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Treatment of visuospatial neglect with biparietal tDCS and cognitive training: a single-case study

Overview of attention for article published in Frontiers in Systems Neuroscience, September 2014
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Title
Treatment of visuospatial neglect with biparietal tDCS and cognitive training: a single-case study
Published in
Frontiers in Systems Neuroscience, September 2014
DOI 10.3389/fnsys.2014.00180
Pubmed ID
Authors

Anna-Katharine Brem, Evelyn Unterburger, Irving Speight, Lutz Jäncke

Abstract

Symptoms of visuospatial neglect occur frequently after unilateral brain damage. Neglect hampers rehabilitation progress and is associated with reduced quality of life. However, existing treatment methods show limited efficacy. Transcranial direct current stimulation (tDCS) is a neuromodulatory technique, which can be used to increase or decrease brain excitability. Its combination with conventional neglect therapy may enhance treatment efficacy. A 72-year-old male with a subacute ischemic stroke of the right posterior cerebral artery suffering from visuospatial neglect, hemianopia, and hemiparesis was treated with biparietal tDCS and cognitive neglect therapy in a double-blind, sham-controlled single-case study. Four weeks of daily treatment sessions (5 days per week, 30 min) were started 26 days post-stroke. During week 1 and 4 the patient received conventional neglect therapy, during week 2, conventional neglect therapy was combined once with sham and once with real biparietal tDCS. Week 3 consisted of daily sessions of real biparietal tDCS (1 mA, 20 min) combined with neglect therapy. Outcome measures were assessed before, immediately after, as well as 1 week and 3 months after the end of treatment. They included subtests of the Test for Attentional Performance (TAP): covert attention (main outcome), alertness, visual field; the Neglect-Test (NET): line bisection, cancelation, copying; and activities of daily living (ADL). After real stimulation, covert attention allocation toward left-sided invalid stimuli was significantly improved, and line bisection and copying improved qualitatively as compared to sham stimulation. ADL were only improved at the 3-month follow-up. This single-case study demonstrates for the first time that combined application of tDCS and cognitive training may enhance training-induced improvements in measures of visuospatial neglect and is applicable in a clinical context.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 174 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 <1%
Switzerland 1 <1%
Italy 1 <1%
Austria 1 <1%
United Kingdom 1 <1%
United States 1 <1%
Unknown 168 97%

Demographic breakdown

Readers by professional status Count As %
Researcher 30 17%
Student > Master 27 16%
Student > Ph. D. Student 24 14%
Student > Bachelor 23 13%
Student > Doctoral Student 11 6%
Other 26 15%
Unknown 33 19%
Readers by discipline Count As %
Psychology 47 27%
Neuroscience 32 18%
Medicine and Dentistry 25 14%
Nursing and Health Professions 13 7%
Social Sciences 3 2%
Other 13 7%
Unknown 41 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 December 2014.
All research outputs
#13,412,618
of 22,763,032 outputs
Outputs from Frontiers in Systems Neuroscience
#750
of 1,340 outputs
Outputs of similar age
#120,564
of 252,540 outputs
Outputs of similar age from Frontiers in Systems Neuroscience
#33
of 59 outputs
Altmetric has tracked 22,763,032 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,340 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.6. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 252,540 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.