American Speech-Language-Hearing Association

EBP Compendium: Summary of Systematic Review

The Cochrane Collaboration; the Stroke Association UK; NHS Executive Research and Development Programme Physical and Complex Disabilities UK
Cognitive Rehabilitation for Spatial Neglect Following Stroke

Bowen, A., & Lincoln, N. B. (2007).
Cochrane Database of Systematic Reviews (2).

Indicators of Review Quality:

The review addresses a clearly focused question Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This is a review of controlled trials investigating the effects of cognitive rehabilitation for individuals with spatial neglect following stroke.

Question(s) Addressed:

  1. Does cognitive rehabilitation improve functional independence or performance on conventional or behavioral tests of neglect in stroke patients with neglect?
  2. Does cognitive rehabilitation improve patients' destination upon discharge in stroke patients with neglect?
  3. Is cognitive rehabilitation more effective than standard care or attention control in stroke patients with neglect?

Population: Patients with neglect following stroke.

Intervention/Assessment: Cognitive rehabilitation programs for neglect

Number of Studies Included: 12

Years Included: Through 1998

Findings:

Conclusions:

  • Treatment
    • Cognition
      • There is insufficient evidence to support or refute the use of cognitive rehabilitation for stroke patients with spatial neglect.
      • Outcomes generally favored the experimental group on several measures, however the effect sizes were small.

Keywords: Stroke, Visual Neglect

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Added to Compendium: December 2011

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