Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial
<i>Background and objectives:</i> Hemispatial neglect is a common consequence of stroke, with an estimated incidence of 23%. Interventions for treating hemispatial neglect may be categorized as either top-down or bottom-up processing. The aim of top-down approaches is to train the person...
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doaj-6c47f68e5e5a4cde9cbe6a3d6bd0c6ae2020-11-24T21:49:56ZengMDPI AGMedicina1010-660X2019-04-0155410810.3390/medicina55040108medicina55040108Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled TrialValentina Varalta0Daniele Munari1Lucrezia Pertile2Cristina Fonte3Gabriella Vallies4Elena Chemello5Marialuisa Gandolfi6Angela Modenese7Nicola Smania8Alessandro Picelli9Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeurorehabilitation Unit, Department of Neurosciences, Hospital Trust of Verona, 37126 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, ItalyNeuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy<i>Background and objectives:</i> Hemispatial neglect is a common consequence of stroke, with an estimated incidence of 23%. Interventions for treating hemispatial neglect may be categorized as either top-down or bottom-up processing. The aim of top-down approaches is to train the person to voluntarily compensate for their neglect. Such approaches require awareness of the disorder and a high level of active participation by the patient. Differently, bottom-up approaches are based on manipulation of a patient’s sensory environment and so require less awareness of behavioral bias. In line with the latter, it is conceivable that elastic therapeutic taping applied to the left neck surface may provide bottom-up inputs that reduce hemispatial neglect symptoms. The aim of this study was to assess the effect of therapeutic neck taping on visuo-spatial abilities, neck motion, and kinesthetic sensibility in chronic stroke patients with hemispatial neglect. <i>Materials and Methods:</i> After randomization, 12 chronic stroke patients with hemispatial neglect received 30 consecutive days of real (treatment group) or sham (control group) neck taping. The outcomes were as follows: Stars Cancellation Test; neck active range of motion; Letter Cancellation Test; Comb and Razor Test; Cervical Joint Position Error Test evaluated before and after one month of taping. <i>Results:</i> Between-group comparison showed significant differences only for the Cervical Joint Position Error Test after treatment (<i>p</i> = 0.009). <i>Conclusions:</i> Our preliminary findings support the hypothesis that neck taping might improve cervicocephalic kinesthetic sensibility in chronic stroke patients with hemispatial neglect. Further studies are needed to strengthen our results and better investigate the effects of elastic therapeutic taping on visuo-spatial abilities in stroke patients with hemispatial neglect.https://www.mdpi.com/1010-660X/55/4/108athletic tapeperceptual disordersrehabilitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Valentina Varalta Daniele Munari Lucrezia Pertile Cristina Fonte Gabriella Vallies Elena Chemello Marialuisa Gandolfi Angela Modenese Nicola Smania Alessandro Picelli |
spellingShingle |
Valentina Varalta Daniele Munari Lucrezia Pertile Cristina Fonte Gabriella Vallies Elena Chemello Marialuisa Gandolfi Angela Modenese Nicola Smania Alessandro Picelli Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial Medicina athletic tape perceptual disorders rehabilitation |
author_facet |
Valentina Varalta Daniele Munari Lucrezia Pertile Cristina Fonte Gabriella Vallies Elena Chemello Marialuisa Gandolfi Angela Modenese Nicola Smania Alessandro Picelli |
author_sort |
Valentina Varalta |
title |
Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial |
title_short |
Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial |
title_full |
Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial |
title_fullStr |
Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial |
title_full_unstemmed |
Effects of Neck Taping in the Treatment of Hemispatial Neglect in Chronic Stroke Patients: A Pilot, Single Blind, Randomized Controlled Trial |
title_sort |
effects of neck taping in the treatment of hemispatial neglect in chronic stroke patients: a pilot, single blind, randomized controlled trial |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X |
publishDate |
2019-04-01 |
description |
<i>Background and objectives:</i> Hemispatial neglect is a common consequence of stroke, with an estimated incidence of 23%. Interventions for treating hemispatial neglect may be categorized as either top-down or bottom-up processing. The aim of top-down approaches is to train the person to voluntarily compensate for their neglect. Such approaches require awareness of the disorder and a high level of active participation by the patient. Differently, bottom-up approaches are based on manipulation of a patient’s sensory environment and so require less awareness of behavioral bias. In line with the latter, it is conceivable that elastic therapeutic taping applied to the left neck surface may provide bottom-up inputs that reduce hemispatial neglect symptoms. The aim of this study was to assess the effect of therapeutic neck taping on visuo-spatial abilities, neck motion, and kinesthetic sensibility in chronic stroke patients with hemispatial neglect. <i>Materials and Methods:</i> After randomization, 12 chronic stroke patients with hemispatial neglect received 30 consecutive days of real (treatment group) or sham (control group) neck taping. The outcomes were as follows: Stars Cancellation Test; neck active range of motion; Letter Cancellation Test; Comb and Razor Test; Cervical Joint Position Error Test evaluated before and after one month of taping. <i>Results:</i> Between-group comparison showed significant differences only for the Cervical Joint Position Error Test after treatment (<i>p</i> = 0.009). <i>Conclusions:</i> Our preliminary findings support the hypothesis that neck taping might improve cervicocephalic kinesthetic sensibility in chronic stroke patients with hemispatial neglect. Further studies are needed to strengthen our results and better investigate the effects of elastic therapeutic taping on visuo-spatial abilities in stroke patients with hemispatial neglect. |
topic |
athletic tape perceptual disorders rehabilitation |
url |
https://www.mdpi.com/1010-660X/55/4/108 |
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