The trail of upper-body dressing training based on the time-delay and visual prompt fading methods for a stroke inpatient with severe hemiplegia and visual-spatial deficit

Abstract

This study examined the effect of upper-body dressing training based on the time-delay and visual prompt fading methods using applied behavior analysis on a stroke inpatient with severe hemiplegia and visual-spatial deficit (left-homonymous hemianopsia and ocular motility disorder). In this single-case experimental study, to assess the effect of the intervention, the performance times of upper-body dressing and amounts of dressing scores in the baseline and intervention phases were measured and compared. Statical analysis was performed by the split-middle line method and a binomial test. As a result, performance times of upper-body dressing were shortened and amounts of the dressing score increased significantly in the intervention phase compared to the baseline. Moreover, these outcomes were also consistent during the follow-up. These results suggest that upper-body dressing training based on the time-delay and visual prompt fading methods are effective in improving upper-dressing ability in a stroke patient with impaired visuospatial ability.