Advances in the Rehabilitation of Hemispatial Inattention.
Neena R SinghAlexander Paul LeffPublished in: Current neurology and neuroscience reports (2023)
Immersive virtual reality approaches to visual stimulation seem well tolerated, although they have yet to yield any clinically relevant improvements. Dynamic auditory stimulation looks very promising and has high potential for implementation. Robotic interventions are limited by their cost and are perhaps best suited to patients with a co-occurring hemiparesis. Regarding brain stimulation, rTMS continues to demonstrate moderate effects but tDCS studies have yielded disappointing results so far. Drugs, primarily aimed at the dopaminergic system, often demonstrate beneficial effects of a medium size, but as with many of the approaches, it seems difficult to predict responders and non-responders. Our main recommendation is that researchers consider incorporating single-case experimental designs into their studies as rehabilitation trials are likely to remain small in terms of patient numbers, and this is the best way to deal with all the factors that cause large between-subject heterogeneity.
Keyphrases
- virtual reality
- case control
- healthcare
- physical activity
- primary care
- transcranial direct current stimulation
- transcranial magnetic stimulation
- high intensity
- white matter
- minimally invasive
- resting state
- upper limb
- multiple sclerosis
- quality improvement
- functional connectivity
- robot assisted
- high frequency
- climate change
- blood brain barrier