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Titel: Successful return to professional work after neglect, extinction, and spatial misperception – Three long-term case studies
VerfasserIn: Kerkhoff, Georg
Sprache: Englisch
Titel: Neuropsychological rehabilitation : an international journal
Startseite: 1
Endseite: 26
Verlag/Plattform: Taylor & Francis
Erscheinungsjahr: 2020
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Spatial neglect is a frequent, disabling syndrome and is associated with a poor rehabilitation outcome. Return to work seems almost impossible and has not been reported so far. Here, three cases with extensive right-hemisphere lesions after stroke are reported, who all showed residual left visuospatial neglect, left visual extinction on double simultaneous stimulation (DSS), and marked spatial-perceptual deficits. After early inpatient rehabilitation all three patients received specific, successive neuropsychological therapy as outpatients in four domains: (1) Optokinetic stimulation with pursuit eye movements and saccadic eye-movement training to reduce left-sided neglect and improve visual exploration; (2) Anti-extinction training to reduce left-sided visual extinction; (3) Spatial-perceptual feedback training to improve spatial-perceptual disorders and visuoconstruction; and (4) Job-related visual and cognitive treatments. All three cases were treated in sequential single-subject baseline designs. Significant improvements were obtained in all treated domains during therapy, which persisted at follow up. After a period of graded vocational re-integration, all three patients worked successfully in their prior job, two part-time (50%), one full-time (100%). These results show that return to professional (paid) work is possible despite initially severe neglect, hemianopia, visual extinction, and spatial-perceptual disorders after stroke.
DOI der Erstveröffentlichung: 10.1080/09602011.2020.1738248
URL der Erstveröffentlichung: https://www.tandfonline.com/doi/full/10.1080/09602011.2020.1738248
Link zu diesem Datensatz: hdl:20.500.11880/30644
http://dx.doi.org/10.22028/D291-33297
ISSN: 1464-0694
0960-2011
Datum des Eintrags: 16-Feb-2021
Fakultät: HW - Fakultät für Empirische Humanwissenschaften und Wirtschaftswissenschaft
Fachrichtung: HW - Psychologie
Professur: HW - Prof. Dr. Georg Kerkhoff
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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