title: Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial.
abstract: BACKGROUND
  The current study aims to investigate the effects of primary caregiver participation in vestibular rehabilitation (VR) on improving the measures of neglect, activities of daily living (ADL), balance, and falls of unilateral neglect (UN) patients.
  
  
  METHODS
  This study is a single-blind randomized controlled trial. Both experimental (n = 24) and control groups (n = 24) received conventional rehabilitation. The experimental group undertook VR for a month. During the first and second weeks, a registered nurse trained the experimental group in VR. The primary caregivers in the experimental group supervised and guided their patients in VR during the third and fourth weeks. The outcome measures were neglect, ADL, balance, and falls.
  
  
  RESULTS
  The two groups of UN patients showed a significant improvement in neglect, ADL, and balance over time. Based on the generalized estimating equations model, an interaction was observed between groups and times. Significant interactions were observed between the VR group at days 14 and 28 in the areas of neglect, ADL, and balance. No significant difference was observed between the two groups in the number of falls.
  
  
  CONCLUSIONS
  Neglect, ADL, and balance among UN patients with right hemispheric stroke can be improved through the participation of primary caregivers in VR. Trained informal caregivers were recommended to provide VR guidance and supervision to patients who suffer from UN.
authors: School of Nursing, National Yang Ming University, Taipei, Taiwan ; Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan.
authors: Chin-Ying
authors: CY
authors: Dai
authors: Yu-Hui
authors: YH
authors: Huang
authors: Li-Wei
authors: LW
authors: Chou
authors: Shiao-Chi
authors: SC
authors: Wu
authors: Ray-Yau
authors: RY
authors: Wang
authors: Li-Chan
authors: LC
authors: Lin
keywords: balance; caregiver; falls; neglect; vestibular rehabilitation
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