Impact of Visual Impairment Assessment on Functional Recovery in Stroke Patients: a Pilot Randomized Controlled Trial

Jarvis, Kathryn, Grant, Emily ORCID: 0000-0001-7833-8085, Rowe, Fiona ORCID: 0000-0001-9210-9131, Evans, Janet and Cristino-Amenos, Meritxell (2012) Impact of Visual Impairment Assessment on Functional Recovery in Stroke Patients: a Pilot Randomized Controlled Trial. International Journal of Therapy and Rehabilitation, 19 (1). pp. 11-22. ISSN 1741-1645, 1759-779X

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Abstract

<jats:p> Aim: To determine whether providing therapy staff with objective information regarding the nature of visual impairment enhances functional recovery of stroke survivors. </jats:p><jats:p> Methods: A mixed methodology incorporated a pilot randomized controlled trial (RCT) and qualitative study. Patients presenting acutely with functional disability and suspected visual deficit, underwent visual assessment. Patients with visual impairment were recruited; all subjects received rehabilitation. The sample was randomized to group A (control) where details of visual assessment were withheld from therapy staff and group B (experimental) where details of visual assessment were disclosed. Functional measures (Functional Independent Measure, timed walk) were recorded at baseline and 6-week follow-up. Health professionals participated in a focus group to discuss the perceived influence of the additional visual assessment service on functional outcome. </jats:p><jats:p> Findings: 64 patients were recruited over 18 months (group A=31; group B=33). Drop out resulted in 19 subjects in group A and 20 in group B for full analysis. Significant functional improvement was noted in both groups, no significant difference was found between groups. Health professionals reported a perceived positive impact from the vision assessment service. </jats:p><jats:p> Conclusions: Provision of visual assessment information did not influence functional recovery. Qualitative findings indicated perceived benefits from the provision of the vision assessment service. </jats:p>

Item Type:	Article
Additional Information:	## TULIP Type: Articles/Papers (Journal) ##
Uncontrolled Keywords:	4201 Allied Health and Rehabilitation Science, 4203 Health Services and Systems, 42 Health Sciences, Clinical Research, Brain Disorders, Clinical Trials and Supportive Activities, Rehabilitation, Aging, 7.1 Individual care needs, Stroke, Eye
Depositing User:	Symplectic Admin
Date Deposited:	14 Aug 2017 14:13
Last Modified:	26 Sep 2025 04:12
DOI:	10.12968/ijtr.2012.19.1.11
Related Websites:	Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3008953