De behandeling van neglect, een aandachtstoornis

Abstract

Neglect occurs in 30-50% of patients in the subacute phase post-stroke. Patients with neglect ignore one side of their body or one part of the space around them. Treatment of neglect is important, as patients with neglect recover more slowly and are less independent compared to patients without neglect. Visual scanning training is currently recommended in the guidelines as a treatment. The focus of this intensive treatment is on compensation, not on recovery. Scientific evidence for its effectiveness is scarce. Other treatments, such as prism adaptation, limb activation training and brain stimulation are being investigated. However, the available evidence for their effectiveness is insufficient as yet. In addition to neuropsychological tests, outcome measures at the level of functioning in daily life should be included in studies regarding the treatment of neglect. New research is increasingly focusing on combining different treatments, which should ultimately be adapted for each patient individually.