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Can prism adaptation effects generalize to wheelchair maneuvering?
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- Author(s): Wyatt, Lindsay E.1; Champod, Anne Sophie1,2,3 ; Haidar, Gabrielle M.1,4; Eskes, Gail A.2,3,5
- Source:
NeuroRehabilitation. 2021, Vol. 49 Issue 1, p119-128. 10p. 1 Diagram, 2 Charts, 5 Graphs.- Subject Terms:
*HOME accident prevention; *WHEELCHAIRS; *UNILATERAL neglect; *PROPRIOCEPTION; *PERCEPTUAL disorders; *HOME rehabilitation; *PSYCHOLOGY of movement; *TASK performance; *ACTIVITIES of daily living; *PHYSIOLOGICAL adaptation; *TREATMENT effectiveness; *RANDOMIZED controlled trials; *VISION; *STATISTICAL sampling; *SPACE perception - Source:
- Additional Information
- Abstract: BACKGROUND: While prism adaptation (PA) has been recognized as a promising tool for treating spatial neglect, implementation as a standard treatment in clinical care has been lagging. Limited evidence for the generalization of after-effects to everyday activities has been a barrier towards implementation. OBJECTIVES: This study examined whether a home-friendly standardized PA protocol (Peg-the-Mole, PTM) induces after-effects that can transfer to wheelchair maneuvering. We also examined the impact of using constant (1 starting hand position) or variable (3 starting hand positions) training conditions on the transfer of after-effects to wheelchair maneuvering. METHODS: Sixty participants were randomly assigned to one of four PTM conditions: 1) prisms/constant training; 2) prisms/variable training; 3) sham goggles/constant training; 4) sham goggles/variable training. RESULTS: The use of PTM with rightward shifting prisms induced after-effects on proprioceptive and visual pointing outcome tasks. Groups using PTM with prism goggles showed a leftward shift in their position within a wheelchair course and a reduction in the number of right-sided collisions. The training condition did not have an impact on the transfer of after-effects to wheelchair driving. CONCLUSION: PTM is a clinically appealing PA protocol that induces after-effects that can transfer to an everyday activity relevant to patients with neglect. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of NeuroRehabilitation is the property of IOS Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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