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<p>Hemineglect—a frequently underdiagnosed neuropsychological sequela of stroke—is characterized by a failure to attend to stimuli on the contralesional side of space, substantially impeding functional recovery and independence. This narrative review synthesizes current evidence on physiotherapy interventions for post-stroke hemineglect, from established approaches such as visual scanning therapy (VST) and prism adaptation therapy (PAT) to emerging technologies like virtual/augmented reality (VR/AR), robotics, and non-invasive brain stimulation. While innovative tools offer promise, the evidence base remains preliminary, characterized by small samples, heterogeneous protocols, and limited functional outcome data. Significant implementation barriers—including cost, specialized training requirements, and limited accessibility—currently restrict widespread clinical adoption, particularly in resource-constrained settings. Effective rehabilitation requires individualized, multimodal strategies grounded in thorough assessment. Although innovative tools offer promise, their clinical translation is limited by practical barriers such as cost, accessibility, and patient-specific factors including anosognosia. Optimal recovery is best supported within an integrated, multidisciplinary framework in which physiotherapists collaborate with occupational therapists, neuropsychologists, and other specialists to deliver tailored, evidence-based care. This review underscores the need to combine personalized interventions with scalable delivery models to improve rehabilitation outcomes.</p>

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Physiotherapy interventions for post-stroke hemineglect: a narrative review

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月1日

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  • Mohammed Youssef Elhamrawy,
  • Saher Lotfy Elgayar

摘要

Hemineglect—a frequently underdiagnosed neuropsychological sequela of stroke—is characterized by a failure to attend to stimuli on the contralesional side of space, substantially impeding functional recovery and independence. This narrative review synthesizes current evidence on physiotherapy interventions for post-stroke hemineglect, from established approaches such as visual scanning therapy (VST) and prism adaptation therapy (PAT) to emerging technologies like virtual/augmented reality (VR/AR), robotics, and non-invasive brain stimulation. While innovative tools offer promise, the evidence base remains preliminary, characterized by small samples, heterogeneous protocols, and limited functional outcome data. Significant implementation barriers—including cost, specialized training requirements, and limited accessibility—currently restrict widespread clinical adoption, particularly in resource-constrained settings. Effective rehabilitation requires individualized, multimodal strategies grounded in thorough assessment. Although innovative tools offer promise, their clinical translation is limited by practical barriers such as cost, accessibility, and patient-specific factors including anosognosia. Optimal recovery is best supported within an integrated, multidisciplinary framework in which physiotherapists collaborate with occupational therapists, neuropsychologists, and other specialists to deliver tailored, evidence-based care. This review underscores the need to combine personalized interventions with scalable delivery models to improve rehabilitation outcomes.