This course discusses the condition of unilateral neglect post stroke, its assessments, and potential interventions. Dr. Richards begins by covering the incidence of unilateral neglect, its signs and symptoms, and common theories explaining its mechanisms. The course concludes with a discussion of the various assessments for neglect and the evidence that supports the most commonly studied interventions.
Dr. Richards has been an occupational therapy educator and rehabilitation researcher for over 20 years. She is currently the Chair and Associate professor in the Division of Occupational Therapy at the University of Utah, with previous appointments at the University of Kansas Medical Center, the University of Florida, and the Malcom Randall VA Medical Center. She has been conducting clinical trials of motor rehabilitation after stroke since 1994. The interventions she tests are based on principles of neuroplasticity and motor learning. She is the Editor-in-Chief of the American Journal of Occupational Therapy and a Fellow of the American Heart Association. Explore her courses on MedBridge!
This chapter describes the features of the neglect syndrome and the theories and models explaining neglect. Understanding all the features of neglect ensures that clinicians fully assess for the presence of these features and how they may be impacting function. As interventions should be theory-based, understanding the theories explaining neglect assist in the development and use of various interventions.
This chapter will cover commonly used assessments for neglect. Valid and reliable assessment is critical for determining the presence of a condition, and measuring change related to therapy. Both are important for treatment planning and treatment adjustment. They are also critical for justifying reimbursement for services. Participants should seek to gain knowledge of the various assessments used to help clinicians understand studies providing the evidence for practice.
This chapter will cover the most commonly investigated interventions for neglect. It will discuss the level of evidence and what this suggests for practice. It is critical that clinicians practice in an evidence-based manner, using research evidence in conjunction with client and contextual factors to deliver the best rehabilitation.