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Feasibility of Computerized Visuomotor Integration System for Visual Field Defects and Spatial Neglect in Poststroke Patients

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Author(s)
Hyeon-Taek HongMyeong Geun JeongKyoung Tae Kim
Keimyung Author(s)
Kim, Kyoung Tae
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
Ann Rehabil Med
Issued Date
2024
Volume
48
Issue
2
Keyword
StrokeVisual fieldsSpatial neglectRehabilitation
Abstract
Objective:
To develop a computerized visuomotor integration system for assessment and training of visual perception impairments and evaluate its safety and feasibility in patients with a stroke. Visual field defects and spatial neglect lead to substantial poststroke impairment. Most diagnostic assessments are anchored in traditional methods, and clinical effects of rehabilitation treatments are limited.

Methods:
The CoTras Vision system included two evaluations and four training modules. The evaluation modules were based on the Albert’s test and Star cancellation test, and training modules were based on visual tracking, central-peripheral integration, and visuomotor perception techniques. Bland–Altman plots for agreement with the traditional paper-and-pencil test were performed, and the modified Intrinsic Motivation Inventory, Patient Satisfaction Questionnaire, and Simulator Sickness Questionnaire were conducted.

Results:
Ten patients with acute stroke completed the study. Bland–Altman plots revealed good agreements for Albert’s test (mean difference, -0.3±4.5) and Star cancellation test (mean difference, 0.3±0.7). The mean±standard deviation scores of the modified Intrinsic Motivation Inventory, Patient Satisfaction Survey, and Simulator Sickness Questionnaire were 84.7±30.6, 40.5±7.9, and 34.0±34.5 respectively.

Conclusion:
The CoTras Vision system is feasible and safe in patients with stroke. Most patients had a high degree of motivation to use the system and did not experience severe adverse events. Further studies are needed to confirm its usefulness in stroke patients with visual field defects and hemineglect symptoms. Furthermore, a large, well-designed, randomized controlled trial will be needed to confirm the treatment effect of the CoTras Vision system.
Keimyung Author(s)(Kor)
김경태
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2234-0653
Source
https://www.e-arm.org/journal/view.php?number=4361
DOI
10.5535/arm.230028
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45370
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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