Abstract

Unilateral neglect is common following stroke and is associated with poor recovery of upper limb function, gait disorders and reduced mobility. These impairments can limit participation in functional activities of everyday living such as dressing, eating, and ambulating in the community. Although physical therapy is routinely provided following stroke, it is not always tailored to the specific needs of people with unilateral neglect. There is a large body of literature on the cognitive aspects of neglect that is useful to take into account when designing physical therapy programs. This literature suggests that visual cues and various limb activation strategies improve performance on a range of upper limb tasks. This article will evaluate the effects of visual cues and three methods of limb activation (contralesional limb activation, ipsilesional limb activation, and bilateral limb activation) on the attentional and motor components of unilateral neglect following stroke.

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