Sound-based rehabilitation of unilateral spatial neglect: A systematic review of the literature.

IF 1.5 4区心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology-Adult Pub Date : 2025-02-13 DOI:10.1080/23279095.2025.2459805

Clémence Lelaumier, Sabrina Hassaïni, Thomas Hinault, Antoine Petroff, Hervé Platel, Yann Coello

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Abstract

Purpose: Unilateral spatial neglect (USN) following stroke has a high prevalence and poses significant functional challenges, highlighting the need for effective rehabilitation strategies. Current approaches often fail to meet these needs, prompting the investigation of innovative interventions. This systematic review synthesizes research on therapeutic effects of sound stimulation, elucidating relevant outcomes, influential factors and efficacy, and exploring avenues for novel sound-based rehabilitation strategies.

Method: A systematic review was conducted following PRISMA guidelines. Literature searches were performed across five databases (PubMed, Web-of-Science, Cochrane Library, PEDro, and Embase) from July 2023 to February 2024. Articles meeting inclusion criteria were appraised using the Joanna Briggs Institute (JBI) checklist.

Results and conclusion: Six studies involving 22 post-stroke USN patients highlighted the therapeutic potential of sound stimulation, despite variability in reported outcomes. Three key factors influencing therapy success were identified: sound characteristics, transmission technology, and rehabilitation approach. Early patients' engagement in therapy and sound-based stimulation of actions in different neglected parts of space that the patients previously neglected appear essential to the success of the therapy success. However, further research is needed using more robust methodologies, particularly to explore the potential of technological and clinical innovations such as auditory virtual reality and targeted individual therapies.

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基于声音的单侧空间忽视的康复：文献的系统回顾。

目的：脑卒中后的单侧空间忽视（USN）发病率高，并对功能构成重大挑战，因此需要有效的康复策略。目前的方法往往不能满足这些需求，因此需要对创新干预措施进行研究。本文系统综述了声音刺激治疗效果的研究，阐明了相关结果、影响因素和疗效，并探索了新的基于声音的康复策略的途径。方法：按照PRISMA指南进行系统评价。从2023年7月到2024年2月，在5个数据库（PubMed、Web-of-Science、Cochrane Library、PEDro和Embase）中进行文献检索。符合纳入标准的文章使用乔安娜布里格斯研究所（JBI）检查表进行评估。结果和结论：涉及22例卒中后USN患者的6项研究强调了声音刺激的治疗潜力，尽管报道的结果存在差异。确定了影响治疗成功的三个关键因素：声音特征、传播技术和康复方法。早期患者参与治疗和基于声音的刺激在不同的被忽视的空间部分的行动，患者之前被忽视的似乎是治疗成功的关键。然而，需要使用更可靠的方法进行进一步的研究，特别是探索技术和临床创新的潜力，如听觉虚拟现实和有针对性的个体治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.