Efficacy of Multimodal Rehabilitation for Improving Hemispatial Neglect and Functional Outcomes After Stroke: A Systematic Review and Meta-Analysis

Abstract

OBJECTIVE: The purpose of this study was to assess how well multimodal rehabilitation treatments for hemispatial neglect work for stroke survivors.
BACKGROUND OF THE STUDY: With 20% to 40% of stroke survivors enduring moderate to severe disability, stroke is the main cause of acquired disability among adults globally. This leads to steadily rising expenses for health systems across the globe.
Hemiparesis, spasticity, hemispatial neglect, dysphagia, difficulties walking, and low independence in activities of daily living (ADL) are only a few of the clinical signs that stroke survivors may exhibit. An attentional issue known as hemi-spatial neglect occurs when a person is unable to recognize or react to stimuli that appear in contra-lesional space. In the medical field, multimodal rehabilitation has become a successful treatment for hemispatial neglect in stroke patients. A number of recent studies have examined multimodal rehabilitation for hemispatial neglect in stroke patients; however, they are limited by the fact that they only employ clinical databases and do not use technical indices like the Scimago Journal & Country Rank or the Web of Science index.
As far as we are aware, this is the only contribution that has conducted an evidence-based systematic review for multimodal rehabilitation for hemispatial neglect in stroke patients, incorporating both clinical and technological databases. A total of 330 records from 22300 were found in the initial search. Of these, 25 met the PICO (Population, Intervention, Comparison, and Outcomes) criteria and were chosen for analysis after duplicates and irrelevant studies were eliminated. The reviewed studies indicate a moderate level of evidence regarding multimodal therapy for hemispatial neglect in stroke patients. The treatment of hemispatial neglect in stroke patients can benefit greatly from multimodal rehabilitation, but further research is required to establish reliable validations that multimodal rehabilitation can successfully supplement conventional treatments.
METHODOLOGY:
To find studies assessing multimodal rehabilitation in hemispatial neglect among stroke patients, a thorough literature search was carried out. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Allied and Complementary Medicine Database, Physiotherapy Evidence Database, Database of Research in Stroke, and Cumulative Index to Nursing and Allied Health Literature were the sources of the bibliographic databases.
RESULT:
The literature search for this systematic review produced 22,300 results, of which 25 papers met the requirements and were ultimately included in the study. Nearly all of the research demonstrated that hemispatial neglect patients among stroke patients had better significance in visual, tactile, auditory, ambulation, cognitive improvement, and activities of daily living. A forest plot was used to display the findings of the statistical analysis, which was carried out using a suitable effect measure. To the best of our knowledge, this meta-analysis summarizing multimodal rehabilitation for hemispatial neglect in stroke patients
CONCLUSION:
We can draw the conclusion that multimodal rehabilitation may have a major impact on stroke patients' quality of life, functionality, and execution of everyday tasks.