sridhar Arumugam


The Unilateral neglect (ULN) is a common behavioural syndrome in patients following stroke. It is the one of the common disabling condition following unilateral brain damage, particularly of the right hemisphere. Swiss ball is the one of the instrument tool which helps in improving the balance and reducing the symptoms in several neurological conditions, whereas no information is available regarding the use of Swiss ball training in unilateral neglect patient. The main purpose of this study was to identify the effect of swiss ball training in unilateral neglect. Total numbers of participants are 15. Selection criteria for the patients are inclusion criteria age between 32 to 60 years, both males and females, stroke with unilateral neglect were included. Exclusion criteria haemorrhagic stroke, any visual impairment and other psychotic disorders were excluded from the study. The study used an experimental design. The severity of ULN was measured by using the line bisection test (LBT) and star cancellation test (SCT), mobility was assessed by using the functional independence measure (FIM) and balance was assessed by berg balance scale (BBS). Data were analysed using SPSS version 16.0. The pre and post intervention outcome measures between the groups were evaluated by independent t-test. The quantitative results of all the outcome measures showed significant improvement of ULN. The result showed that post intervention improved in all the outcome measures (LBT SCT, BBS and FIM). The level of significance was set at P< 0.05. The study concluded that the Swiss ball training is effective in improving the trunk control, balance and decreases the disability in unilateral neglect patients. Future research is needed to compare the effect of swiss ball training with control group.



unilateral neglect, swiss ball, trunk balance and gait

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Laurie S. Unilateral spatial neglect. Phys Ther. 2001;81(9):1–9.

Meg E, Judith D. Assessment of unilateral neglect. Phys Ther. 2003;83(8):732–40.

Menon-nair A, Korner-bitensky N, Faculty SW. Assessment of unilateral spatial neglect post stroke in Canadian acute care hospitals : are we neglecting neglect ? Clin Rehabil. 2005;20(3):623–34.

Parton A, Malhotra P, Husain M. Hemispatial neglect. Neurol Neurosurg Psychiatryn. 2003;28(8):13–21.

Gallagher M, Wilkinson D, Sakel M. Hemispatial Neglect : Clinical Features , Assessment and Treatment. Neurol Rehabil. 2004;44(0):1–13.

Weaver S. Unilateral spatial Neglect After Stroke.

Buklina SB. The Unilateral Spatial Neglect Phenomenon in Patients with Arteriovenous Malformations of Deep Brain Structures. Neurosci Behav Physiol. 2002;32(6):10–5.

Bowen A, Wenman R. The rehabilitation of unilateral neglect: a review of the evidence. Rev Clin Gerontol [Internet]. 2003 Oct 9 [cited 2014 Sep 4];12(04):357–73. Available from:

Amy B. Eye Patching in Unilateral Spatial Neglect : Efficacy of Two Methods. nerology. 1999;23(3):129–30.

Guariglia C, Lippolis G, Pizzamiglio L. Somatosensory Stimulation Improves Imagery Disorders in Neglect. Sci Direct Interface. 1998;34(2):1–3.

Buklina S. The Unilateral Spatial Neglect Phenomenon in Patients with Arteriovenous Malformation of Deep Brain Structures. Neurosci Behav Physiol. 2002;32(6):555–60.

Schindler I, Keller I, Goldenberg G, Karnath H-O, Kerkhoff G. Neck muscle vibration induces lasting recovery in spatial neglect. Neurol Neurosurg Psychiatryn. 2002;73:412–9.

Saevarsson S, Kristjansson A, Halsband U. Strength in numbers: combining neck vibration and prism adaptation produces additive therapeutic effects in unilateral neglect. Neuropsychol Rehabil [Internet]. 2010 Oct [cited 2014 Sep 4];20(5):704–24. Available from:

Neglect, U. S. (n.d.). Information for Patients and Families What is unilateral spatial neglect ?,1–5.

Mizuno K, Tsuji T, Takebayashi T, Fujiwara T, Hase K, Liu M. Prism adaptation therapy enhances rehabilitation of stroke patients with unilateral spatial neglect: a randomized, controlled trial. Neurorehabil Neural Repair [Internet]. 2011 Oct [cited 2014 Sep 4];25(8):711–20. Available from:

Karatas M,Cetin N, Bayranmoglu M, Dilek A. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabili 2004; 83:81-87.

Golijar, N., Burger, H., Rudolf, M.,& Vandervoot, A. (1997). Balance retraining in subacute stroke patients: a randomized controlled study. International Journal of Rehabilitation Research. 2010, 33(3), 205-210. DOI: 10.1097/MRR.0b013e328333de61.

Chan MKL, Ng PPK, Tsang MHM, Chow KKY, Lau CWL, Chan FSM, et al. The effect of voluntary trunk rotation and half-field eye-patching for patients with unilateral neglect in stroke : a randomized controlled trial. Clin Rehabil. 2006;21(12):729–41.

Fong KNK, Yang NYH, Chan MKL, Chan DYL, Lau AFC, Chan DYW, et al. Combined effects of sensory cueing and limb activation on unilateral neglect in subacute left hemiplegic stroke patients: a randomized controlled pilot study. Clin Rehabil [Internet]. 2012 Jul [cited 2014 Sep 4];27(7):628–37. Available from:


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