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 Injjournal_title
Brain injuryauthors
Padula WV,Nelson CA,Padula WV,Benabib R,Yilmaz T,Krevisky Sdoi
10.1080/02699050902926283subject
Has Abstractpub_date
2009-06-01 00:00:00pages
566-76issue
6eissn
0269-9052issn
1362-301Xpii
911809766journal_volume
23pub_type
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