Ricerc@Sapienza

Cerebrovascular diseases, including stroke, are historically considered diseases of old adults so only in a few studies has “return to work” (RTW) been considered as an index of rehabilitative outcome. At the moment, data on RTW in patients with stroke are highly variable: four different reviews reported the following ranges: 11–85%, 19–73%, 22–53%, and 40–45%. The absence of re-integration to work after a stroke is shown to be associated with an increase of cardiac disorders and depression, with a higher level of mortality, with social isolation and with insufficient adaptive skills.

BACKGROUND: Rehabilitation of unilateral neglect has focused on the ego-centric form of the disturbance. However, allocentric neglect is known to predict failure in the activities of daily life even more than egocentric neglect. CASE REPORT: We submitted a patient with severe egocentric and allocentric left-sided neglect to an extensive prism adaptation training. After treatment, the patient persisted in errors on the left side of targets (allocentric neglect) and actually it increased in parallel with her increased exploration of left space (egocentric neglect).