De behandeling van neglect, een aandachtstoornis

Stand van zaken
A.F. (Teuni) ten Brink, Tanja C.W. Nijboer en J.M.A. (Anne) Visser-Meily

Treatment of neglect, an attention disorder

  • 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.

Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.