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The Effect of Prism Adaptation Following Traumatic Brain Injury: A case report

민유선|정은화
대한신경계작업치료학회 (Korean Society for Neurological Occupational Therapy)|2017.08|재활치료과학 (Therapeutic Science for Rehabilitation)|제6권 제2호|pp. 37-46

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참고문헌

키워드

TBIPrism adaptationVisuospatial impairment

초록

Background: The presence of visuospatial impairment can make patients slow functional recovery and impede the rehabilitation process in TBI patients. Objective: The aim of this study is to investigate effects of prism adaptation treatment for functional outcomes in patients following traumatic brain injury. Methods: The subject received prism adaptation treatment for 2 weeks additionally during traditional rehabilitation for 4 weeks. The Patient has prism adaptation treatment while wearing wedge prisms that shift the external environment about 12° leftward. The patient received 10 sessions, 15-20min each session. Outcome measures were visuospatial deficit(line bisection, latter cancellation), Visual and spatial perception(LOTCA-visual perception and spatial perception), motor function of upper extremity(FMA U/E; Fugl-Meyer motor assessment upper extremity, ARAT; Action research arm test), balance(BBS; Berg Balance Scale), mobility(FAC; Functional ambulation classification) and functional level(FIM; Functional independent measure). All Assessments took place on study entry and post-treatment assessments were performed at discharge from the hospital. Results: After prism adaptation, the visuospatial impairment scores improved as indicated in the line bisection(-15.2 to -6.02), latter cancellation(2 to 0) and LOTCA- spatial perception scores(7 to 9). The upper motor function improved as indicated in the scores of affected FMA U/E(21 to 40) and ARAT(4 to 22). Ambulation and balance improved as indicated in the BBS scores(25 to 38) and FAC scores(0 to 4). ADL function improved as indicated in the FIM total scores 54 to 70(motor 34 to 61, cognition 20 to 29). Conclusion: Prism adaptation did improve functional level such as motor functions and ADL abilities in TBI patient. Further research is recommended.

Abstract

Background: The presence of visuospatial impairment can make patients slow functional recovery and impede the rehabilitation process in TBI patients. Objective: The aim of this study is to investigate effects of prism adaptation treatment for functional outcomes in patients following traumatic brain injury. Methods: The subject received prism adaptation treatment for 2 weeks additionally during traditional rehabilitation for 4 weeks. The Patient has prism adaptation treatment while wearing wedge prisms that shift the external environment about 12° leftward. The patient received 10 sessions, 15-20min each session. Outcome measures were visuospatial deficit(line bisection, latter cancellation), Visual and spatial perception(LOTCA-visual perception and spatial perception), motor function of upper extremity(FMA U/E; Fugl-Meyer motor assessment upper extremity, ARAT; Action research arm test), balance(BBS; Berg Balance Scale), mobility(FAC; Functional ambulation classification) and functional level(FIM; Functional independent measure). All Assessments took place on study entry and post-treatment assessments were performed at discharge from the hospital. Results: After prism adaptation, the visuospatial impairment scores improved as indicated in the line bisection(-15.2 to -6.02), latter cancellation(2 to 0) and LOTCA- spatial perception scores(7 to 9). The upper motor function improved as indicated in the scores of affected FMA U/E(21 to 40) and ARAT(4 to 22). Ambulation and balance improved as indicated in the BBS scores(25 to 38) and FAC scores(0 to 4). ADL function improved as indicated in the FIM total scores 54 to 70(motor 34 to 61, cognition 20 to 29). Conclusion: Prism adaptation did improve functional level such as motor functions and ADL abilities in TBI patient. Further research is recommended.

참고문헌 (43)

