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最終更新日：2025/08/04
越野 裕太
コシノ ユウタ
(Yuta Koshino)
論文
- タイトル
- タイトル（英）
- Short-term effect of prism adaptation treatment on severity of unilateral spatial neglect following right hemispheric stroke: a systematic review and meta- analysis
- 参照URL
- https://researchmap.jp/yuta_koshino/published_papers/49465986
- 著者
- 著者（英）
- Yumene Naito,Yuta Koshino,Hisaaki Ota,Marianne Piano,Akihiro Watanabe,Yuji Inagaki,Yukina Tokikuni,Daisuke Sawamura
- 担当区分
- 概要
- 概要（英）
- Objective: This work aimed to investigate the effects of prism adaptation on unilateral spatial neglect following right hemispheric stroke.Design: Systematic review and meta-analysis of randomized controlled trials (RCTs).Patients: Patients with unilateral spatial neglect following right hemispheric stroke.Methods: RCTs comparing prism adaptation with placebo therapy were systematically searched across 4 databases (PubMed, Web of Science, CINAHL, and Cochrane Library). Screening, data extraction, and quality assessment were performed by 2 independent reviewers.Results: A total of 7 RCTs, involving 227 participants, satisfied the eligibility criteria. The results showed significant short-term effects of prism adaptation on neglect outcomes (SMD: 0.49 [95% CI: 0.07 to 0.92], p = 0.02) but not on the Catherine Bergego Scale (CBS) (SMD: –0.38 [95% CI: –1.27 to 0.51], p = 0.40). Subgroup analyses revealed that larger prism angles (exceeding 10°) had greater prism adaptation effects on both neglect outcomes and CBS (SMD: 0.71 [95% CI: 0.30 to 1.12], p = 0.0007 and SMD: –0.77 [95% CI: –1.51 to –0.02], p = 0.04, respectively).Conclusion: This study demonstrated that larger prism angle with greater than 10° was identified as a crucial factor in eliciting prism adaptation effects. These findings support the use of prism adaptation with angles exceeding 10° as a therapeutic approach for unilateral spatial neglect.
- 出版者・発行元
- 出版者・発行元（英）
- MJS Publishing, Medical Journals Sweden AB
- 誌名
- 誌名（英）
- Journal of Rehabilitation Medicine
- 巻
- 57
- 号
- 開始ページ
- jrm42542
- 終了ページ
- 出版年月
- 2025年3月24日
- 査読の有無
- 査読有り
- 招待の有無
- 掲載種別
- 研究論文（学術雑誌）
- ISSN
- DOI URL
- https://doi.org/10.2340/jrm.v57.42542
- 共同研究・競争的資金等の研究課題