Therapeutic approaches using numbering and counting to improve feeding in a patient with severe unilateral spatial neglect Hiroaki Tokusa 1,2 , Satoe Ichihara-Takeda 3,4 , Sumio Ishiai 4,5 1Hakodate Kyokai Hospital Rehabilitation Center 2Sapporo Medical University 3Department of Occupational Therapy, School of Health Sciences, Sapporo Medical University 4Division of Rehabilitation, Sapporo Medical University Hospital 5Department of Rehabilitation, School of Medicine, Sapporo Medical University Keyword: 半側空間無視 , 探索 , 注意持続 , 食事動作 , 日常生活活動 , Unilateral spatial neglect , Exploration , Motivation , Feeding activity , Activities of daily living pp.649-654
Published Date 2010/10/15
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 We report the effect of approaches using numbering in cancellation tasks and counting in the feeding activity in a patient with severe unilateral spatial neglect. As reported previously, numbering improved the performance of the cancellation task immediately after its introduction. After 10 weeks of rehabilitation with these approaches, the patient maintained her improved spatial exploration without external cues to number targets. Similarly, counting of dishes and cups helped her locate left-side foods in the feeding activity. She learned to spontaneously use the counting strategy, and finally she was able to find and eat foods on the left as well as the right side of the table without overt counting. The results suggest that a long period (e.g., 10 weeks) of rehabilitation including numbering and counting may improve spatial exploration in patients with unilateral spatial neglect.

Copyright © 2010, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会