Evidence map›Paper›PMID 40126425›Full record

SynthesisJournal of rehabilitation medicine2025

Short-term effect of prism adaptation treatment on severity of unilateral spatial neglect following right hemispheric stroke: a systematic review and meta-analysis.

Yumene Naito, Yuta Koshino, Hisaaki Ota, Marianne Piano, Akihiro Watanabe, Yuji Inagaki, Yukina Tokikuni, Daisuke Sawamura

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yumene NaitoDepartment of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Japan.
Yuta KoshinoDepartment of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Japan.ORCID 0000-0002-1942-7798
Hisaaki OtaDepartment of Occupational Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan.
Marianne PianoDepartment of Optometry and Vision Sciences, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia; National Vision Research Institute, Australian College of Optometry, Melbourne, Australia.
Akihiro WatanabeGraduate School of Health Sciences, Hokkaido University, Sapporo, Japan.
Yuji InagakiDepartment of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Japan.
Yukina TokikuniDepartment of Rehabilitation, Sapporo Shuyukai Hospital, Sapporo, Japan.
Daisuke SawamuraDepartment of Rehabilitation Science, Faculty of Health Sciences, Hokkaido University, Sapporo, Japan; Department of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia. D.sawamura@pop.med.hokudai.ac.jp.ORCID 0000-0003-3180-3474

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis work aimed to investigate the effects of prism adaptation on unilateral spatial neglect following right hemispheric stroke.

designSystematic review and meta-analysis of randomized controlled trials (RCTs). PATIENTS: Patients with unilateral spatial neglect following right hemispheric stroke.

methodsRCTs comparing prism adaptation with placebo therapy were systematically searched across 4 databases (PubMed, Web of Science, CINAHL, and Cochrane Library). Screening, data extraction, and quality assessment were performed by 2 independent reviewers.

resultsA total of 7 RCTs, involving 227 participants, satisfied the eligibility criteria. The results showed significant short-term effects of prism adaptation on neglect outcomes (SMD: 0.49 [95% CI: 0.07 to 0.92], p = 0.02) but not on the Catherine Bergego Scale (CBS) (SMD: -0.38 [95% CI: -1.27 to 0.51], p = 0.40). Subgroup analyses revealed that larger prism angles (exceeding 10°) had greater prism adaptation effects on both neglect outcomes and CBS (SMD: 0.71 [95% CI: 0.30 to 1.12], p = 0.0007 and SMD: -0.77 [95% CI: -1.51 to -0.02], p = 0.04, respectively).

conclusionThis study demonstrated that larger prism angle with greater than 10° was identified as a crucial factor in eliciting prism adaptation effects. These findings support the use of prism adaptation with angles exceeding 10° as a therapeutic approach for unilateral spatial neglect.

Indexed as

EyeglassesPerceptual DisordersStrokeStroke RehabilitationHumansRandomized Controlled Trials as Topic

Identifiers

PMID40126425
PMCPMC11959829

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.