabilitation Outcome in 
      Individuals With Spatial Neglect: A Retrospective Matched Control Study.
PG  - 100130
LID - 10.1016/j.arrct.2021.100130 [doi]
LID - 100130
AB  - OBJECTIVE: To determine whether prism adaptation treatment (PAT) integrated into 
      the standard of care improves rehabilitation outcome in patients with spatial 
      neglect (SN). DESIGN: Retrospective matched control study based on information 
      extracted from June 2017-September 2019. SETTING: Inpatient rehabilitation. 
      PARTICIPANTS: Patients from 14 rehabilitation hospitals scoring >0 on the 
      Catherine Bergego Scale (N=312). The median age was 69.5 years, including 152 
      (49%) female patients and 275 (88%) patients with stroke. INTERVENTIONS: Patients 
      were matched 1:1 by age (+/-5 years), FIM score at admission (+/-2 points), and SN 
      severity using the Catherine Bergego Scale (+/-2 points) and classified into 2 
      groups: treated (8-12 daily sessions of PAT) vs untreated (no PAT). MAIN OUTCOME 
      MEASURES: FIM and its minimal clinically important difference (MCID) were the 
      primary outcome variables. Secondary outcome was home discharge. RESULTS: 
      Analysis included the 312 matched patients (156 per group). FIM scores at 
      discharge were analyzed using repeated-measures analyses of variance. The treated 
      group showed reliably higher scores than the untreated group in Total FIM, 
      F=5.57, P=.020, partial eta(2)=0.035, and Cognitive FIM, F=19.20, P<.001, partial 
      eta(2)=0.110, but not Motor FIM, F=0.35, P=.553, partial eta(2) =0.002. We used 
      conditional logistic regression to examine the odds ratio of reaching MCID in 
      each FIM score and of returning home after discharge. No reliable difference was 
      found between groups in reaching MCID or home discharge. CONCLUSIONS: Patients 
      with SN receiving PAT had better functional and cognitive outcomes, suggesting 
      that integrating PAT into the standard of care is beneficial. However, receiving 
      PAT may not determine home discharge.
CI  - (c) 2021 The Authors.
FAU - Chen, Peii
AU  - Chen P
AD  - Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ.
AD  - Department of Physical Medicine and Rehabilitation, New Jersey Medical School, 
      Rutgers University, Newark, NJ.
FAU - Diaz-Segarra, Nicole
AU  - Diaz-Segarra N
AD  - Department of Physical Medicine and Rehabilitation, New Jersey Medical School, 
      Rutgers University, Newark, NJ.
AD  - Department of Physical Medicine and Rehabilitation, Kessler Institute for 
      Rehabilitation, West Orange, NJ.
FAU - Hreha, Kimberly
AU  - Hreha K
AD  - Division of Rehabilitation Sciences, University of Texas Medical Branch, 
      Galveston, TX.
FAU - Kaplan, Emma
AU  - Kaplan E
AD  - Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ.
FAU - Barrett, A M
AU  - Barrett AM
AD  - Department of Neurology, Emory University School of Medicine, Atlanta, GA.
AD  - Center for Visual and Neurocognitive Rehabilitation, Atlanta VA Health Care 
      System, US Department of Veterans Affairs, Decatur, GA.
LA  - eng
PT  - Journal Article
DEP - 20210519
PL  - United States
TA  - Arch Rehabil Res Clin Transl
JT  - Archives of rehabilitation research and clinical translation
JID - 101763542
PMC - PMC8463461
OTO - NOTNLM
OT  - Brain injury
OT  - CBS, Catherine Bergego Scale
OT  - CMS, Centers for Medicare and Medicaid Services
OT  - IRB, institutional review board
OT  - KF-NAP, Kessler Foundation Neglect Assessment Process
OT  - KF-PAT, Kessler Foundation Prism Adaptation Treatment
OT  - LOS, length of stay
OT  - List of abbreviations: ANOVA, analysis of variance
OT  - MCID, minimal clinically important difference
OT  - Neurorehabilitation
OT  - OR, odds ratio
OT  - OT, occupational therapist
OT  - Outcome
OT  - PAT, prism adaptation treatment
OT  - RCT, randomized controlled trial
OT  - Rehabilitation
OT  - SN, spatial neglect
OT  - Stroke rehabilitation
EDAT- 2021/10/01 06:00
MHDA- 2021/10/01 06:01
PMCR- 2021/05/19
CRDT- 2021/09/30 07:20
PHST- 2021/09/30 07:20 [entrez]
PHST- 2021/10/01 06:00 [pubmed]
PHST- 2021/10/01 06:01 [medline]
PHST- 2021/05/19 00:00 [pmc-release]
AID - S2590-1095(21)00034-3 [pii]
AID - 100130 [pii]
AID - 10.1016/j.arrct.2021.100130 [doi]
PST - epublish
SO  - Arch Rehabil Res Clin Transl. 2021 May 19;3(3):100130. doi: 
      10.1016/j.arrct.2021.100130. eCollection 2021 Sep.