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  1. Chan, Dick Y. W. MS
  2. Man, David W. K. PhD


Objective: To evaluate the effectiveness of a comprehensive visual scanning training program for patients with unilateral neglect after stroke.


Design: Before and after trial.


Settings: Occupational Therapy Department of Pok Oi Hospital and Tuen Mun Hospital, Hospital Authority, Hong Kong.


Participants: Forty patients with stroke and associated unilateral neglect were randomly assigned equally into either an experimental group or a control group.


Interventions: Patients in the experimental group were treated with a 12-session visual scanning program for 4 weeks, whereas the patients in the control group received standard rehabilitation services only.


Main Outcome Measures: Subjects were assessed before and after the rehabilitation program by The Modified Barthel Index, Mini-Mental State Examination, and 2 neglect-related measures, namely, The Behavioural Inattention Test-Conventional subtests and Catherine Bergego Scale.


Results: The experimental group achieved a statistically significant improvement in neglect behavior in daily activities (t = -3.30, df = 38, P = .004), as reflected by the Catherine Bergego Scale scores and when compared with the control group. Participants in the experimental group also showed significant improvement in personal (t = 3.48, df = 38, P = .003) and peripersonal (t = 3.47, df = 38, P = .016) neglect.


Conclusions: A visual scanning training program was found to be a more effective treatment strategy for reducing neglect behavior. Further studies carried out for an extended follow-up period are recommended to better evaluate the long-term effects of the specific training program delivered in our study.