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doi:10.22028/D291-33297
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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