  1. J. Hume Adams, "Diffuse axonal injury in head injury: Definition, diagnosis and grading", Histopathology, 15(1), pp.49~59 (1989), Wiley-Blackwell[DOI]
  2. Arlinghaus, K. A., "Textbook of Traumatic Brain Injury", pp.59~62 (2005), American Psychiatric Association
  3. P C Blumbergs, "Diffuse axonal injury in head trauma.", Journal of Neurology, Neurosurgery & Psychiatry, 52(7), pp.838~841 (1989), BMJ[DOI]
  4. John Bruns, "The Epidemiology of Traumatic Brain Injury: A Review", Epilepsia, 44(s10), pp.2~10 (2003), Wiley-Blackwell[DOI]
  5. Peii Chen, "Spatial Neglect Hinders Success of Inpatient Rehabilitation in Individuals With Traumatic Brain Injury", Neurorehabilitation and Neural Repair, 30(5), pp.451~460 (2015), SAGE Publications[DOI]
  6. P. Comper, "A systematic review of treatments for mild traumatic brain injury", Brain Injury, 19(11), pp.863~880 (2009), Informa UK Limited[DOI]
  7. H.C. Dijkerman, "A long-lasting improvement of somatosensory function after prism adaptation, a case study", Neuropsychologia, 42(12), pp.1697~1702 (2004), Elsevier BV[DOI]
  8. Fortis, P., "Effects of prism adaptation on motor-intentional spatial bias in neglect", Neuroreport, 22(14), pp.700~ (2011)
  9. Frassinetti, F., "Long‐lasting amelioration of visuospatial neglect by prism adaptation", Brain, 125(3), pp.608~623 (2002)[DOI]
  10. Goedert, K. M., "Presence of motor-intentional aiming deficit predicts functional improvement of spatial neglect with prism adaptation", Neurorehabilitation & Neural Repair, 28, pp.483~493 (2013)
  11. Golisz, K. M., "Willard & Spackman’s Occupational Therapy", pp.395~416 (2003), Williams & Wilkins, Lippincott
  12. Granger, C. V., "Performance profiles of the functional independence measure", American Journal of Physical Medicine & Rehabilitation, 72(2), pp.84~89 (1993)
  13. Grieve J., "Neuropsychology for occupational therapists" (2000), Blackwell Science Ltd
  14. Ryan C.W. Hall, "Definition, Diagnosis, and Forensic Implications of Postconcussional Syndrome", Psychosomatics, 46(3), pp.195~202 (2005), Elsevier BV[DOI]
  15. Heilman, K. M., "Intentional neglect", Front Bioscience, 9, pp.694~705 (2004)
  16. Itzkovich, M., "LOTCA manual" (2000), Maddak
  17. Sophie Jacquin-Courtois, "Wheel-chair driving improvement following visuo-manual prism adaptation", Cortex, 44(1), pp.90~96 (2008), Elsevier BV[DOI]
  18. Neera Kapoor, "Vision disturbances following traumatic brain injury", Current Treatment Options in Neurology, 4(4), pp.271~280 (2002), Springer Nature[DOI]
  19. I. Keller, "Visuospatial neglect in near and far space: dissociation between line bisection and letter cancellation", Neuropsychologia, 43(5), pp.724~731 (2005), Elsevier BV[DOI]
  20. Kerkhoff, G., "Rehabilitation of visuospatial cognition and visual exploration in neglect : a cross-over study", Restorative Neurology & Neuroscience, 12(1), pp.27~40 (1998)
  21. David Kushner, "Mild traumatic brain injury: toward understanding manifestations and treatment", Archives of Internal Medicine, 158(15), pp.1617~1624 (1998), American Medical Association (AMA)[DOI]
  22. M. Marnane, "Stroke Subtype Classification to Mechanism-Specific and Undetermined Categories by TOAST, A-S-C-O, and Causative Classification System: Direct Comparison in the North Dublin Population Stroke Study", Stroke, 41(8), pp.1579~1586 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
  23. McDonnell, M., "Action research arm test", Australian Journal of Physiotherapy, 54(3), pp.220~ (2008)
  24. Kryss McKenna, "The incidence of visual perceptual impairment in patients with severe traumatic brain injury", Brain Injury, 20(5), pp.507~518 (2009), Informa UK Limited[DOI]
  25. Mizuno, K., "Prism adaptation therapy enhances rehabilitation of stroke patients with unilateral spatial neglect : a randomized, controlled trial", Neurorehabilitation & Neural Repair, 25(8), pp.711~720 (2011)
  26. Adam P. Morris, "Prism Adaptation and Spatial Attention: A Study of Visual Search in Normals and Patients with Unilateral Neglect", Cortex, 40(4-5), pp.703~721 (2004), Elsevier BV[DOI]
  27. Catherine E. Lang, "Assessment of upper extremity impairment, function, and activity after stroke: foundations for clinical decision making", Journal of Hand Therapy, 26(2), pp.104~115 (2013), Elsevier BV[DOI]
  28. Shawnna L. Patterson, "Determinants of Walking Function After Stroke: Differences by Deficit Severity", Archives of Physical Medicine and Rehabilitation, 88(1), pp.115~119 (2007), Elsevier BV[DOI]
  29. Laure Pisella, "Prism adaptation in the rehabilitation of patients with visuo-spatial cognitive disorders", Current Opinion in Neurology, 19(6), pp.534~542 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
  30. Ian H. Robertson, "Sustained attention training for unilateral neglect: Theoretical and rehabilitation implications", Journal of Clinical and Experimental Neuropsychology, 17(3), pp.416~430 (1995), Informa UK Limited[DOI]
  31. Gilles Rode, "Prism adaptation improves representational neglect", Neuropsychologia, 39(11), pp.1250~1254 (2001), Elsevier BV[DOI]
  32. M. Rousseaux, "Ineffectiveness of Prism Adaptation on Spatial Neglect Signs", Stroke, 37(2), pp.542~543 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
  33. Sanford, J., "Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke", Physical Therapy, 73(7), pp.447~454 (1993)[DOI]
  34. A. Serino, "Effectiveness of Prism Adaptation in Neglect Rehabilitation: A Controlled Trial Study", Stroke, 40(4), pp.1392~1398 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
  35. Shiraishi, H., "Prism intervention helped sustainability of effects and ADL performances in chronic hemispatial neglect : a follow-up study", Neurorehabilitation, 27(2), pp.165~172 (2010)[DOI]
  36. Christopher L. Striemer, "Through a prism darkly: re-evaluating prisms and neglect", Trends in Cognitive Sciences, 14(7), pp.308~316 (2010), Elsevier BV[DOI]
  37. Tadeusz Wieloch, "Mechanisms of neural plasticity following brain injury", Current Opinion in Neurobiology, 16(3), pp.258~264 (2006), Elsevier BV[DOI]
  38. Suter, P. S., "Traumatic brain injury rehabilitation", pp.187~216 (1995), CRC Press
  39. Stevenson, T., "Berg Balance Test", Physical Therapy, 76(10), pp.1124~1126 (1996)[DOI]
  40. Antonia F Ten Brink, "Study protocol of ‘Prism Adaptation in Rehabilitation’: a randomized controlled trial in stroke patients with neglect", BMC Neurology, 15(1), pp.5~ (2015), Springer Nature[DOI]
  41. Toglia, J. P., "Unilateral visual inattention : Multidimensional components", Occupational Therapy Practice, 3, pp.18~34 (1991)
  42. Triggs, W. J., "Motor neglect associated with a discrete parietal lesion", Neurology, 44, pp.1164~1166 (1994)
  43. Williams, G., "Encyclopedia of Clinical Neuropsychology", pp.1105~1106 (2011), Springer

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