Modifying postural adaptation following a CVA through prismatic shift of visuo-spatial egocenter.

Abstract:

OBJECTIVE:To demonstrate that Visual Midline Shift Syndrome (VMSS) following a cerebrovascular accident (CVA) can be corrected with yoked prisms. RESEARCH DESIGN:This randomized study describes how the use of yoked prisms affects visual midline and documents the influence of yoked prisms on improving postural orientation. METHODS AND PROCEDURES:Evaluation of VMSS and its correlation with postural lean during ambulation were studied in 30 post-CVA subjects and 30 controls. EXPERIMENTAL INTERVENTIONS:Yoked prisms were used to treat VMSS by correcting posture and balance. OUTCOMES AND RESULTS:Over 50% of post-CVA subjects showed positive visual midline shift (p < 0.001; 95% confidence interval [CI], 0.660.93 for right CVAs and p = 0.001; 95% CI, 0.61-0.93 for left CVAs). A statistically significant proportion of those with a positive shift showed a decrease in shift utilizing yoked prisms (p < 0.001; 95% CI, 0.73-0.97 for right CVAs and p = 0.001; 95% CI, 0.07-0.39 for left CVAs). Additionally, over 50% of CVA subjects developed lean or drift away from hemiparesis and many subjects showed increased weight-bearing on the hemiparetic side with yoked prisms. CONCLUSIONS:Yoked prisms are an effective means of treating VMSS in this population and may be useful in other neurological syndromes with visuo-spatial involvement.

journal_name

Brain Inj

journal_title

Brain injury

authors

Padula WV,Nelson CA,Padula WV,Benabib R,Yilmaz T,Krevisky S

doi

10.1080/02699050902926283

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

566-76

issue

6

eissn

0269-9052

issn

1362-301X

pii

911809766

journal_volume

23

pub_type

杂志文章,随机对照试验
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    doi:10.1080/026990597123179

    authors: McGann W,Werven G,Douglas MM

    更新日期:1997-09-01 00:00:00

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    doi:10.1080/026990598121918

    authors: Holland D,Shigaki CL

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    authors: Stern JM,Sazbon L,Becker E,Costeff H

    更新日期:1988-07-01 00:00:00

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    authors: Murdoch BE,Goozée JV

    更新日期:2003-01-01 00:00:00

  • Factors related to recovery after mild traumatic brain injury.

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    更新日期:2005-11-01 00:00:00

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    authors: Useros Olmo AI,Periañez JA,Martínez-Pernía D,Miangolarra Page JC

    更新日期:2020-07-28 00:00:00

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    pub_type: 杂志文章

    doi:10.1080/02699050802027059

    authors: Turkstra LS

    更新日期:2008-05-01 00:00:00

  • Long-term multi-dimensional outcome following isolated traumatic brain injuries and traumatic brain injuries associated with multiple trauma.

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699059009026191

    authors: Moore AD,Stambrook M,Peters LC,Cardoso ER,Kassum DA

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  • Extent of intellectual, cognitive, and academic decline in adolescent traumatic brain injury.

    abstract::Pre-injury cognitive data are rarely available for review for individuals suffering from traumatic brain injury (TBI). Although pre-injury intelligence and academic scores may be available, particularly if an individual is learning-disabled (LD), data on specific cognitive abilities are unlikely to exist. We present n...

    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/026990596124322

    authors: Vieth AZ,Johnstone B,Dawson B

    更新日期:1996-06-01 00:00:00

  • Written discourse of adolescents with closed head injury.

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050210147248

    authors: Wilson BM,Proctor A

    更新日期:2002-11-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050701253129

    authors: Donders J,Boonstra T

    更新日期:2007-03-01 00:00:00

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    pub_type: 杂志文章,评审

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    authors: Vogenthaler DR

    更新日期:1987-07-01 00:00:00

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    journal_title:Brain injury

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1080/026990597123502

    authors: Klimczak NJ,Donovick PJ,Burright R

    更新日期:1997-05-01 00:00:00

  • Neuropsychological test validity in Veterans presenting with subjective complaints of 'very severe' cognitive symptoms following mild traumatic brain injury.

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2016.1218546

    authors: Spencer RJ,Waldron-Perrine B,Drag LL,Pangilinan PH,Axelrod BN,Bieliauskas LA

    更新日期:2017-01-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章,随机对照试验

    doi:10.3109/02699052.2013.860472

    authors: Shimodozono M,Noma T,Matsumoto S,Miyata R,Etoh S,Kawahira K

    更新日期:2014-01-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章,多中心研究

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    authors: Haller CS,Delhumeau C,De Pretto M,Schumacher R,Pielmaier L,Rebetez MM,Haller G,Walder B

    更新日期:2017-01-01 00:00:00

  • Is high PEEP ventilation strategy safe for acute respiratory distress syndrome after severe traumatic brain injury?

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    journal_title:Brain injury

    pub_type: 杂志文章,评审

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    authors: Lou M,Xue F,Chen L,Xue Y,Wang K

    更新日期:2012-01-01 00:00:00

  • Traumatic brain injury and its effects on synaptic plasticity.

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    journal_title:Brain injury

    pub_type: 杂志文章,评审

    doi:10.1080/0269905031000107142

    authors: Albensi BC,Janigro D

    更新日期:2003-08-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1080/02699050802372166

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    更新日期:2008-10-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699050210131975

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    journal_title:Brain injury

    pub_type: 评论,杂志文章

    doi:10.1080/026990598122043

    authors: Shiel A,Wilson BA

    更新日期:1998-10-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.3109/02699059109008101

    authors: Davis AL

    更新日期:1991-07-01 00:00:00

  • A case study of amnesia: exploring a paradigm for new semantic learning and generalization.

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    pub_type: 杂志文章

    doi:10.1080/02699050801953081

    authors: Stark S,Gordon B,Stark C

    更新日期:2008-03-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章

    doi:10.1080/02699052.2016.1265668

    authors: Cai J,Li J,Chen S,Meng J,Ren R,Li M

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    pub_type: 杂志文章

    doi:10.1080/02699052.2016.1199898

    authors: Canner JK,Giuliano K,Gani F,Schneider EB

    更新日期:2016-01-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1080/02699050010007515

    authors: Kropyvnytskyy I,Saunders F,Pols M,Zarowski C

    更新日期:2001-06-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.3109/02699052.2014.915988

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    更新日期:2014-01-01 00:00:00

  • Dynamic changes in white matter following traumatic brain injury and how diffuse axonal injury relates to cognitive domain.

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